Intraoperative Blood Loss in Maxillofacial Trauma Surgery

Ann Maxillofac Surg. 2020 Jan-Jun;10(1):164-167. doi: 10.4103/ams.ams_165_19. Epub 2020 Jun 8.

Abstract

Background and objectives: This study is aimed to assess the intraoperative blood loss of patients with maxillofacial bone fracture surgical intervention and to assess their need for blood transfusion.

Materials and methods: In this retrospective study, intraoperative blood loss of 206 patients with facial bone fractures, who underwent surgery between 2017 and 2018, was retrieved. The patient's demographic information, the amount of blood loss, the type of facial bone fracture, and the patient's requirement for blood products were evaluated.

Results: The average amount of intraoperative blood loss was 77.6 ml, and none of the patients required a blood transfusion during the operation in this group of patients. maxillofacial bone fracture was most common in young males. The leading cause of fractures was motor vehicle accident. There was a reverse correlation between the patient's age and surgical blood loss, but there was no statistically significant relationship between the patient's gender and intraoperative surgical blood loss.

Conclusion: The results of the present study show that preparation for blood transfusion in patients with maxillofacial traumatic bone fracture requiring surgery is uncommon if patients have no systemic disease or specific blood dyscrasias preoperatively.

Keywords: Mandible; maxilla; maxillofacial injury; nasal bone; surgical blood loss; traffic accident.