Advances in Oral and Maxillofacial Surgery (Oct 2022)
Epidemiology and management of Lefort fractures at the Sylvanus Olympio University Hospital of Lomé (Togo)
Abstract
Introduction: Lefort fractures are lesions of the facial mass following violent trauma. They can be life-threatening and functionally dangerous in the short or long term. This study aimed to report the management of this type of fracture in our context. Methodolog: yThis was a descriptive cross-sectional study with retrospective data collection from January 1, 2011, to December 31, 2020, in the Department of Otolaryngology and Cervico-Maxillofacial Surgery at the Sylvanus Olympio University Hospital of Lomé. Results: The annual frequency was 15.2 cases. The average age of the patients was 34.43 ± 11.98 years with extremes of 15 and 70 years and a sex ratio of 9.13. The majority of patients were workers in the informal sector (44.08%). The etiologies were dominated by road traffic accidents (91.45%) and 28.29% of the patients were emergency cases on admission. Imaging showed 51.06% Lefort II fractures. Treatment was surgical in 99.34%, with screw plates (89.40%). Functional sequelae were reported in 5.92% of patients. Conclusion: Lefort fractures are common in young adult males after road traffic accidents. Their treatment is delicate and often leaves serious after-effects. Active measures for the prevention of these road traffic accidents are therefore necessary.
