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Objective: To determine the frequency of medical problems in Oral and Maxillofacial surgical patients, how it will
influences Oral & Maxillofacial Surgery treatment planning and to identify the role of Oral and Maxillofacial surgeons/
consultants and trainees in identifying patients at risk.
Material and Methods: A cross sectional study (retrospective study) was conducted at the Department of Oral and
Maxillofacial Surgery (OMFS) Khyber College of Dentistry (KCD). The admission charts of the patients operated from
January 2015 to July 2016 were reviewed, to find out frequency of different medical problems like hypertension, diabetes
mellitus, hepatitis, gastrointestinal disorders, cardiac, renal disorders and bleeding disorders.
Results: A total of 2076 were operated OMFS Khyber College of Dentistry, Peshawar. A reasonable number of cases
i.e., 7.033% (n=146) patients had medical problems. Amongst the patients with isolated/single medical problem were
6.4% (n=133), hepatitis B was the most common medical problem i.e., 32 cases (24.06%), reported in patients with
co-morbidities operated in this unit followed by hypertension 25 (18.79%) cases. While the most common combination
of co-morbidities was diabetes mellitus and hypertension in 5 cases. Male to female ratio of patients reporting with
medical problems was 1.86: 1. In co-morbid patients the age ranged from 2 to 72 years.
Conclusion: It is very important that a maxillofacial surgeon has sound knowledge of patient’s medical condition. Due
to many of these medical conditions certain surgical procedures may be contra-indicated and needs special modifications
for safe and effective surgical management.
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