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Introduction: Oral and maxillofacial surgery has developed into a separate specialty and there are very few of such patients admitted to ICU. The objective of this study was to analyse the oral and maxillofacial surgery patients admitted to ICU and their outcome in a tertiary ICU in Nepal.
Materials and Method: A cross-sectional study was designed and all oral and maxillofacial patients admitted to the ICU at our center between 2072 Baisakh 1st to 2074 Chaitra 30th (2015 April 14th to April 2018 April 13th) were enrolled for this study and analysed.
Result: A total of 2356 patients were admitted in ICU over a period of three years out of which there were only 15 patients with oral and maxillofacial related admission. Most of them were cases of Trauma (5, 33.33%) Cancer (5, 33.33%), Infections (4, 26.66%) and Firearm injury (1, 6.66%). Most of them were associated with other trauma (6, 37%) while 5 (31%) were in ICU after postoperative reconstruction surgeries for cancer, 3 (19%) of them came after drainage and debridement of Abscess/ infection in oral and maxillofacial region and one patient (13%) presented with septic shock. Nine (60%) of the 15 patients required mechanical ventilation and out of these only one patient (6.66%)
with cancer expired and 14 of them survived out of ICU.
Conclusion: Even though the number of trauma patients and postoperative reconstructive surgery are increasing, very few of these patients need ICU admission and the overall outcome is good. Thus the need for early ICU admission is advised in these patients.

 Intensive care unit; maxillofacial surgery; oral surgery; outcome.