RESULTS OF MAXILLO-MANDIBULAR BLOCKAGE IN THE MANAGEMENT OF MAXIL-LOFACIAL FRACTURES IN A COUNTRY WITH LIMITED RESOUR

ABSTRACT

Introduction

Maxillomandibular blockade is common practice in our context

The objective of this work was to present the results of maxillomandibular blockade in the management of maxillomandibular fractures.



Material and methods

This was a retrospective study with a descriptive aim carried out over a period of 2 years (January 2021 to December 2022), including the files of patients treated for maxillofacial fractures and treated with maxillomandibular blockade.



Results

The average age of the patients was 30.24 years with the extremes ranging from 4 to 61 years. The male gender was predominant (84.4%) with a sex ratio of 6.40. The etiology was dominated by road traffic accidents in 93% of cases (n=262) mainly due to 2 or 3 wheel vehicles. The socio-professional layer was dominated by motorcycle taxi drivers in 42% of cases (n=119). Mandibular fractures were the most common bone lesions in 45% of cases (n=126). Maxillo-mandibular blocks on vestibular arches were the most performed in 70% of cases (n=196). The average duration of the blockade was 29.5 days ranging from 7 days to 52 days. The treatment was considered good in 99% of cases (n=274). 1 case of dysfunction of the manducatory apparatus and 2 cases of mandibular osteitis were noted as complications after a 6-month follow-up



Conclusion

The maxillomandibular blockade allowed the restoration and maintenance of the dental articulation, ensuring good consolidation of the fractures and recovery of good masticatory function.