AB197. SOH24AB_225. Jailbreak: the maxillofacial dimension

Background: This retrospective review aims to investigate the characteristics and outcomes of prisoner patients who were referred to the Department of Oral and Maxillofacial Surgery in St James’s Hospital with facial trauma over the past year. Understanding the specific challenges and patterns of facial trauma in this unique patient cohort is essential for planning and providing optimal treatment.

Methods: A retrospective chart review was conducted for all prisoner patients who were referred to the Oral and Maxillofacial Department between November 2022 and November 2023. Demographic data, injury mechanisms, anatomical sites affected, treatment modalities, and post-treatment outcomes were analysed. Statistical analysis was performed to identify significant trends and associations.

Results: A total of 26 prisoner patients with facial trauma were included in the study. The majority of injuries were caused by interpersonal violence (80%), followed by accidents (16%) and self-inflicted injuries (4%). The most commonly affected anatomical sites were nasal bones (35%), followed by orbital fractures (27%), zygoma- zygomatic complex fractures (19%) and mandible fractures (11%). Surgical interventions, including open reduction and internal fixation, were required in 42% of patients.

Conclusions: This retrospective review provides valuable insights into the characteristics and management of facial trauma in prisoner patients. The findings highlight the importance of addressing interpersonal violence and implementing preventive measures within correctional facilities. Understanding the specific patterns of facial trauma in this population can aid in developing tailored treatment strategies and improving overall patient care. Further research is warranted to explore long-term outcomes and evaluate the effectiveness of preventive interventions in this vulnerable patient group.

Keywords: Maxillofacial; facial trauma; prison; assault; oral