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Muralidhar P, Bandela V, Ghaffar Khan AA, Shah SJ, Elfadeel ASA, Basany RB, Amgoth DS, Param S. A 5-year comprehensive evaluation of maxillofacial injuries in polytrauma patients at a tertiary hospital - an epidemiological study. Acta Odontol Scand 2024; 83:126-131. [PMID: 38647009 DOI: 10.2340/aos.v83.40250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 02/08/2024] [Indexed: 04/25/2024]
Abstract
OBJECTIVES To report and analyze the pattern of maxillofacial injuries in trauma victims and to define the role of a maxillofacial surgeon in an emergency trauma care team. MATERIALS AND METHODS Trauma patients reported and reporting to the casualty of a tertiaryhospital with facial injuries and other suspected concomitant injuries in the body were included in this study. The complete medical and radiographic records of each patient were reviewed and data was collected in a standard proforma in this 5-year clinical study (3 year of retrospective and 2 year of prospective study). The complete data related to the facial injuries and associated systemic trauma was recorded and statistical analysis conducted. RESULTS A total of 18,369 patients with trauma were admitted to the hospital from May 2018 to April 2023. Out of these, 11,277 (61.4%) were males and 7,092 (38.6%) were females. Seventy percent of the reported cases with trauma were in the age group of 14-40 years. The incidence of trauma during the monsoon season was highest (n = 7,927, 43%). The commonest etiological factor leading to trauma was road traffic accident (n = 4,510, 40%). Among facial injuries, the mandibular fractures (n = 1,821, 41%) were predominant. CONCLUSIONS The management of polytrauma patients should be undertaken by a team of specialists which should include a maxillofacial surgeon as facial injuries were common. This data is essential in developing and assessing the preventative strategies aimed at decreasing the frequency of facial and other injuries.
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Affiliation(s)
- Pradeep Muralidhar
- Department of Dentistry & Maxillofacial Surgery, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India; PhD Scholar, Saveetha University, Chennai, India
| | - Vinod Bandela
- Department of Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka, Saudi Arabia.
| | - Abdul Ahad Ghaffar Khan
- Department of Oral & Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Shahi Jahan Shah
- Department of Oral & Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | | | - Ram B Basany
- Department of Prosthodontics, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India
| | - Devi Singh Amgoth
- Maxillofacial Surgeon, Government General Hospital, Nizamabad, Telangana, India
| | - Shilpa Param
- Dental Surgeon, Apollo Hospitals, Hyderabad, Telangana, India
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Rai A, Karwal V, Nigam S, Saxena A, Sharma M. Outcome Study of Mandibular Fractures Treated by Surgical Stabilization With Plates and Screws. Cureus 2024; 16:e58561. [PMID: 38765378 PMCID: PMC11102362 DOI: 10.7759/cureus.58561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2024] [Indexed: 05/22/2024] Open
Abstract
This study aims to assess the outcomes of mandibular fractures treated through surgical stabilization using plates and screws, focusing on factors such as postoperative complications, patient satisfaction, and functional recovery. A total of 42 patients were included in the study. Surgical interventions involved the application of plates and screws at the fracture sites. Postoperative complications, including infection, hardware failure, and malocclusion, were recorded. Surgical stabilization of mandibular fractures using plates and screws demonstrates favorable outcomes in terms of stability, occlusal alignment, and patient satisfaction. The findings of this study contribute valuable insights into the efficacy of this surgical approach, highlighting its role in achieving successful outcomes for mandibular fracture management. Further prospective studies and randomized controlled trials are recommended to strengthen the evidence base and refine treatment protocols.
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Affiliation(s)
- Abhishek Rai
- Burn and Plastic Surgery, All India Institute of Medical Sciences, Deoghar, Jharkhand, IND
| | - Vinay Karwal
- Plastic and Reconstructive Surgery, Adesh Medical College and Hospital, Kurukshetra, IND
| | - Shuchi Nigam
- Anesthesiology and Critical Care, Uttar Pradesh University of Medical Sciences, Etawah, IND
| | - Atul Saxena
- Plastic and Reconstructive Surgery, Uttar Pradesh University of Medical Sciences, Etawah, IND
| | - Manish Sharma
- Plastic and Reconstructive Surgery, Pushpanjali Hospital, Agra, IND
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3
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Ahamed AS, G VL, Vm N, Kumar KD, Syed M. Surgical Correction of Post-traumatic Residual Deformity of the Mandible: A Case Report. Cureus 2023; 15:e46710. [PMID: 38021596 PMCID: PMC10630716 DOI: 10.7759/cureus.46710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2023] [Indexed: 12/01/2023] Open
Abstract
Mandibular fractures are the most common trauma cases that we often come across in our day-to-day practice of oral and maxillofacial surgery. Various factors can lead to deformities and make those cases more challenging, which includes a delay in surgical treatment, resulting in non-union or malunion of the fracture site causing occlusal disturbances and functional abnormalities in the temporomandibular joint.
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Affiliation(s)
- A Saneem Ahamed
- Oral and Maxillofacial Surgery, Priyadarshini Dental College and Hospital, Chennai, IND
| | - Vijaya Lakshmi G
- Oral and Maxillofacial Surgery, Priyadarshini Dental College and Hospital, Chennai, IND
| | - Nithin Vm
- Oral and Maxillofacial Surgery, Priyadarshini Dental College and Hospital, Chennai, IND
| | - Kapil Dev Kumar
- Oral and Maxillofacial Surgery, Priyadarshini Dental College and Hospital, Chennai, IND
| | - Mubeena Syed
- Dentistry, Priyadarshini Dental College and Hospital, Chennai, IND
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Ghezta NK, Bhardwaj Y, Ram R, Parmar M, Basi RN, Thakur P. Nine Years of Retrospective Study of Mandibular Fractures in Semi-urban Teaching Hospital, Shimla, Himachal Pradesh, India. Craniomaxillofac Trauma Reconstr 2023; 16:138-146. [PMID: 37222980 PMCID: PMC10201191 DOI: 10.1177/19433875221095984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/20/2023] Open
Abstract
Study Design Retrospective study. Objective To evaluate current trends in maxillofacial trauma, a retrospective study of mandibular fractures at Government Dental College and Hospital Shimla H.P was carried out. Methods In this retrospective study, records of 910 patients with mandibular fractures were reviewed between 2007 and 2015 in the Department of Oral and Maxillofacial Surgery out of total 1656 facial fractures. These mandibular fractures were assessed according to age, sex, aetiology in addition to monthly and yearly distribution. Post-operative complications such as malocclusion, neurosensory disturbances and infection were recorded. Results It was observed that mandibular fractures were most frequent in males (67.5%) and in the age group of 21-30 years; accidental fall was the most common etiological factor (43.8%) in the present study and in stark difference to already published reports. The most common fracture site was that of condylar region 239 (26.2%). Open reduction and internal fixation (ORIF) were done in 67.3% cases whereas 32.6% were managed by maxillomandibular fixation and circummandibular wiring. Miniplate osteosynthesis was the most favoured technique. The complication with ORIF was 16%. Conclusions To treat mandibular fractures, currently there are many techniques. However, in minimizing complications and in achieving satisfactory functional and aesthetic results experienced surgical team plays an important role.
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Affiliation(s)
- Narotam K. Ghezta
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
| | - Yogesh Bhardwaj
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
| | - Rangila Ram
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
| | - Monika Parmar
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
| | - Rowena N. Basi
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
| | - Pooja Thakur
- Department of Oral and
Maxillofacial Surgery, H.P. Government Dental College and
Hospital, Shimla, India
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5
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Uppada UK, Sinha R, Susmitha M, Praseedha B, Kiran BR. Mandibular Fracture Patterns in a Rural Setup: A 7-Year Retrospective Study. J Maxillofac Oral Surg 2022; 21:1349-1354. [PMID: 36896075 PMCID: PMC9989092 DOI: 10.1007/s12663-020-01358-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 03/28/2020] [Indexed: 10/24/2022] Open
Abstract
Aim This study is designed to outline the probable patterns of mandibular fracture based on patient demographics and mechanism of injury in a rural setup. Materials and Methods The data from the record section in our unit belonging to patients who sustained fractures in the maxillofacial skeleton and were treated in our unit between the period June 2012-May 2019 were collected and analyzed. The variables analyzed for the study were etiology, gender, age, and type of fracture. All cases were treated by open reduction and rigid internal fixation. Results A total of 224 patients with maxillofacial fractures were diagnosed, of which 195 were male and 29 were female. The ages ranged from 7 to 70 years. Road traffic accidents are noted to be the most common cause of mandibular fractures. The maximum cases were in the age group of 21-30 years with 85 (38%) patients. In a total of 224 patients, there were 278 mandibular fractures. The maximum incidence of fractures was in the mandibular parasymphysis region with 90 fractures accounting for 32.3% of the mandibular fractures. Males were more susceptible to mandibular fractures. Majority of them sustained mandibular fracture at more than one anatomical area. Conclusion It can be concluded that mandibular fractures are seen predominantly in the second and third decades of life due to road traffic accidents with high-speed vehicles and lack of protective safety accessories. Mandible when it fractured, it usually involved more than one anatomical location.
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Affiliation(s)
- Uday Kiran Uppada
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India
| | - Ramen Sinha
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India
| | - M. Susmitha
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India
| | - B. Praseedha
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India
| | - B. Ravi Kiran
- Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India
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Sinha V, Chaudhary N, Jha SG, Chaudhari NP, rathva KR. Management of Maxillofacial Trauma in Road Traffic Accident (RTA) at Tertiary Care Center. Indian J Otolaryngol Head Neck Surg 2022; 74:1246-1252. [PMID: 36452780 PMCID: PMC9702397 DOI: 10.1007/s12070-020-02299-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 11/30/2020] [Indexed: 10/22/2022] Open
Abstract
Road traffic accidents (RTA) are the major cause of maxillofacial injuries (MFIs) in developing countries (Akama et al. 2007). Road traffic accidents were reported to be the 9th most common cause of death and morbidity in the world and are expected to rise to 3rd position by 2020 (Peden et al. 2002). Maxillofacial injuries remain a serious clinical problem because of the involvement of complex anatomic region. Facial fractures occur most commonly in males in the third decade of life (Motamedi et al. 2014). The goal of treatment in facial fractures is to achieve anatomic reduction and restore function while increasing patient comfort and making postoperative care easier (Lachner et al. 1991). The aim of the study was to evaluate the cases of Maxillofacial injuries with the existing literature on its different presentation and management. An observational study was done from the patients of RTA with Maxillofacial injuries in ENT department and trauma centre of Sir T General hospital and Government Medical College, Bhavnagar for a period of 2 year. A total of 315 patients were included. Males are more commonly affected than females. The main etiological factor for RTA was motorcycle accidents. The trend of MFIs especially due to MCAs was on the rise after the age of 20 year. Anatomically the lower 1/3 section of the face was the most affected. Mandibular fractures were most common isolated fracture in MFIs. Open reduction and internal fixation (ORIF) by plating and screw was the treatment of choice for displaced, comminuted and multiple fractures of face. Facial trauma remains a major source of injury in all parts of the world. Its management involves many disciplines in the hospital setting, but knowledge of occlusion, the masticatory apparatus and anatomy is important for the best outcomes. This study was an analysis of demographic variables and outcome of the management adopted in patients presented to our department.
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Affiliation(s)
- Vikas Sinha
- Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, B-303, Himalaya skyz flat, behind Himalaya mall, Bhavnagar, 364001 Gujarat India
| | - Nitin Chaudhary
- Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, Bhavnagar, Gujarat India
| | - Sushil G. Jha
- Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, Bhavnagar, Gujarat India
| | - Nirav P. Chaudhari
- Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, Bhavnagar, Gujarat India
| | - Kajalben R. rathva
- Department of Otorhinolaryngology Head and Neck Surgery, Sir T Hospital and Government Medical College, Bhavnagar, Gujarat India
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7
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Blunt force trauma in the human mandible: An experimental investigation. FORENSIC SCIENCE INTERNATIONAL: REPORTS 2022. [DOI: 10.1016/j.fsir.2021.100252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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SANCAR B, ÜSTÜNDAĞ İ. Comparison of self-tapping and self-drilling screws in open reduction of mandible fracture. JOURNAL OF HEALTH SCIENCES AND MEDICINE 2022. [DOI: 10.32322/jhsm.1021921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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9
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Malhotra VL, Sharma A, Tanwar R, Dhiman M, Shyam R, Kaur D. A retrospective analysis of mandibular fractures in Mewat, India. J Korean Assoc Oral Maxillofac Surg 2021; 47:365-372. [PMID: 34713811 PMCID: PMC8564085 DOI: 10.5125/jkaoms.2021.47.5.365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 06/12/2021] [Accepted: 06/17/2021] [Indexed: 11/22/2022] Open
Abstract
Objectives Mandibular fractures vary significantly with respect to epidemiological and demographic parameters among populations. To date, no study has evaluated these aspects of mandibular fractures in Nuh, Mewat, Haryana, India. To retrospectively analyze the incidence, age and sex distributions, etiology, anatomic distribution, occlusal status, treatment modality provided, and their correlation in patients who suffered isolated mandibular fractures. Materials and Methods The records of maxillofacial injury patients who reported to the Department of Dentistry, SHKM Government Medical College from January 2013 to December 2019, were retrieved from our database, and necessary information was collected. The data collected were analyzed statistically using IBM SPSS ver. 21. Results Totals of 146 patients and 211 fractures were analyzed. There were 127 males and 19 females with an age range of 3-70 years (mean age, 26 years). Road traffic accident (RTA) was the most common cause of fracture (64.4%), followed by fall (19.9%), assault (15.1%), and sports injury (0.7%). Of all patients, 42.5% had bilateral fractures, 31.5% had left side fracture, 21.2% had right side fracture, 3.4% sustained midline symphyseal fracture, and 1.4% had symphyseal fracture along one side of the mandible. Site distribution was as follows parasymphysis (34.6%), angle (23.7%), condyle (20.4%), body (12.8%), symphysis (4.3%), ramus 2.4%, and dentoalveolar 1.9%. The most common facture combination was angle with parasymphysis (17.8%). Occlusion was disrupted in 69.2% patients. Closed reduction was the predominant treatment modality. Conclusion The data obtained from retrospective analyses of maxillofacial trauma increase the understanding of variables and their outcomes among populations. The results of the present study are comparable to those of the literature in some aspects and different in others.
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Affiliation(s)
- Vijay Laxmy Malhotra
- Department of Dentistry, SHKM Government Medical College, Nalhar, Nuh, Mewat, India
| | - Amita Sharma
- Department of Dentistry, SHKM Government Medical College, Nalhar, Nuh, Mewat, India
| | - Rajiv Tanwar
- Department of Dentistry, SHKM Government Medical College, Nalhar, Nuh, Mewat, India
| | - Meenu Dhiman
- Department of Dentistry, SHKM Government Medical College, Nalhar, Nuh, Mewat, India
| | - Radhey Shyam
- Department of Public Health Dentistry, Post Graduate Institute of Dental Sciences, Rohtak, India
| | - Depinder Kaur
- Department of Anaesthesia, SHKM Government Medical College, Nalhar, Nuh, Mewat, India
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10
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Ghorbani F, Khalili M, Ahmadi H. The evaluation of alveolar fractures of trauma patients in Iran. BMC Oral Health 2021; 21:499. [PMID: 34615508 PMCID: PMC8495985 DOI: 10.1186/s12903-021-01863-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 09/27/2021] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Alveolar bone plays a vital role in mastication and supporting the teeth. The alveolar process is one of the most challenging regions of facial bone to reconstruct due to the deformity involves both hard and soft tissues. However, the etiology, gender, and age distribution vary between different regions, cultures, and countries. This study aims to investigate the prevalence of alveolar trauma in Shahid Rajaee Hospital, Shiraz, Iran, for three years. METHODS In a retrospective cross-sectional study, patients with alveolar fractures referred to Shahid Rajaei Hospital in Shiraz were included in the study. Age, sex, site of alveolar fractures, and etiology factors of trauma explored. The collected data was analyzed by SPSS software. Mean [Formula: see text] SD calculated for the inferential statistics, and the data compared using Chi-square and Exact Fisher. A p-value of < 0.05 was considered statistically significant with a 95% reliability. RESULTS A total of 165 patients had alveolar fractures in this study. We found that the most common cause of alveolar fracture was road accidents (32.3%) and the lowest reason was violence (9%). Most people with alveolar trauma were male and in the 21-30 years. The prevalence of mandibular and maxillary alveolar fractures was 17.61 and 17.01%, respectively, with the most anterior area of injury. CONCLUSION Alveolar trauma is one of the most common injuries among trauma patients. Early diagnosis and treatment plans are necessary to reduce the complications of facial trauma. Early training for a young adult is essential to prevent the severity of trauma.
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Affiliation(s)
- Farhad Ghorbani
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Khalili
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hanie Ahmadi
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
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Singh RK, Kumar V, Ganguly R, Patel J, Daga D. Helmet shielding effect in mandibular fractures during road traffic accident. Natl J Maxillofac Surg 2021; 12:56-61. [PMID: 34188401 PMCID: PMC8191562 DOI: 10.4103/njms.njms_150_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 08/24/2020] [Accepted: 10/01/2020] [Indexed: 12/04/2022] Open
Abstract
Objective: The objectives of this study are to evaluate the proportion of helmeted and nonhelmeted patients sustaining mandibular fractures. Materials and Methods: A retrospective study was conducted on 200 patients reporting to oral and maxillofacial surgery (OMFS) unit, trauma center, and department of OMFS. A predesigned questionnaire was used to collect the necessary data. Patients were evaluated for age, gender, mode of transport (2/4 wheeler), presence of safety measure at the time of accident (helmet/seatbelt), maxillofacial injury in two wheeler (with helmet and without helmet), type of impact, and its association to maxillofacial fractures, particularly site of maxillofacial fractures. The association between mode of injury, presence of safety measures, impact type, and site of maxillofacial injuries was assessed using the Chi-square test. P < 0.5 was considered statistically significant. Results: The mean age of patients was 30 years, and approximately 92.5% of accidents patients were male. In this study, 35% nonhelmeted riders were reported head injury and 5% of the helmeted rider reported head injury. 54.5% of the patients suffered frontal impact, 28% collision, and 17.5% lateral slide collision. Head injuries are the main cause of death among the riders of all two wheelers. Lateral sliding collision injuries (17.5%) resulted 60.6% of the fractures mandible, 24.2% midface injury, and associated injury (15.15%). Conclusion: The use of helmet is strongly recommended to prevent head injuries and facial injuries. In the nonhelmeted riders in motorcycle accidents, the incidence of mandible fractures increases proportionally.
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Affiliation(s)
- R K Singh
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Virendra Kumar
- Department of Dentistry, SN Medical College, Agra, Uttar Pradesh, India
| | - Roop Ganguly
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Jatin Patel
- Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Dipti Daga
- Department of Head and Neck Surgery, Homi Bhabha Cancer Hospital, Varanasi, Uttar Pradesh, India
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12
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Parmar M, Sahore M, Ghezta NK, Soni A. WITHDRAWN: A Retrospective study of 186 mandibular angle fractures: Influence of mountainous topography on etiology of mandibular angle fracture. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [DOI: 10.1016/j.adoms.2020.100010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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13
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Scott C, Ramakrishnan K, Vivek N, Saravanan C, Prashanthi G. Does Three-Dimensional Plate Offer Better Outcome and Reduce the Surgical Time Following Open Reduction and Internal Fixation of Adult Mandibular Unilateral Subcondylar Fractures. A Randomized Clinical Study. J Oral Maxillofac Surg 2020; 79:1330.e1-1330.e12. [PMID: 33524326 DOI: 10.1016/j.joms.2020.12.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/13/2020] [Accepted: 12/14/2020] [Indexed: 11/18/2022]
Abstract
PURPOSE The management of the condyle fractures continue to be a source of perineal controversy in the field of oral and maxillofacial trauma. The aim of this study was to compare the surgical feasibility, functional outcome, and stability of fixation between the conventional miniplate and 3-dimensional plate in the management of adult mandibular unilateral subcondylar fractures. MATERIALS AND METHODS A prospective randomized clinical study with well-structured inclusion and exclusion criteria was carried out. Patients were allocated into Group A (Miniplates) and Group B (3-D Plates). The primary outcome variables were time taken for fixation, maximum mouth opening, occlusal stability, increase in angulation, and increase in the gap between fractured segments in the radiograph. The secondary outcome variables were needed for intermaxillary fixation (IMF) with guiding elastics and jaw movements. Statistical analysis was done using χ2 test and student's t test with P value less than 0.05 indicating statistical significance. RESULTS Forty-four patients (40 male and 4 female) were enrolled, with 22 patients in each group. Time taken for fixation using 3-D plates was significantly lower than conventional miniplates (9.6 ± 0.9 minutes with P value 0.001). Although clinical parameters showed improved results for Group B, there was no statistical significance. Radiological parameters ie increase in angulation, and increase in the gap, showed statistically significant results. Group A had significant increases in the angulation of the fractured condyle at the end of the third and sixth months with a P value of 0.008 and 0.0001, respectively. The gap between the fractured segments was significantly increased in Group A at the end of the first and third months, with a P value of 0.022 and 0.003, respectively. CONCLUSIONS Our results concluded that 3-D plate offers superior fracture fragment stability and less displacement of the fractured segments. It has an added advantage of the ease of adaptation and shorter operating time.
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Affiliation(s)
- Cynthia Scott
- Assistant Professor, Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Potheri, Kattankulathur, Chengalpattu District, Tamil Nadu, India.
| | - Karthik Ramakrishnan
- Associate Professor, Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Potheri, Kattankulathur, Chengalpattu District, Tamil Nadu, India
| | - Narayanan Vivek
- Professor, Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Potheri, Kattankulathur, Chengalpattu District, Tamil Nadu, India
| | - Chandran Saravanan
- Professor, Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Potheri, Kattankulathur, Chengalpattu District, Tamil Nadu, India
| | - Gurram Prashanthi
- Associate Professor, Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Potheri, Kattankulathur, Chengalpattu District, Tamil Nadu, India
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14
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A Prospective Randomized Study to Assess the Quality of Life in Post-Operative Recovery Phase in Patients Undergoing Surgery for Isolated Vertically Undisplaced Mandibular Parasymphysis Fracture Using Twin Mix Solution. J Maxillofac Oral Surg 2020; 21:413-419. [DOI: 10.1007/s12663-020-01471-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 10/14/2020] [Indexed: 10/23/2022] Open
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15
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Kanala S, Gudipalli S, Perumalla P, Jagalanki K, Polamarasetty PV, Guntaka S, Gudala A, Boyapati RP. Aetiology, prevalence, fracture site and management of maxillofacial trauma. Ann R Coll Surg Engl 2020; 103:18-22. [PMID: 32808805 DOI: 10.1308/rcsann.2020.0171] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Maxillofacial fractures are often associated with severe morbidity, functional deficit, disfigurement and significant financial implications. The aim of this review was to investigate whether the aetiology, prevalence and management modalities of facial trauma can identify the common causes of facial trauma with a view to recommending measures to the appropriate governing bodies to change the current practice wherever possible. METHODS The records of 1,112 patients referred to our oral and maxillofacial unit in Andhra Pradesh, India, between February 2008 and October 2017 were analysed retrospectively. Data including age, sex, aetiology, fracture site and treatment were evaluated. RESULTS Men aged 20-40 years were the most common victims of facial trauma. Road traffic accidents (RTAs) were responsible in 70% of cases. Mandibular fractures constituted 47% of the overall fractures, and 55% of the total fractures were treated with open reduction and internal fixation. CONCLUSIONS The main cause of maxillofacial injury among patients reporting to our hospital was RTAs. Mandibular fractures were the most common, accounting for almost half of the cases. Over half (55%) of all maxillofacial fractures were treated with open reduction and internal fixation. Reasons for this high frequency may include the large number of poorly maintained, overloaded vehicles on unsuitable roads, violation of traffic regulations (particularly by inexperienced young drivers), abuse of alcohol or other intoxicating agents and the sociocultural behaviours of some drivers.
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Affiliation(s)
- S Kanala
- Government Dental College and Hospital, Vijayawada, India
| | - S Gudipalli
- Government Dental College and Hospital, Vijayawada, India
| | - P Perumalla
- Government Dental College and Hospital, Vijayawada, India
| | - K Jagalanki
- Government Dental College and Hospital, Vijayawada, India
| | | | - S Guntaka
- Government Dental College and Hospital, Vijayawada, India
| | - A Gudala
- Government Dental College and Hospital, Vijayawada, India
| | - R P Boyapati
- Queen Victoria Hospital NHS Foundation Trust, UK
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Rashid S, Kundi JA, Sarfaraz A, Qureshi AU, Khan A. Patterns of Mandibular Fractures and Associated Comorbidities in Peshawar, Khyber Pakhtunkhwa. Cureus 2019; 11:e5753. [PMID: 31723512 PMCID: PMC6825446 DOI: 10.7759/cureus.5753] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Objectives The objective of this study was to assess patterns of mandibular fractures and associated comorbidities in Peshawar, Pakistan. Methodology This multicenter, descriptive, cross-sectional study analyzed patients aged >15 years who had been clinically or radiographically diagnosed with mandibular fractures from January to December, 2015. Patients with pathological fractures or bomb-blast injuries were excluded. Data were analyzed using IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp., Armonk, NY). Results The 138 patients diagnosed with mandibular fractures in 2015 included 108 men (78.3%) and 30 women (21.7%), with a male preponderance of 3.6:1. Most patients (56%) were aged 15-25 years, followed by those aged 26-35 years (26%). The most frequent cause of fractures was road traffic accidents (RTAs; 59.42%), followed by falls (18.8%). RTAs were predominant in men (89%); whereas, falls were predominant in women (80%). Fractures due to firearm injuries and interpersonal violence were more frequent in men (p <0.001). In patients with unilateral fractures, the most common fracture site was the parasymphysis (24.6%) followed by the symphysis (10.1%). In patients with bilateral fractures, the most common fracture sites were the parasymphysis and condyle (11.6%), followed by the parasymphysis and angle (8.0%). Conclusions RTA was the most frequent cause of mandibular fracture and trauma. Mandibular fractures were more common in men than women, with most patients aged 15-25 years. The most common fracture site was the parasymphysis.
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Affiliation(s)
- Sahd Rashid
- Oral and Maxillofacial Surgery, Rehman Medical Institute, Peshawar, PAK
| | - Jawad A Kundi
- Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar, PAK
| | - Amna Sarfaraz
- Dentistry, Rehman College of Dentistry, Peshawar, PAK
| | - Asif U Qureshi
- Oral and Maxillofacial Surgery, Rehman College of Dentistry, Peshawar, PAK
| | - Adnan Khan
- Department of Pediatrics, Rehman Medical Institute, Peshawar, PAK
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Shah N, Patel S, Sood R, Mansuri Y, Gamit M, Rupawala T. Analysis of Mandibular Fractures: A 7-year Retrospective Study. Ann Maxillofac Surg 2019; 9:349-354. [PMID: 31909014 PMCID: PMC6933954 DOI: 10.4103/ams.ams_22_19] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Mandibular fractures contribute to a substantial proportion worldwide. Various variables related to mandibular fractures such as demographics, etiology, pattern of fracture, and treatment have been studied, but fewer reports on their correlations are published. Hence, this study attempts to understand these factors which can be useful for setting up clinical and research priorities. Aim: The purpose of this retrospective study is to establish a correlation between different factors associated with mandibular fractures. Materials and Methods: A database of 277 patients between July 2011 and October 2018 with mandibular fractures was retrospectively retrieved. Information on age, gender, etiology, pattern of fracture, and treatment done was obtained, tabulated, and analyzed statistically. Entities such as age and gender, age and cause, gender and cause, site of fracture and cause, site of fracture and side, site of fracture and treatment done, and site of fracture and gender were correlated. Statistical Analysis Used: Descriptive and analytical statistics were calculated using the SPSS version 20 using Chi-square tests which include Pearson's Chi-square and likelihood ratio. Results: In a total of 277 patients, a statistically significant correlation was found between age and the etiologic agent, site and side of fracture, and site of fracture and the treatment done with value of P < 0.05. Conclusion: A definite correlation between multitude of overlooked relevant co-factors has been studied which can provide an operating surgeon, a valuable impetus to be more vigilant in terms of medicolegal record maintenance, diagnosis, and possible clinical strategy for the treatment of mandibular fractures.
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Affiliation(s)
- Naiya Shah
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
| | - Shital Patel
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
| | - Ramita Sood
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
| | - Yusra Mansuri
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
| | - Mruga Gamit
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
| | - Taher Rupawala
- Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Ahmedabad, Gujarat, India
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Srinivasan B, Balakrishna R, Sudarshan H, Veena GC, Prabhakar S. Retrospective Analysis of 162 Mandibular Fractures: An Institutional Experience. Ann Maxillofac Surg 2019; 9:124-128. [PMID: 31293940 PMCID: PMC6585192 DOI: 10.4103/ams.ams_36_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objectives: The objective was to evaluate the age, gender distribution, side and site distribution, etiology, and common patterns of the mandibular fractures. Materials and Methods: This was a systematic retrospective review of records of 94 patients with 162 mandibular fractures treated in a single institution. Results: Of 94 patients, 72 male and 22 female patients belong to the age group of 4–62 years (average 31.57 years). Among the various etiologies, i.e., assault, road traffic accident (RTA), self-fall, workplace injury, and sports-related injury, RTA accounts for 62.76% and self-fall for 18.08% of cases. Of the 100 fractures analyzed, 46% are unilateral fractures and 54% are bilateral. Sides affected among these are left (58%), right (39%), and symphysis or midline (3%). The site distribution is as follows: symphysis – 5; parasymphysis – 64; body – 13; angle – 43; and subcondylar – 37. The most common fracture pattern is the ipsilateral parasymphysis with contralateral angle (21 cases). Open reduction and internal fixation was the predominant modality of treatment. Complications were observed in 27.65% of patients. Conclusion: Surveys play a vital role in better understanding the biomechanics of the mandible fractures. Furthermore, analysis of the treatment modalities used and their respective outcomes are of paramount importance in guiding surgeons to evaluate their efficacy.
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Affiliation(s)
- Bhuvaneshwari Srinivasan
- Department of Oral and Maxillofacial Surgery, K.L.E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | - Ramdas Balakrishna
- Department of Oral and Maxillofacial Surgery, K.L.E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | - H Sudarshan
- Department of Oral and Maxillofacial Surgery, K.L.E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | - G C Veena
- Department of Oral and Maxillofacial Surgery, K.L.E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | - Suhas Prabhakar
- Department of Oral and Maxillofacial Surgery, K.L.E Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
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Ashrafullah, Pandey RK, Mishra A. The incidence of facial injuries in children in Indian population: A retrospective study. J Oral Biol Craniofac Res 2018; 8:82-85. [PMID: 29892526 PMCID: PMC5993458 DOI: 10.1016/j.jobcr.2017.09.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2017] [Accepted: 09/05/2017] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To determine the incidence and pattern of facial fracture in children of age 0-16 years of age. MATERIAL & METHODS Patients with trauma reporting to department of paediatric and preventive dentistry and department of oral & maxillofacial surgery from January 2011 to December 2011 were selected for the present study. The records of patients treated for maxillofacial injuries were retrospectively retrieved and analyzed for prevalence, pattern, etiology, and management of maxillofacial trauma. The data collected were subjected to statistically analysis. SPSS software version 16.0 was used for the data analysis. RESULTS Total 5049 patients were screened and fifty one was reported to have facial injury. The incidence of facial trauma was 1.01% for the present study. The age wise distribution of the fracture amongst groups (I, II and III) were found 17.65%, 54.9% and 27.45% respectively. The sex-wise distribution of facial fracture was reported twice in male than females. The mandibular fracture was found the most common fracture (0.59%) followed by dento alveolar (0.30%) and midface (0.12%) fractures. Most of the mandibular fractures were found in the para symphysis region. Compound fractures seem to be commonest in the mandible. CONCLUSION The fall was the predominant cause for most of the facial fractures in children followed by road traffic accident. The pattern of facial injury is influenced by the age and the growth of facial skeleton.
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Affiliation(s)
- Ashrafullah
- Department of Dentistry, G.S.V.M. Medical College, Kanpur, India
| | - Ramesh Kumar Pandey
- Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, King George Medical University, Lucknow, 226003, U.P., India
| | - Apurva Mishra
- Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, King George Medical University, Lucknow, 226003, U.P., India
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Chaurasia A, Katheriya G. Prevalence of mandibular fracture in patients visiting a tertiary dental care hospital in North India. Natl J Maxillofac Surg 2018; 9:123-128. [PMID: 30546224 PMCID: PMC6251301 DOI: 10.4103/njms.njms_8_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background: Injuries of the maxillofacial complex represent one of the most important health problems worldwide. At present, in developing India, due to poor traffic sense, maxillofacial trauma and fractures are most epidemiologic diseases. Mandible is the largest and strongest facial bone and it is the second most commonly fractured bone. Mandibular fractures can involve only one site or can often involve multiple anatomic sites simultaneously. Aims: The present study is aimed to know the age- and sex-related prevalence of parasymphyseal fracture, fracture of angle, condylar fracture, symphyseal fracture, and coronoid fracture of mandible in North Indian population. It also evaluates the correlation of prevalence of parasymphyseal fracture, angle of mandible, condylar fracture of mandible, symphyseal fracture of mandible, and coronoid fracture of mandible. Materials and Methods: All patients fulfilling the selection criteria and having mandible fracture were selected for the study. The data about mandibular fracture was collected by means of a structured questionnaire including age, sex, and anatomic site of fracture. Qualitative variables were compared using Chi-square test/Fisher's exact test as appropriate. Results: The study population consists of 1015 individuals aged between 7 and 68 years with the mean age of 33.49 ± 11.79 years. The most common anatomic site for mandibular fracture was parasymphyseal region (40.3%) followed by angle (28.8%), condyle (27.6%), and symphysis (12.5%) of mandible. The coronoid process of mandible (44, 4.3%) was least involved in mandibular fracture. Males (30.8%) are more predilected for condylar fracture than females (15.7%). The mandibular symphyseal fracture is more common in male (14.9%) than female (3.7%). Conclusion: Mandibular fractures occur in people of all ages and races, in a wide range of social settings. Their causes often reflect shifts in trauma patterns over time. The present assessments of mandibular fracture will be valuable to government agencies and health-care professionals involved in planning future programs of prevention and treatment.
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Affiliation(s)
- Akhilanand Chaurasia
- Department of Oral Medicine and Radiology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Gaurav Katheriya
- Department of Oral Medicine and Radiology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
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Yang CS, Chen SCC, Yang YC, Huang LC, Guo HR, Yang HY. Epidemiology and patterns of facial fractures due to road traffic accidents in Taiwan: A 15-year retrospective study. TRAFFIC INJURY PREVENTION 2017; 18:724-729. [PMID: 28340303 DOI: 10.1080/15389588.2017.1309650] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 03/18/2017] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The facial region is a commonly fractured site, but the etiology varies widely by country and geographic region. To date, there are no population-based studies of facial fractures in Taiwan. METHODS We conducted a retrospective study of patients diagnosed with facial fracture and registered in the National Health Insurance Research Database of Taiwan between 1997 and 2011. The epidemiological characteristics of this cohort were analyzed, including the etiology, fracture site, associated injuries, and sex and age distributions. RESULTS A total of 6,013 cases were identified that involved facial fractures. Most patients were male (69.8%), aged 18-29 years (35.8%), and had fractures caused by road traffic accidents (RTAs; 55.2%), particularly motorcycle accidents (31.5%). Falls increased in frequency with advancing age, reaching 23.9% among the elderly (age > 65 years). The most common sites of involvement were the malar and maxillary bones (54.0%), but nasal bone fractures were more common among those younger than 18 years. CONCLUSION Most facial injuries in Taiwan occur in young males and typically result from RTAs, particularly involving motorcycles. However, with increasing age, there is an increase in the proportion of facial injuries due to falls.
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Affiliation(s)
- Cheng-San Yang
- a Department of Plastic Surgery, Ditmanson Medical Foundation , Chia-Yi Christian Hospital , Taiwan , Republic of China
- b Department of Leisure , Recreation, and Tourism Management, Tatung Institute of Technology , Taiwan , Republic of China
| | - Solomon Chih-Cheng Chen
- c Department of Pediatrics , Ditmanson Medical Foundation Chia-Yi Christian Hospital , Chia-Yi, Taiwan , Republic of China
- d Department of Medical Research , Ditmanson Medical Foundation Chia-Yi Christian Hospital , Chia-Yi, Taiwan , Republic of China
- e School of Medicine , Taipei Medical University , Taipei , Taiwan , Republic of China
| | - Yung-Cheng Yang
- f Department of Surgery , Ditmanson Medical Foundation Chia-Yi Christian Hospital , Taiwan , Republic of China
| | - Li-Chung Huang
- g Department of Psychiatry , Chia-Yi Branch, Taichung, Veterans General Hospital , Chia-Yi, Taiwan , Republic of China
| | - How-Ran Guo
- h Department of Environmental and Occupational Health, College of Medicine , National Cheng Kung University , Taiwan , Republic of China
- i Department of Occupational and Environmental Medicine , National Cheng Kung University Hospital , Taiwan , Republic of China
| | - Hsin-Yi Yang
- d Department of Medical Research , Ditmanson Medical Foundation Chia-Yi Christian Hospital , Chia-Yi, Taiwan , Republic of China
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Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil. Rev Col Bras Cir 2017; 44:491-497. [DOI: 10.1590/0100-69912017005011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Accepted: 06/22/2017] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objectives: to investigate the incidence and etiology of face trauma with diagnosis of facial fracture treated at the Buccomaxillofacial Surgery and Traumatology Service of the Santa Casa de Misericórdia Hospital Complex in Porto Alegre. Methods: we conducted a cross-sectional, retrospective epidemiological study of 134 trauma victims with 153 facial fractures. Results: the male gender was the most affected (86.6%) and the incidence was higher in the age group from 21 to 30 years. The main etiology was assault (38.8%), followed by motor vehicle accidents (14.2%), motorcycle accidents (13.4%), falls (9%), road accidents (6.7%), sports accidents (5.2%), work accidents (5.2%), firearm injuries (4.5%) and cycling accidents (3%). The most frequent fractures were those of the zygomatic complex (44.5%), followed by fractures of the mandible (42.5%), maxillary bone (5.2%), nasal bones (4.5%) and zygomatic arch (3.3%). Conclusion: the fractures of the zygomatic complex and the mandible were the ones with the highest incidence in the facial traumas, having physical assaults as their main cause.
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Samieirad S, Aboutorabzade MR, Tohidi E, Shaban B, Khalife H, Hashemipour MA, Salami HR. Maxillofacial fracture epidemiology and treatment plans in the Northeast of Iran: A retrospective study. Med Oral Patol Oral Cir Bucal 2017; 22:e616-e624. [PMID: 28809369 PMCID: PMC5694185 DOI: 10.4317/medoral.21809] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 07/10/2017] [Indexed: 11/30/2022] Open
Abstract
Background The epidemiology of facial injuries varies based on lifestyle, cultural background and socioeconomic status in different countries and geographic zones. This study evaluated the epidemiology of maxillofacial fractures and treatment plans in hospitalized patients in Northeast of Iran (2015-2016). Material and Methods In this retrospective study, the medical records of 502 hospitalized patients were evaluated in the Department of Maxillofacial Surgery in Kamyab Hospital in Mashhad, Iran. The type and cause of fractures and treatment plans were recorded in a checklist. Data were analyzed with Mann–Whitney test, chi-squared test and Fisher’s exact test, using SPSS 21. Results The majority of patients were male (80.3%). Most subjects were in 20-30-year age range (43.2%). The fractures were mostly caused by accidents, particularly motorcycle accidents (MCAs), and the most common site of involvement was the body of the mandible. There was a significant association between the type of treatment and age. In fact, the age range of 16-59 years underwent open reduction internal fixation (ORIF) more than other age ranges (P=0.001). Also, there was a significant association between gender and fractures (P=0.002). Conclusions It was concluded that patient age and gender and trauma significantly affected the prevalence of maxillofacial traumas, fracture types and treatment plans. This information would be useful for making better health policy strategies. Key words:Epidemiology, treatment, facial injuries, maxillofacial fractures, trauma.
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Affiliation(s)
- S Samieirad
- Department of Oral Medicine, School of Dentistry Kerman University of Medical Sciences, Kerman, Iran,
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KILINÇ A, ERTAŞ Ü, YALÇIN E, SARUHAN N. Mandibula Kırıklarının Retrospektif Analizi. CUMHURIYET DENTAL JOURNAL 2017. [DOI: 10.7126/cumudj.306117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Singaram M, G SV, Udhayakumar RK. Prevalence, pattern, etiology, and management of maxillofacial trauma in a developing country: a retrospective study. J Korean Assoc Oral Maxillofac Surg 2016; 42:174-81. [PMID: 27595083 PMCID: PMC5009190 DOI: 10.5125/jkaoms.2016.42.4.174] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2015] [Revised: 02/07/2016] [Accepted: 02/11/2016] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES This retrospective study aims to evaluate the prevalence of maxillofacial trauma in a developing country, along with its pattern, etiology and management. Data for the present study were collected from the Department of Dentistry, ESIC Medical College and Post Graduate Institute of Medical Sciences and Research, Chennai in India. MATERIALS AND METHODS The medical records of patients treated for maxillofacial injuries between May 2014 and November 2015 were retrospectively retrieved and analyzed for prevalence, pattern, etiology, and management of maxillofacial trauma. SPSS software version 16.0 was used for the data analysis. RESULTS Maxillofacial fractures accounts for 93.3% of total injuries. The mean and standard deviation for the age of the patients were 35.0±11.8 years and with a minimum age of 5 years and maximum age of 75 years. Adults from 20 to 40 years age groups were more commonly involved, with a male to female ratio of 3:1. There was a statistically significantly higher proportion of males more commonly involved in accident and injuries (P <0.001). CONCLUSION The most common etiology of maxillofacial injury was road traffic accidents (RTA) followed by falls and assaults, the sports injuries seem to be very less. In RTA, motorized two-wheelers (MTW) were the most common cause of incidents. The majority of victims of RTA were young adult males between the ages of 20 to 40 years. The malar bone and maxilla were the most common sites of fracture, followed by the mandible. The right side of the zygomatic complex was the predominant side of MTW injury. The majority of the zygomatic complex fractures were treated by conservative management. Open reduction and internal fixation were performed for indicated fracture patients.
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Affiliation(s)
- Mohanavalli Singaram
- Department of Dentistry, ESIC Medical College and Post Graduate Institute of Medical Sciences and Research, Chennai, India
| | - Sree Vijayabala G
- Department of Dentistry, ESIC Medical College and Post Graduate Institute of Medical Sciences and Research, Chennai, India
| | - Rajesh Kumar Udhayakumar
- Department of Dentistry, ESIC Medical College and Post Graduate Institute of Medical Sciences and Research, Chennai, India
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Samieirad S, Tohidi E, Shahidi-Payam A, Hashemipour MA, Abedini A. Retrospective study maxillofacial fractures epidemiology and treatment plans in Southeast of Iran. Med Oral Patol Oral Cir Bucal 2015; 20:e729-36. [PMID: 26116845 PMCID: PMC4670254 DOI: 10.4317/medoral.20652] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Accepted: 04/01/2015] [Indexed: 11/19/2022] Open
Abstract
Background The epidemiology of facial injuries varies in different countries and geographic zones. Population concentration, lifestyle, cultural background, and socioeconomic status can affect the prevalence of maxillofacial injuries. Therefore, in this study, we evaluated the maxillofacial fractures epidemiology and treatment plans in hospitalized patients (2012-2014) which would be useful for better policy making strategies. Material and Methods In this retrospective study, the medical records of 386 hospitalized patients were evaluated from the department of maxillofacial surgery at Bahonar Hospital of Kerman, Iran. The type and cause of fractures and treatment plans were recorded in a checklist. For data analysis, ANOVA, t-test, Chi-square, and Fisher’s exact test were performed, using SPSS version 21. Results The majority of patients were male (76.5%). Most subjects were within the age range of 20-30 years. Fractures were mostly caused by accidents, particularly motorcycle accidents (MCAs), and the most common site of involvement was the mandible (parasymphysis). There was a significant association between the type of treatment and age. In fact, the age group of 16-59 years under went open reduction internal fixation (ORIF) more than other age groups (P=0.02). Also, a significant association was observed between gender and the occurrence of fractures (P=0.01). Conclusions Considering the geographic and cultural indices of the evaluated population, it can be concluded that patients age and gender and trauma causes significantly affect the prevalence of maxillofacial traumas and fracture kinds and treatment plans. Key words:Epidemiology, treatment, facial injuries, face fractures, maxillofacial trauma, trauma.
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Affiliation(s)
- Sahand Samieirad
- Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran,
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Bereket C, Şener İ, Şenel E, Özkan N, Yilmaz N. Incidence of mandibular fractures in black sea region of Turkey. J Clin Exp Dent 2015; 7:e410-3. [PMID: 26330940 PMCID: PMC4554243 DOI: 10.4317/jced.52169] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2014] [Accepted: 11/27/2014] [Indexed: 11/16/2022] Open
Abstract
Background The aim of this study is to review the incidence of mandibular fractures in the Black Sea Region of Turkey and to present our treatment protocol. Material and Methods Data were collected regarding age, sex, etiology, time distribution, site of the fracture and the associated injuries and evaluated. These patients were treated at Ondokuz Mayıs University Department of Oral and Maxillofacial Surgery between 2003 and 2010. Data were collected from patient files in the archive and were analyzed using SPSS version 20.0 software. Results A total of 82 patients with 133 mandibular fractures were included in this study. After the follow up period of the patients, the results were achieved from 58 (70.7%) males and 24 (29.3%) females, whose ages ranged from 5 to 72 years and the mean age was 29. Fractures were most seen in 2008 and the busiest month was August. Falls (40.2%) were the major causes of mandibular fractures followed by traffic accidents and violence. The mandibular anatomical sites of higher fracture incidence were: condyle (34.6%), body and symphysis. The number of the fractures and injuries which were seen in other places such as zygomatic arch, alveolar process, tongue, upper and lower lips, orbita, arms was 14. 53 (64.6%) patients were treated by closed reduction, whereas 13 (15.8%) patients were treated by open reduction. Conclusions We concluded that our results were widely similar with the studies in developing countries. Socio-economic factors, cultures, geographic conditions and education could affect the etiology of the mandibular fractures and cause different results between the studies conducted in different countries. Key words:Mandibular fractures, etiology, trauma, treatment, complication.
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Affiliation(s)
- Cihan Bereket
- DDS, PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun- Turkey
| | - İsmail Şener
- DDS, PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun- Turkey
| | - Erman Şenel
- DDS, PhD, Research Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun- Turkey
| | - Nilüfer Özkan
- DDS, PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun- Turkey
| | - Nergiz Yilmaz
- DDS, PhD, Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Samsun- Turkey
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Rajan SR, Hussain KA, Tarakji B, Azzeghaibi SN, Sirajuddin S. Iatrogenic Damage to the Periodontium Caused by Exodontic Treatment Procedures: An Overview. Open Dent J 2015; 9:197-9. [PMID: 26312085 PMCID: PMC4541312 DOI: 10.2174/1874210601509010197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Revised: 03/04/2015] [Accepted: 03/10/2015] [Indexed: 11/22/2022] Open
Abstract
Dentists encounter a wide range of hard-tissue injuries in practice. Dental extractions are one of the most common procedures in dentistry and may lead to several complications, including oral sinus complications, osteitis, infection, dysesthesia, pain, and bleeding.
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Affiliation(s)
- Senthil Rs Rajan
- Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074. Karnataka, India
| | - Khaja Amjad Hussain
- Department of Oral-maxillofacial Sciences, Alfarabi College of Dentistry and Nursing, Riyadh, Saudi Arabia
| | - Bassel Tarakji
- Department of Oral-maxillofacial Sciences, Alfarabi College of Dentistry and Nursing, Riyadh, Saudi Arabia
| | | | - Syed Sirajuddin
- Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074. Karnataka, India
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Boffano P, Kommers SC, Karagozoglu KH, Gallesio C, Forouzanfar T. Mandibular trauma: a two-centre study. Int J Oral Maxillofac Surg 2015; 44:998-1004. [PMID: 25813086 DOI: 10.1016/j.ijom.2015.02.022] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2014] [Revised: 01/06/2015] [Accepted: 02/24/2015] [Indexed: 11/28/2022]
Abstract
The aims of this study were to assess and compare epidemiological data on mandibular fractures from two European centres and to perform a review of the literature. Between 2001 and 2010, a total of 752 patients with a total of 1167 mandibular fractures were admitted to a hospital in Turin, and 245 patients with a total of 434 mandibular fractures were admitted to a hospital in Amsterdam. The mean age in Turin was 34.8 years and in Amsterdam was 32 years. The age group 20-29 years showed the highest incidence of mandibular fractures in both centres. The fractures were mainly the result of assaults, in agreement with several articles in the recent literature, followed by falls. The continuous long-term and multicentre collection of data on the epidemiology of maxillofacial trauma is important because it provides the information necessary for the development of preventative measures aimed at reducing the incidence of facial injuries.
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Affiliation(s)
- P Boffano
- Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Centre and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands.
| | - S C Kommers
- Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Centre and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
| | - K H Karagozoglu
- Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Centre and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
| | - C Gallesio
- Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy
| | - T Forouzanfar
- Department of Oral and Maxillofacial Surgery/Pathology, VU University Medical Centre and Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
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Abstract
INTRODUCTION The etiology and pattern of mandibular fracture vary considerably among different study populations. Despite many reports about the incidence, diagnosis and treatment of mandibular fracture there is limited knowledge about the specific type or pattern of mandibular fractures in South Asian countries. This study attempts to delineate predictable patterns of fracture based on patient demographics and mechanism of injury in central part of India. MATERIALS AND METHODS The medical records of patients with mandibular fractures treated over a 3 years period were identified and analyzed based on age, sex, mechanism of trauma, seasonal variation, drug/alcohol abuse, number and anatomic location. RESULTS We reviewed 464 patients having mandibular fractures with age ranging from 7 to 89 years. Male (343, 79%) to female (91, 21%) ratio was 3.7:1, significantly higher for males. The highest incidence (37.5%) of mandibular fractures was in the age group of 21-30 years. The main cause was road traffic accidents (RTAs, 68.8%) followed by falls (16.8%), assaults (11%) and other reasons (3.8%). Parasymphyseal fractures were the most frequent 331 (41.1%), followed by condyle (135) and angle (124) fractures in occurrence. Mandibular angle fractures were found mostly to be associated with assault victims. CONCLUSION The mechanism of injury correlates significantly with the anatomic location of fracture and knowledge of these associations should guide the surgeons for appropriate and timely management. Because RTAs are most frequent, good traffic sense needs to be imbibed and developed by the government as well as the public.
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Affiliation(s)
- Dhananjay Barde
- Department of Oral and Maxillofacial Surgery, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Ahmednagar, Maharashtra, India
| | - Anupama Mudhol
- Department of Oral and Maxillofacial Surgery, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Ahmednagar, Maharashtra, India
| | - Ramnik Madan
- New Horizon Dental College and Hospital, Bilaspur, Chhattisgarh, India
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Septa D, Newaskar VP, Agrawal D, Tibra S. Etiology, incidence and patterns of mid-face fractures and associated ocular injuries. J Maxillofac Oral Surg 2014; 13:115-9. [PMID: 24822001 PMCID: PMC4016399 DOI: 10.1007/s12663-012-0452-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2012] [Accepted: 10/03/2012] [Indexed: 11/29/2022] Open
Abstract
A prospective study on mid-face fractures was carried out in the Department of Oral and Maxillofacial Surgery at College of Dentistry, Indore, from August 2007 to September 2009 to analyze etiology, incidence and patterns of midface fractures and associated ocular injuries. Two hundred patients were included in this study, amongst those who reported to the Department of OMFS, College of Dentistry, Indore. After confirmed diagnosis of mid face fracture all the patients were stratified according to age, sex, cause of the accident, influence of alcohol, location, type of fractures and associated ocular injuries. The study included 200 patients with a mean age of 29.6 years. The most frequently injured patients belonged to the 21-30 year-old age group. The male predilection was 76 %. Road traffic accident was the most common causative factor (64 %), followed by assault (21 %), cases of fall (9.5 %) and other causes (5.5 %). The most common fracture in this study was found to be zygomatic complex fractures (62.5 %) (more in the age group of 21-30 years). This was followed by Lefort II fractures (23 %), multiple fractures (10 %) and Lefort I fractures (6 %), Lefort III fractures (4.5 %) and Naso-ethmoidal fractures (4 %) in descending order. 84.5 % subjects were having ocular involvement. Subconjunctival hemorrhage was present mostly in 83.5 % followed by remaining as corneal injury 15 %, reduced acuity 11.5 %, diplopia 10.5 %, enophthalmos 8.5 %, telecanthus 5 %, hyphema 3.5 %, blindness 3 % and proptosis 0.5 %. Zygomatic complex fractures were the most frequent type of injury that was complicated by blindness or a serious eye injury (61 %). Collection of data regarding the epidemiology of maxillofacial fractures is important because it may assist healthcare providers to provide necessary information for the development and evaluation of preventive measures. Ocular injuries should have an early ophthalmological examination at the time of trauma to detect any kind of ocular dysfunction.
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Affiliation(s)
- Dilip Septa
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Indore, India
| | - Vilas P. Newaskar
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Indore, India
| | - Deepak Agrawal
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Indore, India
| | - Shailendra Tibra
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Indore, India
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Ghodke MH, Bhoyar SC, Shah SV. Prevalence of mandibular fractures reported at C.S.M.S.S Dental College, aurangabad from february 2008 to september 2009. J Int Soc Prev Community Dent 2014; 3:51-8. [PMID: 24778980 PMCID: PMC4000912 DOI: 10.4103/2231-0762.122428] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Aim: The aim of this study is to determine the etiology, frequency of mandibular fractures among different age and sex, to determine the frequency of anatomic distribution, and to report the different modalities of treatment provided to the patients reported at our institution from February 2008 to September 2009. Materials and Methods: All patients fulfilling the selection criteria and having mandible fracture were selected for the study. Patient information was collected by means of a medical data form specifically designed for the present study. The values were subjected to Z and Chi-square tests. Results: Out of 35 patients, thirty one were males (88.57%) and four were females (11.43%) with a male:female ratio of 8:1. We found a peak occurrence in young adults, aged 21-30 years (n = 15, 42.86%). In case of etiology of fracture, road traffic accidents (RTAs) was the most common (n = 25, 71.43%) and condyle was most frequently involved site (n = 19, 38.78%). In most (n = 16, 45.71%) of the patients, an open reduction and rigid internal fixation using bone plate and screws was done. Conclusion: In the present study, the prevalence of mandible fractures was more prevalent in male patients, especially during the 3rd decade of life. The most common cause was road traffic accident and the more frequently affected region was condyle of the mandible. Open reduction and rigid internal fixation using miniplates and screws was the most commonly used treatment.
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Affiliation(s)
- Monali H Ghodke
- Department of Oral and Maxillofacial Surgery, Sinhgad Dental College and Hospital, Pune, Maharashtra, India
| | - Subhash C Bhoyar
- , Chhatrapati Shahu Maharaj Shikshan Sanstha Dental College and Hospital, Aurangabad, Maharashtra, India
| | - Seemit V Shah
- , Chhatrapati Shahu Maharaj Shikshan Sanstha Dental College and Hospital, Aurangabad, Maharashtra, India
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Mittal G, Mittal S. Mandibular fractures at veer chandra singh garhwali government medical science and research institute, garhwal region, uttarakhand, India: a retrospective study. Ann Med Health Sci Res 2013; 3:161-5. [PMID: 23919182 PMCID: PMC3728855 DOI: 10.4103/2141-9248.113654] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background: Mandibular fractures constitute a substantial proportion of cases of maxillofacial trauma. Demographic data related to mandibular fractures are difficult to evaluate because of many variables associated with the studies. The information is as diverse as the countries and the people who inhabit them. Aim: This is a retrospective study designed to determine the site distribution, associated fracture and causes of mandibular fractures in patients presenting to the trauma centre of Veer Chandra Singh Garhwali Government Medical Science and Research Institute, Uttarakhand, India. Materials and Methods: Records of 121 patients with confirmed mandibular fractures presenting over a three year period (i.e., 1st January 2008 to 31st December 2010). Data obtained from record included age, sex, site of fracture and causes. Results: There were 48/121 (39.6%) males and 73/121 (60.3%) females. The most predominant age group of fracture was found to be 21-30 (53/121-43.8%) followed by 11-20 (25/121-20.6%). In this study history of fall was the most common cause of mandibular fracture (66/121-54.5%), followed by road traffic accidents (45/121-37.1%), fights and assault (08/121-6.6%) and industrial accidents (02/121-1.6%). In our study most of the patients suffered from fracture in the parasymphysis (35/139-25.1%) and angle region (32/139-23.0%) followed by body (30/139-21.5%), condyle (21/139-15.1%), symphysis (19/139-13.7%), and ramus (02/121-1.4%) area. Conclusion: In this study mandibular fractures were more prevalent in females especially during the second and third decade of life. History of fall was the most predominant cause of mandibular fracture. The most frequently affected sites were parasymphysis and angle.
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Affiliation(s)
- G Mittal
- Department of Dentistry, VCSGGMS and RI, Srinagar, Pauri, Garhwal, Uttarakhand, India
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Abstract
We investigated the etiology, incidence, and complications of patients with mandibular fracture in Amsterdam for a period of 10 years. Between January 2000 and January 2009, 213 patients with surgically treated mandibular fracture were identified. Two hundred thirteen patients were included with a mean age of 32.5 (SD, 15.2) years. Male-female ratio was 2.2:1. A total of 410 fracture lines were identified. In violence-related injuries, angle fractures were proved to be the main fracture site. For male patients, violence (33.6%) was the main cause of injury. The most common cause for female patients was traffic related. In 169 patients, open reduction with internal fixation was performed in 17 patients without intermaxillary fixation. Twenty-seven patients were treated only with intermaxillary fixation. A total of 1738 screws and 393 plates were used. Sixty patients presented with complications. The results of this report are partly in line with other studies and provides important data for the design of plans for injury prevention.
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Cankaya AB, Erdem MA, Cakarer S, Cifter M, Oral CK. Iatrogenic mandibular fracture associated with third molar removal. Int J Med Sci 2011; 8:547-53. [PMID: 21960746 PMCID: PMC3180770 DOI: 10.7150/ijms.8.547] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2011] [Accepted: 09/12/2011] [Indexed: 11/23/2022] Open
Abstract
Third molar extraction is one of the most common procedures performed in oral and maxillofacial surgery units. It is sometimes accompanied by complications such as alveolar osteitis, secondary infection, hemorrhage, dysesthesia and, most severely, iatrogenic fracture. This article describes two mandibular angle fractures that occurred in two patients during the surgical extraction of one erupted and one unerupted third molar, including a brief review of the literature.
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Affiliation(s)
- Abdulkadir Burak Cankaya
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, 34093, Turkey.
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A summary of trauma and trauma-related papers published in BJOMS during 2008-2009. Br J Oral Maxillofac Surg 2010; 48:455-8. [PMID: 20727461 DOI: 10.1016/j.bjoms.2010.05.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2010] [Accepted: 05/13/2010] [Indexed: 11/20/2022]
Abstract
This paper provides a summary of the 49 trauma and related papers published in British Journal of Oral and Maxillofacial Surgery during the period January 2008 to December 2009. 16/49 (32%) of these publications were full length articles, which covered areas such as epidemiology, service provision, materials and operative surgery. In addition there were other articles including short communications, technical notes, letters to the editor and interesting cases. Whilst fewer full length articles were published compared to the other sub-specialties, it was reassuring to see that the studies represent all aspects of trauma. More basic science and randomized control studies relating to trauma need to be encouraged.
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Brennan P, Mitchell D, Walker T, Cascarini L, Oeppen R. Short communication articles published in BJOMS during 2008–2009—an analysis of types of submission and subject material. Br J Oral Maxillofac Surg 2010; 48:167-72. [DOI: 10.1016/j.bjoms.2010.01.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 01/17/2010] [Indexed: 12/19/2022]
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Adeyemo WL, Iwegbu IO, Bello SA, Okoturo E, Olaitan AA, Ladeinde AL, Ogunlewe MO, Adepoju AA, Taiwo OA. Management of Mandibular Fractures in a Developing Country: A Review of 314 Cases from Two Urban Centers in Nigeria. World J Surg 2008; 32:2631-5. [PMID: 18841410 DOI: 10.1007/s00268-008-9773-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Wasiu L Adeyemo
- Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos, P. M. B. 12003, Lagos, Nigeria.
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