Analysis of mandibular fractures: A 7-year retrospective study

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.

A retrospective analysis of mandibular fractures in Mewat, India

“…In the present study, the most common cause of mandibular fractures was RTAs (94/146, 64.4%), followed by fall (29/146, 19.9%), assault (22/146, 15.1%), and sports (1/146, 0.7%). This finding is consistent with previous studies 26,[31][32][33] . In India, the increasing incidence of alcohol dependence and drunken driving is the reason behind the increased incidence of fracture due to RTAs.…”

“…In the present study males also outnumbered females at a ratio of 7:1. The sex ratio observed in other studies was 3:1 18 , 4:1 26,27 , and 6.6:1 28 . Mandibular fractures have been reported in all age groups (ranging from small children 22 to individuals of 95 years 29 ).…”

Perfil epidemiológico de las fracturas mandibulares en el servicio de urgencias

“…En este estudio se analizaron 319 pacientes con fracturas mandibulares entre la segunda y tercera década de la vida, siendo la edad promedio de 32.5 años, similar a la reportado en otros estudios [19][20][21] . Esto se debe a que los jóvenes tienen una mayor participación que otros grupos de edad en la sociedad en actividades al aire libre, y por lo tanto son más propensos a sufrir traumas en diversas actividades físicas, conducción imprudente, abuso de alcohol, violencia interpersonal y diferentes actividades deportivas 22 .…”

“…Las fracturas mandibulares se presentaron preferentemente en el sexo masculino (89.7%), lo cual coincide con otros estudios [18][19][20][21]23 en los que el número de hombres afectados fue aproximadamente ocho veces mayor que el de mujeres. La mayor frecuencia de fracturas en los hombres es apoyada por el hecho de que en este estudio la violencia es la causa principal de las fracturas mandibulares, como también mencionan Ellis, et al 7 en su estudio.…”

Parathyroid hormone promotes cartilage healing after free reduction of mandibular condylar fractures by upregulating Sox9

“…The mandibular condyle is the site predisposed to mandibular fracture. [1][2][3] For the condylar head fractures with severe displacement, the fractured bone fragments may become free due to disruption of the blood supply to the bone marrow and the tearing of the lateral pterygoid muscle. Therefore, the reduction and fixation of fractures are difficult, and the delayed healing of unhealed condylar factures, condylar bone absorption, and reduced ramus height of the mandible often occur after surgery.…”