Postgraduate Medical Journal of Ghana最新文献

{"title":"Preventing Maternal Mortality From Hypertensive Disorders Of Pregnancy And Obstetric Haemorrhage","authors":"Theodore Boafor","doi":"10.60014/pmjg.v12i2.332","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.332","url":null,"abstract":"Maternal deaths remain a major public health issue in Sub-Saharan Africa. From the days of safe motherhood initiative in 1987 through the MDGs and now to the SDGs, maternal death reduction has always been a target. Significant progress has been made from 1990s to date. However, the rate of progress has stalled. Ghana’s maternal mortality ratio (MMR) in the 1990s has reduced from 760 per 100,000 live births to 319 at the end of 2015 (1). Beyond 2015, the rate of reduction has almost plateaued. The most current MMR as at 2017 is 310 (2). In the recent WHO workshop on Regional Accelerated Plan of Action to end deaths from pre-eclampsia/eclampsia and PPH, it was clearly stated that progress to reduce MMR in the African region is very slow and set targets have been missed. In order to reach the SDG 3.1 global target of 70 maternal deaths per 100,000 live births by 2030, the region must fast-track its Average Annual Rate of Reduction (ARR) from the current 2.9 per year to 10.4 per year (3). This is an obvious uphill task. The evidence gathered over the past years in the region show that the two leading causes of maternal deaths are obstetric haemorrhage and preeclampsia/eclampsia accounting for 50% of all maternal deaths (3). At the Korle-Bu Teaching Hospital, hypertensive disorders alone accounted for nearly two-fifths of all deaths whilst haemorrhage accounted for one-fifth of all deaths, the two making up 60% of all deaths (4). The immediate causes of death in hypertensive disorders are eclampsia, acute kidney injury, pulmonary oedema and acute left ventricular failure, HELLP syndrome, cerebral haemorrhage among others. The immediate causes of death in obstetric haemorrhage are haemorrhagic shock, acute kidney injury, haemo-peritoneum following Caesarean Sections, DIC, multiple organ failure, severe anaemia among others. The situation in most teaching/tertiary hospitals in Ghana is similar to that of the Korle Bu Teaching Hospital. In order to make any headway, we need to refocus and realign all efforts in dealing with these two. In fact, there are strategies and proven interventions to prevent and address these two leading causes of death. For the hypertensive disorders, these strategies include magnesium sulphate use, antihypertensives, early detection of pre-eclampsia and treatment, delivery of patients with severe preeclampsia, calcium supplements during the antenatal period and use of soluble aspirin for prevention. For PPH, the strategies include active management of the third stage of labour (AMSTL), uterotonics (oxytocin and misoprostol), tranexamic acid use, blood transfusion and PPH treatment protocols including both surgical and non-surgical modalities. These interventions are deployed through training, equipping and resourcing health facilities through Basic and Comprehensive Emergency Obstetric and Newborn Care (BEONC and CEONC) setting. There are usually challenges and gaps with the implementation of these strategies. A very important ","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal Ectopic Gestation In The Second Trimester At A District Hospital: A Rare Case","authors":"Stephen Tetteh Engmann, Bernard Hayford Atuguba","doi":"10.60014/pmjg.v12i2.333","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.333","url":null,"abstract":"Introduction: Abdominal ectopic pregnancies are uncommon forms of ectopic pregnancies. They might be unnoticed until late in pregnancy and are associated with an increased risk of maternal complications and mortality. This is a case report of an abdominal ectopic gestation diagnosed at the first visit to a district hospital in Ghana and how it was managed in a low-resource setting.
 Case Presentation: A 28-year-old gravida 4 parity 3, presented with 4 months history of amenorrhoea associated with recurrent bleeding per vaginum. Ultrasound showed a slightly bulky uterus with very scanty echogenic material within the endometrial cavity. There was however a right adnexal gestational sac with a live foetus at 19 weeks + 4 days and no free fluid was seen in the pouch of Douglas. The patient was counselled and prepared for an emergency exploratory laparotomy and intraoperative findings showed normal size uterus of about 8 weeks in size with an unruptured right adnexae gestation. The gestational sac was in the region of the right ovary which could not be visualised and attached to the uterus via the ovarian ligament with a normal-looking right tube. Post-operative recovery was uneventful and she was discharged three days later. 
 Conclusion: Abdominal ectopic gestation can pose a diagnostic challenge, particularly in low-resource settings. There is a need for clinicians to have a high index of suspicion and provide timely surgical intervention necessary to reduce complications and mortality associated with the condition.
","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison Of Effectiveness Of Counselling Only, Suppository Diclofenac And Lidocaine Spray At Intrauterine Device Insertion In A Tertiary Hospital In Ghana","authors":"Henry Ekow Yanney, Kwaku Asah-Opoku, Mumuni Kareem, Samuel Antwi Oppong, Frank Odame, Nii Okai-Kwei Amartey, Ali Samba","doi":"10.60014/pmjg.v12i2.303","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.303","url":null,"abstract":"Objective: Perception of pain at IUD insertion is one of the main barriers of its uptake. Several pharmacological and non-pharmacological interventions have been studied but currently there is no consensus on the pain management at IUD insertion. The study aim was to compare the effectiveness of counselling only, 10% lidocaine spray of the cervix and 100mg suppository diclofenac in reducing pain at IUD insertion. Methodology: A prospective study of 99 respondents were randomized into 3 study arms; suppository diclofenac, lidocaine spray and counselling only in a ratio of 1:1:1. All participants had a baseline counselling: while those in the diclofenac arm were given 100mg diclofenac suppository 30 minutes before the procedure, those in the 10% lidocaine spray arm were given 4 pumps on the cervix before the insertion. A 10cm- Visual Analog Scale was used to assess the pain experienced during and after IUD insertion. Chi-square test, one-way ANOVA and a Post-Hoc test were used for the statistical analysis. P value of < 0.05 and confidence interval of 95% were used. Results: Suppository diclofenac was superior to counselling only at speculum insertion, tenaculum application, uterine sounding, IUD placement, immediately and 5 minutes after procedure. Lidocaine spray of the cervix was also superior to counselling only throughout the procedure and up to 4 hours post procedure. Lidocaine spray of the cervix was superior to suppository diclofenac at 5 minutes and 4 hours after procedure. Conclusion: Lidocaine spray (10%) of cervix is more effective compared to 100mg Diclofenac Sodium and Counselling only in reducing pain at IUD insertion.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes In Bacterial Flora Of Burn Wounds And Their Antibiotic Susceptibility Patterns At A Tertiary Hospital In Ghana","authors":"Naa Okaikor Addison, Albert Paintsil, Mercy Jemima Newman","doi":"10.60014/pmjg.v12i2.319","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.319","url":null,"abstract":"Objective: To determine the time-related changes in burn wound bacteria and to determine the antibiotic susceptibilities of these bacteria. Methodology: The study was carried out over a 4-month period from September 2017 at the Burns Unit of the Korle-Bu Teaching Hospital in Accra. Wound swabs were taken weekly from burn patients on admission and each patient was followed-up for a month. The swabs were cultured, and antibiotic susceptibility testing done on isolated pathogens. Results: A total of 214 wound swabs were taken from 59 patients enrolled with an overall isolation rate of 65%. Gram negative isolates predominated each week throughout the period of monitoring. The commonest bacterial isolate was P. aeruginosa which formed 51.8% of all isolates, followed by coagulase negative staphylococci 13.7%, S. aureus 10.1% and other Gram-negative bacilli. Sixty-four percent of S. aureus were resistant to cefoxitin (MRSA), and100% resistant to penicillin. Resistance to the cephalosporins and fluroquinolones was generally high among the Gram-negative bacteria. P. aeruginosa had moderate resistance to the anti-pseudomonal antibiotics. Resistance to amikacin among the Gram-negative bacteria was low. Conclusion: Burn wounds are colonized by pathogenic bacteria, some highly antibiotic-resistant. There were no significant time-related changes in bacterial flora of burn wounds.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refeeding Syndrome In Schizophrenia Case Report","authors":"EUGENE DORDOYE, Delali Fiagbe, Emmanuel Dziwornu, Thelma Mpoku Alalbila Aku, Josephine Stiles-Darko","doi":"10.60014/pmjg.v12i2.302","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.302","url":null,"abstract":"Background Recent studies have shown growing concern for refeeding syndrome (RFS) among patients suffering from other medical conditions, although the exact incidence in this population is unknown. RFS occurs with the rapid reintroduction of calories to severely malnourished patients. It becomes critical for clinicians to have a high incidence of suspicion for prompt diagnosis and appropriate management to keep them alive if the malnutrition does not take their lives. Case presentation We report a case of a 53-year-old man with an 8-year history of schizophrenia and a 3-month history of poor feeding. He was admitted on account of refusal to feed or drink for two weeks prior to presentation. As a result, he was severely malnourished, and we started refeeding while dealing with his psychotic symptoms. He gained about 2kg within a week of admission, but that was fraught with metabolic derangements, which included, but were not limited to, hypophosphatemia, hypomagnesaemia, and hypocalcaemia. We revised his diagnosis to RFS in schizophrenia and managed it as such. Conclusion Diagnosis of RFS is based on a constellation of electrolyte deficiencies and clinical presentation as there are no agreed biomarkers. Unfortunately, one of the cardinal electrolyte deficiencies, hypophosphatemia, does not have readily available formulations for its correction, and this can lead to neurological, cardiovascular, and other complications, including sudden death. Delay in diagnosis worsens the prognosis, and the intuitive desire to feed a starved patient zealously leads them to death.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes And Practices Of Paediatricians On The Management Of Childhood Eye Diseases In Ghana","authors":"Gilbert Batieka Bonsaana, Rafiuk Cosmos Yakubu, Peter Situma Wanyama, Benjamin Demah Nuertey","doi":"10.60014/pmjg.v12i2.334","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.334","url":null,"abstract":"Objective: To explore the knowledge, attitudes and practices of paediatricians on the management of eye diseases among children in Ghana.&#x0D; Methodology: This was a mixed model study, both quantitative and qualitative methods were employed among paediatricians practicing in hospitals across Ghana who consented to the study. Consecutive sampling was used to select participants. Self-administered, semi-structured questionnaires, in-depth interviews and focused group discussions were used to collect relevant data. Analysis was carried out with STATA version 14.&#x0D; Results: More than half (53, 60.2%) of Paediatricians practicing in Ghana had good knowledge of childhood eye diseases. Although almost all (89, 98.9%) paediatricians disagreed with the statement that ‘eye examination in children should be done only when the caregiver complains’ and a majority (79, 87.8%) of paediatricians responded “yes” to the question ‘do you do eye examination in children?’, fifty four (59.3%) indicated that in practice they only examined a child’s eye when the caregiver reports that the child has an eye problem, and only 24 (26.4%) indicated it was a routine part of every child’s examination in their practice. In addition, all paediatricians disagreed with the statement that ‘eye examination in children can only be done by an eye care worker’. These assertions were clarified during the in-depth interviews and focused group discussions where paediatricians conceded that only general inspection of the eyes is done when examining the eyes of children.&#x0D; Conclusion: Paediatricians had satisfactory knowledge and good attitude towards childhood eye diseases. However, their practices regarding childhood eye disease management were poor.&#x0D;","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants Of Intention To Emigrate Among Final Year Medical Students And Junior Doctors In Ghana","authors":"Mathias Amoah Boakye, Amissah-Arthur Maame-Boatemaa","doi":"10.60014/pmjg.v12i2.318","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.318","url":null,"abstract":"Objective: Historically, doctors left the shores of Ghana for professional development and greener pastures; however, the institution of Ghana College of Physicians and Surgeons to train postgraduate doctors locally significantly reduced the rate of emigration. Methodology: A cross-sectional survey-based study of final year medical students of the University of Ghana Medical School, house officers and medical officers working at the Korle Bu Teaching Hospital. Demographic data, Push Factors (poor conditions of service, lack of equipment and facilities, and economic instability) and Pull Factors (better career opportunities, shorter length of training programmes, family or spouse living abroad and improved conditions of service) were collected and analysed. Results: Of the 189 respondents, 94.18% intended to pursue postgraduate medical education, with greater than half wanting to go outside Ghana due to push factors. The existence of a well-established postgraduate training programme in Ghana, was a consideration that could influence their decision to stay for 24.27% of the participants who wished to emigrate, however for 65.05%, this did not influence their decision. Other factors like the Covid-19 pandemic had no impact on the decision to emigrate among most respondents. Conclusion: Physician emigration, although dynamic, is not as rife as it was two to three decades ago in Ghana. This study recommends a review of existing policies and strategic planning among all stakeholders to ensure that postgraduate training is locally attractive to stem the possibility of another cycle of brain drain.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Injuries Among Road Construction Workers In Ghana: Burden, Mechanism And Severity","authors":"Isaac Kofi Yankson, Akua Kusiwaa Karikari, Paul Okyere, Yaw Adofo Koranteng, Francis Afukaar, Easmon Otupiri, Peter Donkor, Ellis Owusu-Dabo, Charles Mock","doi":"10.60014/pmjg.v12i2.338","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.338","url":null,"abstract":"Objective: Road construction work involves diverse activities relying on the use of both skilled and unskilled manpower, posing serious risks to workers. This study sought to determine the burden, mechanism and severity of occupational injuries among road construction workers.&#x0D; Methodology: The study design was institution-based descriptive cross-sectional using a questionnaire with closed- and open-ended questions. From Ashanti, Ahafo and Western North regions, 353 road workers reported on work-related injuries, types of injury, body parts injured, day(s) lost to activity and cause of injury from 27th January, 2020 to 4th March, 2020.&#x0D; Results: The workers were primarily young (mean age 32.4 years) and male (97.7%). Most (70.2%) workers were contract/casual staff. Nearly 88% experienced injury the past year with 67.5% experiencing multiple injuries. The body parts most affected included&#x0D; waist/low back (29.9%), forearm/palm (18.9%), leg/foot (17.5%), chest (8.9%) and joints (7.1%). Mechanism of injury included slips/trips (18.5%), use of tools/equipment (13.8%) and overexertion during lifting (10.2%). For injury severity, 88.0% of workers had minor injuries, 8.8% moderate and 3.2% severe injuries. Conclusion: There is high burden of injury among road construction workers in Ghana. Most experienced injury during the past year, with over 4-in-5 having minor injuries. Leading mechanisms were slips/trips, use of tools/equipment and overexertion during lifting. Limitations include biases like memory decay, purposive selection of construction sites and driver over-representation. Hence, recommendations deriving from this study include enforcement of personal protective equipment use, proficiency training in use of tools/equipment and inter-lacing manual handling-related activities with activities that vary worker-postures.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Massive Cystic Degeneration Of Neglected Leiomyoma Mimicking An Ovarian Tumour In A 48 Year Old Woman","authors":"Solomon Kwabena Gumanga, David Mireku Aduama, Isaac Tettey Secorm, Emmanuel Kwabla Srofenyoh, Frederickson Pobee, Samuel Freeman Mensah, Jocelyn Nii Lartey Laryea","doi":"10.60014/pmjg.v12i2.317","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.317","url":null,"abstract":"Introduction: Leiomyomas are common benign tumours of the female pelvis with growth and extension not limited to pelvis. The occurrence of solitary or multiple nodules are initially asymptomatic except when it is occurring within the cavity of the uterus. Symptoms would however develop with time if not properly treated or ignored, which could lead to live-threatening complications. Case Presentation: This is a report of a 48-year-old woman with neglected leiomyoma who presented with an enormous abdominal distension due to massive cystic degeneration of the leiomyoma mimicking an ovarian tumor. An abdominal ultrasound scan performed revealed a large solid-cystic abdominal mass on which account an exploratory laparotomy where total abdominal hysterectomy left salpingectomy and bilateral oophorectomy was performed. The histopathology report of the tumour revealed it was a benign fibromyoma (leiomyoma) with degenerative changes. The ovaries and left tube were all normal. Conclusion: Leiomyoma though a benign tumour, can grow disproportionately and undergo degenerative changes if neglected. This can result in life-threatening sequelae, mimicking a malignant tumour.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology Of Motorcycle-Related Maxillofacial Injuries Presenting To The 37 Military Hospital, Ghana","authors":"Yaw Amankwah Boateng, Michael Akwasi Yeboah-Agyapong, Mahama Alhassan, Halidu Ayinga Salifu, Gabriel Kwami Doe Ketemep, Eugene Nii Lartey Mensah, Frederick Kojo Arhin, Kwaku Bosompem-Acheampong, Baffour Gyau-Darko","doi":"10.60014/pmjg.v12i2.298","DOIUrl":"https://doi.org/10.60014/pmjg.v12i2.298","url":null,"abstract":"Objective: The study examined the epidemiology of motorcycle-related maxillofacial injuries to provide data to guide the prevention and management of maxillofacial trauma. Methodology: The research was a one-year prospective cross-sectional study of patients presenting with motorcycle crash-related maxillofacial injuries. The variables recorded include the demographic data, type of motorcycle collision, day and time of motorcycle crash, location of the crash, role of injured patient, maxillofacial and concomitant injuries sustained. Descriptive statistics were used to ascertain the epidemiology of maxillofacial injuries sustained. Results: A total of 148 patients aged between 15 and 65 years were involved in the study. There was a high male dominance (96%) among patients who sustained maxillofacial injuries secondary to motorcycle-related road traffic crashes (RTC). The median age of the participants was 30.9 +/- 9.1 years. Most (55.6%) of the motorcycle crashes resulted from collisions with cars. Maxillofacial injuries were mostly soft tissue injuries with the midface sustaining the most. Skeletal injuries often occurred in the mandible with parasymphyseal fractures constituting the majority of the mandibular fractures. Conclusion: There is a male predominance in patients with motorcycle-related maxillofacial injuries with a peak age of 21-30 years. Victims of motorcycles crashes often sustain soft tissue injuries with aesthetic and functional implications. Motorcycle crashes contribute significantly to the public health burden of RTC, especially in developing countries like Ghana. Healthcare professionals ought to be conversant with the epidemiology of maxillofacial injuries in motorcycle crash victims to ensure prompt and comprehensive management.","PeriodicalId":493822,"journal":{"name":"Postgraduate Medical Journal of Ghana","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136016419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}