The Pattern of Facial Injury among Foreign Travelers in Bali: A Retrospective Study

BACKGROUND: Injury, especially road traffic accident caused injury, was the most cause of death in international traveler worldwide. Estimated more than 1 million people deaths and become disability after injury. Facial fracture was the most common injury in plastic surgery division among international traveler. AIM: This study is aimed to describe the pattern of facial fracture among foreign travelers in Bali to provide prompt prevention and treatment. METHODS: The retrospective study was did using the medical record, imaging analysis including computed tomographies and conventional radiographs of 126 cases of facial fracture from the period of January 2009 to September 2012. The patterns of facial fractures were divided into four main categories of craniofacial, maxillofacial, nasal, and mandibulofacial. RESULTS: The result showed that fractures involving nasal region were the most common (n = 65, 51.6%) followed by midface region (n = 58, 46.0%), craniofacial (n = 50, 39.7%), and mandibulofacial (n = 20, 15.9%), respectively. CONCLUSION: It can be concluded, nasal fracture and midfacial fracture were the most common type of facial fracture with the major cause of motor vehicle accidents.

Ballooning technique for orbital floor fracture reduction in neglected midfacial fracture: a case report

Objective: Midfacial fracture is a fracture that separates maxilla from the middle part of face. Orbital floor fracture includes in midfacial fracture that difficult to treat. The aggravating factor of the treatment are depressed fractures and infection. We use ballooning technique which is inflated in the maxillary sinus to lift fracture segment of orbital floor and to prevent the orbital floor displaced to the maxillary sinus.Methods: There were multiple lacerations at left eye and nose region, post suturing at left zygoma and left cheek region. Intraoral findings there were multiple laceration, then the patient was examined a complete blood count, chest xray, cervical lateral examination, and 3D CT-Scan examination.Results: Examination of head and panoramic xray was performed and showed there was no bone discontinuity, contact and stable fracture segments. Examination of the 5th day post operative showed minimal pus drainage, leukocytes were within normal limits and other lab results were normal. Physical examination showed minimum scar, there was no dehiscence, symmetrical face and drain was performed at left zygoma region, symmetrical orbital, intact and stable occlusion.Conclusion: In this case, ballooning technique was successfully reduced the ruptured orbital floor and obtained good result.Keywords: Ballooning, Fixation, Open fracture, Orbital floor fracture.