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Year : 2011  |  Volume : 16  |  Issue : 2  |  Page : 18-27

Audit of the demographic patterns of oral and maxillofacial surgical cases in a Nigerian teaching hospital

1 Oral and Maxillofacial Unit, Dept of Dental Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria
2 Dept of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria

Correspondence Address:
C E Anyanechi
P. O. Box 3446, Calabar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4314/jcm.v16i2.3

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Background: Surgical audit is a normal part of surgical practice. Earlier reports on the availability of oral and maxillofacial surgical services in Nigeria showed limited number of centres and shortage of specialists. Objective: To determine the pattern of oral and maxillofacial surgical diseases in order to establish the local demographic data base and subsequently structure service delivery on evidence-based disease profile. Materials and methods: A retrospective study using the admission registers and folders of cases treated in the oral and maxillofacial unit in the period of January 2005 to December 2010 in a Nigerian teaching hospital. Results: Within the period, 7948 patients were seen and17.0% needed oral and maxillofacial surgical treatment. Ratio of male to female subjects was 4:1, whereas the age of subjects ranged from one-83 years with mean age at 38.7±10.6 years. Both congenital (0.8%) and acquired (99.2%) cases were recorded. Subjects that had acquired conditions were categorized into traumatic (67.1%) and non-traumatic (32.1%). The commonest aetiological factor (79.1%) causing disease was road traffic accident. The common treatments were intermaxillary fixation (54.8%) and resection (7.5%), whereas the complications were limitation in mouth opening, 22.1% and facial deformity, 19.5%. Conclusion: The commonest indication for consultation was trauma, and since resources for care are scarce in Nigeria, the focus should be to reduce the disease burden by prevention.

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