‘Sword’ Injury in Maxillofacial Region in Rural Area: A Case Report

Maxillofacial trauma involves injuries to the soft tissues and bones of the face that can lead to functional impairment, aesthetics, and even death. Major causes include traffic accidents, violence, and sharp object attacks. In Merauke, South Papua, maxillofacial trauma due to sharp objects is common due to low levels of education, economy, and alcohol consumption habits. This case report illustrates the challenges of managing maxillofacial trauma in a rural area with limited health facilities. A 25-year-old man presented with an open wound on the left side of his face due to a sharp object attack. The patient was referred from Puskesmas Jagebob to Merauke Naval Hospital, where he was further examined. Computed Tomography scan (CT-scan) showed multiple fractures of the temporal, orbital, and nasal bones as well as soft tissue injury. The patient underwent surgical debridement, open reduction internal fixation (ORIF), and soft tissue repair. Due to the limited number of plastic surgeons, the surgery was performed by a general surgeon. Post-surgery, the patient was admitted for six days and made a good recovery with no complications. Maxillofacial trauma requires a multidisciplinary approach, especially in areas with limited facilities. Limited access to specialists in rural areas is a challenge, but with appropriate treatment, optimal outcomes can still be achieved, as in this case. Prompt and appropriate management of maxillofacial trauma is essential to achieve a good outcome. Management by general surgeons in rural areas can provide positive outcomes despite limited facilities and medical personnel.