A Study Of Mandible Fractures And Management Analysis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Introduction: The mandible is reportedly the most common fractured bone in facial trauma. The primary goal of the management of fractured mandibule is restoration of its form and function. Aim of the study: To record the number of patients with fracture mandible, following trauma, who underwent treatment in our department during study period, study the age and sex group of patients involved , analyse the various causes of injuries that led to the fracture mandible, study the different region/s in mandible affected, study the various modalities of treatment applied, study the functional outcome of the treatment, give awareness to the patient’s relatives about proper follow up of patients. Materials and Methods:Patients who reported to the Plastic Surgery Department, Government Rajaji Medical College hospital, Madurai with Fracture of Mandible were included in the study. The study period was from October 2015 to Mar2017. The patients were referred from other departments or came directly to the Plastic surgery Department opd. Results: Majority of patients affected are from 15 to 45 age group forming 73 % of total incidence. Road Traffic Accidents and accidental fall constitute common causes of mandibular fractures. Majority of fractures are seen in the angle and parasymphyseal region. Single fractures are the most common type of fractures in this study. Among multiple fractures the combination of one side parasymphyseal and another side angle fractures are common. Majority of patients have been managed with open reduction and internal fixation with miniplate and screws. Conclusion: An average of 33 patients per year reporting to our plastic & reconstructive surgery department for treatment. Using mini plates and screws has significantly reduced the post- operative morbidity of the patient to a great extent, allowing for an early mobilization. Adhering to Road traffic rules will prevent the Road Traffic Accidents and thus mandible fractures.
Authors and Affiliations
Dr . K. Sethuraja, Dr. T. Thirumalaisamy
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