An Urban Center Study of Mandibular Fractures
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 2
Abstract
Background: The mandible is reportedly the most common fractured bone in facial trauma. The purpose of our study is to assess the epidemiology of mandibular fractures, to study inferior alveolar canal type and its implication in management, to study the various treatment modalities applied, and to study the functional outcome of the treatment. Materials and Methods: Between August 2016 and April 2017, 55 patients of mandibular fractures who reported to the Department of Plastic Surgery, Government Royapettah Hospital, Kilpauk Medical College, were included in this study. The methodology adopted comprises recording etiology, age and sex groups involved, mandibular region affected, investigations and treatment planning, status of inferior alveolar canal, preliminary and comprehensive treatment performed, pre-operative and post-operative occlusion, management of other injuries, post-operative assessment, and complications that occurred. Results: Majority of the mandibular fractures were found to be in the 15-45 years age group, with predominance in 25-34-year‑old males. Road traffic accidents were the most common cause of mandibular fractures. Most of the fractures occurred in the parasymphyseal region. Type – 2 alveolar canal was the most common variety in the study group. Closed technique maxillary-mandibular fixation was adopted in 11 patients and open technique in 28 patients. Endoscopic-guided fixation of mandibular fractures was done in 2 patients. There were 4 complications (10.2%) in the study group during the study period. Conclusion: In this series, decision behind the technique of management is emphasized based on the site/s of fracture, patient general condition, and comorbidities. The type of inferior alveolar canal determines the site of placement of plates used for fixation of fractures. Endoscopic management of fractures has given us a new dimension for esthetic approach, avoiding external incisions and scars.
Authors and Affiliations
R Sridhar, N C Hariharan
Keywords
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