A RETROSPECTIVE STUDY OF EPIDEMIOLOGY FRACTURES OF MANDIBLE IN TERTIARY CARE TEACHING HOSPITAL OVER A PERIOD OF A DECADE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 58
Abstract
Mandible is the lower facial bone that plays an important role in complex function of chewing, deglutition, speech, supports Tongue and forms contour of lower third of Face. Rapid urbanization has resulted in increase in the number of road traffic accidents with fractures of the Facial bones. Mandible is the second most common facial bone to get fractured. Fractures of the Mandible need intervention at the earliest. AIM To retrospectively analyse the cause, age and sex incidence, sites of fracture of mandible, combination of fractures, various diagnostic and treatment modalities that were used. METHOD AND MATERIALS The study includes 1087 patients with isolated fractures of the mandible treated in the Department of Plastic Surgery at Gandhi Hospital between the years 2005 to 2014. The patterns of the history, clinical examination, diagnostic tests done were assessed. Age, sex, aetiology, method of management were the variables analysed. The statistical analysis was done using SPSS (Statistical Package for Social Sciences 0 Version 15.0 Statistical analysis software). The values are represented in frequencies and percentages. RESULTS 1087 patients with isolated fractures of the mandible were studied. Steep rise in the incidence from 8.98% in 2005 to 18% in 2014 was noted. Males were more frequently involved (92.64%) in comparison to females. The commonly involved age group was between 21-30 years (54.55%). Most of the patients sustained injury due to road traffic accidents (75.9%) of which majority were two wheeler accidents (45.81%). Parasymphysis was fractured in 41.39%. X-rays were used as the diagnostic modality between the years 2004 to 2010. Later digital X-rays and 3D Computerized Tomography have replaced it. Closed reduction was done in 57.22%. Complications (1.1%) in the form of infection and mal-occlusions were noted. DISCUSSION AND CONCLUSIONS The commonest aetiology was road traffic accidents and sense of public awareness is to be created about traffic rules and regulations. Males, age group between 21-30 and parasymphysis were commonly involved. Class I occlusion was achieved with closed method of Maxillomandibular fixation in 57.22% and open reduction was done in cases where closed reduction was not possible and they amounted to 42.77%.
Authors and Affiliations
Gurram , Arige Kumar, Pokkula
Keywords
Related Articles
- EP ID EP133724
- DOI 10.14260/jemds/2016/918
- Views 52
- Downloads 0
CLINICAL PROFILE AND SHORT-TERM OUTCOME OF ACUTE NEPHRITIC SYNDROME IN CHILDREN
BACKGROUND Glomerulonephritis generally presents as a constellation of findings that includes haematuria, proteinuria and oedema. Poststreptococcal glomerulonephritis is the commonest form of acute glomerulonephritis in...
CLINICO-MYCOLOGICAL STUDY OF DERMATOPHYTIC SKIN INFECTIONS IN A TERTIARY CARE CENTRE
BACKGROUND Skin infections are the most common infections occurring in developing countries, of which dermatophytosis are of particular concern in tropics. The prevalence of dermatophytic infections varies with different...
CUTANEOUS HORN IN ACTINIC KERATOSIS-A CASE REPORT [b][/b]
A cutaneous horn is a relatively rare tumour, most often arising from sun exposed skin in elderly men, usually after fifth decade. The tumour is often conical, consisting of marked retention of stratum corneum....
A PROSPECTIVE STUDY OF INTRAOPERATIVE COMPARISON BETWEEN GENERAL ANAESTHESIA WITH CONVENTIONAL OPIOID AND THORACIC EPIDURAL ANAESTHESIA FOR OFF PUMP CORONARY ARTERY BYPASS SURGERY
BACKGROUND Coronary artery disease (CAD) is one of the most common causes of mortality and morbidity amongst cardiovascular diseases in both developed and developing countries. The prevalence of CAD in India is 14% in ur...
COMPARISON OF EFFICACY AND SAFETY OF DEXMEDETOMIDINE AND PROPOFOL INFUSION FOR SEDATION DURING FIBREOPTIC NASOTRACHEAL INTUBATION
Fibreoptic intubation is a valuable modality for airway management. This study aimed to compare the efficacy and safety of dexmedetomidine and propofol infusion for sedation during fibreoptic nasotracheal intubation...