A THREE YEAR AUDIT OF MAXILLOFACIAL WARD HAYATABAD MEDICAL COMPLEX

ABSTRACT
Background: Very little work has been reported on the pattern of presentation and treatment of oral and maxillofacial
surgical diseases through out the word, although it is essential for quality care. A huge number of patients are managed
surgically in Oral and Maxillofacial Surgery department of Khyber Girls Medical College, Hayatabad Medical Complex
Hospital Peshawar, but up till now, no surgical audit has been carried out to identify the potential problems in patient care.
Objectives: The objective of this clinical audit was to evaluate the performance of a newly established Oral and maxillofacial
surgery department Hayatabad Medical Complex during the first three year of its existence.
Place of study: This Descriptive study was conducted at on all patients admitted to Oral & Maxillofacial Surgical Unit of
Hayatabad Medical Complex Peshawar over a 3 years period of three years from November 2013 to December 2016.
Materials and method: A detailed data was collected retrospectively from indoor ward patient treatment chart. Data
collected also included, the number and nature of the case weather emergency or outpatient department case, treatment
given and any prominent complication etc-. Data was put and then analyzed by SPSS version 16.
Results: A total of 704 patients were included in this study. Male subjects accounted for 78.4%, while female accounted
for 21.6% giving a gender (male: female) ratio of 3.6:1. The country wise distribution of these patients was in the ratio of
7.3:1 for Pakistan and Afghanistan. Age 2- 20 years was most common 51.7%. Trauma was more (75.28%) as compared
to pathology (24.72%) . Malignant tumors were most frequent occurring pathology followed by cystic lesions. Mandible
(49.05%) was the most common bone to be involved followed by zygomatic complex , maxilla and their combination.
Most common post operative complications were plate infection, malocclusion, and nerve injury.
Conclusion: Trauma remains the main burden of our maxillofacial department. Strong consideration should be given
by the government for preventing maxillofacial trauma by implementation of legislations and laws. Squamous cell
carcinoma is the most common pathology presented to our department and mostly are delayed diagnosed.
Key wards: Clinical audit, maxillofacial, trauma, pathology, Hayatabad