Permalink : http://hdl.handle.net/2115/67330

KEYWORDS : maxillofacial disease pattern;squamous cell carcinoma;ameloblastoma;maxillofacial trauma

The purpose of this study was to evaluate the pattern of oral & maxillofacial diseases and to identify the potential problems in providing treatment for improving patients care. The goal of the maxillofacial surgeon is to eradicate diseases of oral and maxillofacial region while preventing recurrence, complications and restore function. To achieve this goal, it is essential to identify the disease pattern of the community, so that a standardize treatment protocol could be developed to enhance the quality of care for the patients. However, there was no long-term analysis of pattern of maxillofacial diseases in Bangladesh. A total of 5663 patients managed in two academic hospitals from January 2007 to December 2016 were included in this study irrespective of age and gender. A detailed analysis of these patients revealed, 3502 cases were males and 2162 were females in a ratio of 1.6 : 1. The age range was from 1 to 90 years with the mean age of 35.57 years and the age range was from 20 to 40 years. The incidence of benign tumors (27.8%) was most common, followed by malignant tumors (21.5%) and maxillofacial trauma (20.3%) among all the patients. The incidence of oral cancer and ameloblastoma was found significantly higher in this study. Excision and/or reconstruction, “dredging method,” and maxillo-mandibular fixation with wiring were the main modality of treatment. The overall morbidity and mortality rate were 3.2% and 0.07% respectively. The findings from this study are presented and discussed in this paper.