Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre (original) (raw)
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Analysis of mandibular fractures – a retrospective study
IP Innovative Publication Pvt. Ltd., 2018
Aim: The aim of the study was to analyse the incidence, etiology, and localization of mandibular fractures treated in the Department of Oral and Maxillofacial Surgery, Govt. Dental College & Hospital, Rajeev Gandhi Institute of Medical Sciences, Kadapa. Materials and Methods: The medical records of 218 patients with mandibular fractures, treated between 1 January 2015 and 31 December 2017, were reviewed and the following data were analysed: age, gender, etiology, fracture area and treatment. Results: The male: female ratio was 3.9: 1. The majority of patients (55.96%) were young people, aged 11-30 years. The main cause of mandibular fractures was Road traffic accidents (RTAs) (73.85%) followed by falls (20.64%) and assaults (4.59%). The most common fracture area was parasymphysis (26.61%) followed by mandibular angle (11.47%) and condylar process fractures (11.01%). Closed reduction was done in 25.68% of patients, open reduction and internal fixation was performed in 72.93% of cases, while 1.37% of them were treated conservatively. Conclusions: The presented results are in line with other studies. The present study highlights the importance of strict enforcement of traffic regulations, assessment and development of preventive schemes to reduce the incidence of Road traffic accidents. Keywords: Maxillofacial Trauma, Road traffic accidents, Mandibular Fractures.
An Epidemiological Study on Pattern and Incidence of Mandibular Fractures
Plastic Surgery International, 2012
Mandible is the second most common facial fracture. There has been a significant increase in the number of cases in recent years with the advent of fast moving automobiles. Mandibular fractures constitute a substantial proportion of maxillofacial trauma cases in Lucknow. This study was undertaken to study mandibular fractures clinicoradiologically with an aim to calculate incidence and study pattern and the commonest site of fractures in population in and around Lucknow. Patient presenting with history of trauma at various centers of maxillofacial surgery in and around Lucknow were included in this study. Detailed case history was recorded followed by thorough clinical examination, and radiological interpretation was done for establishing the diagnosis and the data obtained was analyzed statistically. Out of 66 patients with mandibular fractures, highest percentage was found in 21-30 years of age with male predominance. Road traffic accidents were the most common cause of fracture with parasymphysis being commonest site. Commonest combination was parasymphysis with subcondyle. There was no gender bias in etiology with number of fracture sites. The incidence and causes of mandibular fracture reflect trauma patterns within the community and can provide a guide to the design of programs geared toward prevention and treatment.
Fractures of the mandible: a 20-year retrospective analysis of 753 patients
Turkish Journal of Trauma and Emergency Surgery, 2013
The craniofacial region is one of the most frequently injured parts of the body, and mandibular fracture is one of the commonest facial skeletal injuries. The most frequent causes of mandibular fractures are the traumas related to traffic accidents, falls, interpersonal violence, and sports activities, etc. METHODS Seven hundred fifty-three cases (615 male, 138 female; megan age 36.2 years) (age >16) with mandibular fracture were evaluated retrospectively. Patient records were examined in terms of age, sex, etiology, seasonal variation, fracture localization, accompanying traumas, treatment modality, and postoperative complications. RESULTS Traffic accidents were the most common etiologic cause in all age groups and both sexes. All cases had a total of 1090 fractures, and the most common fracture localization was the parasymphysis (28.6%), followed by the condyle, corpus, angulus, symphysis, dentoalveolar process, ramus, and coronoid process, respectively. In 25 (3.3%) patients with fissurelike, non-displaced fracture, only symptomatic treatment was applied. Closed reduction with elastic bandage, arch bar, quick-fix screws or Ivy Loop was the only method performed in 280 (37.2%) patients. Osteosynthesis by open reduction and internal fixation (miniplates, screws or transosseous wiring) was performed in 403 (53.5%) patients; closed reduction techniques were also performed in 134 of these patients. CONCLUSION In the recent years, double-road constructions, increased traffic audits and regulation of the traffic rules decreased the incidence of mandibular fractures.
Introduction. Mandibular fracture is a common occurrence in Maxillofacial Surgery clinic with road traffic crashes as a leading cause in developing countries. Objectives. This study aimed to analyze the specific causes and pattern of presentation of mandibular fractures in patients that presented in our hospital from January 2007 to December 2013. Materials and Methods. This was a retrospective study of patients that presented and were treated for mandibular fractures in our hospital from 2007 to 2013. Case notes of patients were retrieved from Medical Record Department to obtain data. Data obtained included patients' age, gender, specific causes of fractures (motor vehicle accident, motorcycle/motorbike accident, tricycle accident and pedestrians hit by motor vehicle or motorcycle/motorbike) and pattern/sites of fractures (condyle, coronoid, ramus, angle, body, parasymphysis, symphysis, and alveolar fractures). Data were analyzed using SPSS version 22 and values were presented in frequencies and tables. Results. Seventy nine (79) patients, males 57 (72.1%), and females 22 (27.9%), with male: female ratio of 2.6 that sustained 154 mandibular fractures were analyzed. Age ranged from 7-65 years, means 28.02 years (SD 15.67). Patients in age group 21-30 years sustained most mandibular fractures, 31.6%. Motorcycle accidents accounted for the highest incidence of mandibular fractures 38 (48.1%) and the highest fracture site was the body 38 (24.7%) and least was the coronoid 3 (1.9%). Conclusion. Mandibular fractures are mostly associated with motorcycle accident, and commonly affect males in third decade of life. Legislative and awareness measures should be developed and targeted at young male motorcycle riders to curb the menace.
Mandi bular fracture is the second most common facial fracture and there has been a significant increase in number of cases in the last years. Misidentification and inadequate treatment can take to permanent aesthetic or functional deformity. Aim: Evaluate cases of mandibular fracture reduction in the Hospital of Clinics of the Federal University of Uberlândia, from January of 1974 to December of 2002. Study design: historical cohort. Patient and Method: Two hundred and ninety-three cases of reduction of mandibular fractures were retrospectively analyzed according to factors related to: patient, trauma, signs and symptoms, and surgical treatment. Results: There has been a clear tendency of increase of the number of mandibular fractures along the years. There was higher prevalence in male (4:1), with occurrence peak between 20 to 29 years old. The principal causes of fracture in this study were traffic accidents and violence, representing 72.4%. One hundred and thirty-five patients presented only one fracture. The most injured sites were, in decreasing order, symphysis, condyle, angle, body, ramus, and coronoid. We performed closed reduction , open reduction (213) and association of the two (11 patients); 56.8% of the patients were treated within the first 3 days; and, 50.4% were discharged from the hospital until the first postoperative day. About 10% of the patients presented complications, being osteomyelitis the most frequent one. Conclusion: The incidence of mandibular fractures was remarkably larger in the male sex, during the third decade of life. The most common cause was traffic accident, and symphysis and condyle were the most injured sites. Isolated fractures occurred in over half of the cases. Most of the patients were treated in the first three days and were discharged until the first postoperative visit. Closed reduction was the treatment most commonly employed. The most frequent complication was osteomyelitis.
Clinical and radiological aspects of mandibular fractures: A review of 128 cases
International Journal of Oral Health Dentistry, 2021
The objective was to study the epidemiological, clinical and radiological aspects of patients with mandibular fractures in the odontostomatology department at the General hospital Idrissa Pouye in Senegal. This was a retrospective study of the records of patients who came for a mandibular fracture during the period from February 2007 to June 2019 to the odontostomatology department of the General hospital Idrissa Pouye in Dakar. The inclusion criterion was any patient file containing complete information and presenting a mandibular fracture received in the odontostomatology department. We used sociodemographic, clinical and radiographic variables. Of 128 patients who came for consultation with a mandibular fracture, 115 were male and 13 were female. The age group most affected was between 21 and 30 years. Workers (25.2%), pupils and students (25.2%) were the most represented. The most frequent cause of mandibular fractures was road traffic accidents (36.71%). In 41% of the road acci...
Mandibular Fractures and Associated Factors at a Tertiary Care Hospital
Archives of Trauma Research, 2016
Objectives: The aim of this study was to evaluate the distribution, etiology and type of mandibular fractures in subjects referred to our institution. Methods: A retrospective study of 689 subjects, during the period from May 2010 to September 2013 with mandibular fractures was conducted. Information on age, gender, mechanism of injury and sites of trauma was obtained from the trauma registry. Data were tabulated and analyzed statistically. Results: A total of 653 subjects had mandibular fractures, out of which 574 were males. The mean age of the participants was 31.54 ± 13.07. The majority of the subjects were between 21-40 years of age, in both males (61.7%) and females (54.4%). The major cause of fractures was road traffic accidents (87.4%) followed by fall (6.9%) and assault (4%), with the least frequent being gunshot injuries (0.3%). Almost half of the patients had parasymphysis fractures (50.2%), followed by angle (24.3%), condyle (20.4%), ramus (2.3%) and coronoid (2%). A total of 115 patients had bilateral fractures out of which 29 had parasymphysis, 12 had body fractures and 74 had bilateral condylar fractures. Double mandibular fractures were reported in 193 subjects; out of which 151 subjects had double contralateral and 42 had double unilateral fractures. Triple unilateral fracture was reported in only one subject. A total of 338 subjects had multiple fractures among the study population. Conclusions: Mandibular fractures can be complicated and demanding, and have a compelling impact on patients' quality of life. Our study reported that parasymphysis was the most common region involved in mandible fractures.
Brazilian Dental Journal, 2006
This article reviews cases of mandibular fractures treated at the Service of Oral and Maxillofacial Surgery of the Hospital Complex of Mandaqui (SUS/SP), which is a reference hospital complex for trauma in the northern area of the city of São Paulo, Brazil. Ninety-eight patients with mandibular fractures were seen at the hospital between January and December, 2001. Out of this total, 91 cases whose files were deemed adequate in terms of data accuracy and completeness were reviewed. The following data were collected for the study: age, gender, etiology, anatomical fracture site, treatment modality, relation to other facial bone fractures, hospitalization time and posttrauma complications. Motorcycle accident was the major cause of mandibular fractures followed by physical aggression and height fall. The mandibular anatomical sites of higher fracture incidence were: body, symphysis and condyle. The most commonly performed treatment modes were conservative approach or open reduction and intraosseous fixation. In conclusion, motorcycle accidents were associated with a larger number of facial fractures and most predominantly affect 21-30 year-old males. On the average, motor vehicle accident victims had more (and more severe) fractures than physical aggression victims. Complications were mostly associated with angle fractures and hospitalization period. Polytraumatized patients presented greater morbidity for complications.
The Professional Medical Journal, 2018
Introduction: Maxillofacial trauma is a regularly reported occurrence in theemergency room. Of all maxillofacial injuries worldwide, the mandible is the most commonlyinvolved facial bone, with etiologies ranging from assaults and interpersonal violence to RTAs.Objectives: We aim to identify the patterns of incidence, etiology, age groups, anatomicallocation and gender in mandibular fractures in the population of Karachi, Pakistan. StudyDesign: Observational cross sectional study. Setting: Dow International Dental College. Period:January 2012 – September 2017. Materials and Methods: Informed consent was obtainedalong with a comprehensive history; a systematic clinical examination was supplemented byradiographs of the face as required to confirm the presence of fractures. Statistical analysis wasdone using SPSS v.21. Results: Over 5 years, an overall 156 patients sustained 250 fractures ofthe mandible. Most affected gender was male, the age group was 20-30 years, most commoncause was ...