Epidemiological analysis of mandibular fractures treated in Sao Paulo, Brazil

Marinho, Kelly Cristine Tarquinio; Guevara, Henry Arturo García; Piva, Fabio Henrique; Rocha, Bárbara Souza; González, Daniel; Leandro, Luiz Fernando Lobo

doi:10.1016/j.maxile.2015.11.001

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…Masculine gender was the most affected by mandibular fractures [15][16] . In another study Marinho et al 17 have shown 84.8% male subjects with mandibular fractures, which is consistent with the present study.…”

Section: Methodssupporting

confidence: 94%

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Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City

Goswami

Das²,

Dash

et al. 2018

J Curr Adv Med Res

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Background: Simple mandibular angle fracture can occur in different group of people due to different etiology. Objective: The purpose of the present study was to find out the demographic characteristics and etiology of simple mandibular angle fracture. Methodology: This cross-sectional study was conducted in the Department of Oral and Maxillofacial Surgery at Dhaka Dental College & Hospital, Dhaka and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2010 to December 2010 for a period of one (01) year. Among all patients admitted/attended to the hospital IPD or OPD with fracture of mandibular angle with or without other associated fracture sites were selected as study subjects. The details of demographics characteristics and etiology of fracture were recorded. Result: A total number of 30 patients were recruited for this study. Majority of the respondents 21(70%) were male and rest 09(30%) were female. Mean age of the patients was 29.5±6.795 years. Among the 30 respondents 46.7% had history of Road Traffic Accident, 43.3% due to assault and only 10% for other causes. Conclusion: In conclusion the most common etiology of mandibular angle fracture is road traffic accident. Male and younger adult are frequently encounter the mandibular angle fracture.

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Section: Methodssupporting

confidence: 94%

“…However, the etiology of trauma, in general, is strongly influenced by socioeconomic and cultural factors 16 . Motorcycle accidents among traffic accidents were the main causes of mandibular fractures, but car accidents contributed to a higher incidence of jaw fractures 17 .…”

Section: Methodsmentioning

confidence: 99%

Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City

Goswami

Das²,

Dash

et al. 2018

J Curr Adv Med Res

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show abstract

“…Os traumas maxilofaciais, em alguns casos, podem incorrer em sequelas físicas irreversíveis, bem como grave comprometimento psicossocial ao indivíduo (Marinho et al, 2015). Via de regra, as fraturas de mandíbula, quando não tratadas adequadamente podem evoluir para deformidades no aparelho estomatognático do paciente.…”

Section: Discussionunclassified

Abordagem de fratura de mandíbula atrófica por sistema do tipo carga suportada: relato de caso

et al. 2022

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As fraturas de mandíbula são as mais comuns no complexo maxilofacial. Este trabalho tem como objetivo relatar um caso clínico de fratura mandibular em paciente edêntulo total, apresentando mandíbula atrófica, tratada por meio de cirurgia aberta com dispositivo de suporte de carga, demonstrando o manejo e as características pertinentes a esse tratamento. 59 anos de idade, melanoderma, sexo masculino, compareceu ao serviço de Cirurgia e Traumatologia Bucomaxilofacial do Hospital Geral do Estado, Bahia, após ter sido vítima de acidente motociclístico, cursando com trauma em face. No exame físico hiposfagma, equimose e edema periorbital do lado direito, rebordo infraorbital esquerdo, maxila não olho, equimose na boca e mobilidade atípica à manipulação da mandíbula. Exame de imagem, não se-se sinais de sinais mandibulares, próprios do nariz, órbitas e maxilares estruturais do Le Fort I. projeto do sistema 2.4mm. Enquanto as fraturas do terço médio seguiram uma linha de tratamento conservadora. No acompanhamento pós-operatório, observado-se a fratura de risco e ausência de desvio dos cotos fraturados. Além disso, o paciente apresentou boa recuperação clínica. Apesar de não haver consenso na literatura para métodos mecânicos e tratamento de fraturas de próteses atróficas, assim como foi demonstrado o trabalho, a utilização de sistemas de métodos rígidos por dispositivosload-bearing , sendo uma boa alternativa para estabilização e consolidação de casos de atrofia mandibular.

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“…In 2003, American Association of Oral and Maxillofacial Surgeons suggested an international guideline on treatment of condylar fractures according to which open reduction was recommended to prevent complications of growth and functional disorder. 20 AAOMS in 2014 and ASIF in 2017 proposed guidelines where in open reduction was considered superior in achieving desirable treatment outcomes. 8…”

Section: Discussionmentioning

confidence: 99%

“…8 In 2003, American Association of Oral and Maxillofacial Surgeons suggested an international guideline on treatment of condylar fractures according to which open reduction was recommended to prevent complications of growth and functional disorder. 20 AAOMS in 2014 and ASIF in 2017 proposed guidelines where in open reduction was considered superior in achieving desirable treatment outcomes. 8 The findings of our study was also consistent with the literature, malocclusion was observed in patients with bilateral condylar fracture and subcondylar fracture with anteromedial/posterolateral displacement most probably due to interference of fracture segments during mandibular movements, majority of our cases also showed varying degree of shortening of posterior ramus height.…”

Section: Open Reductionmentioning

confidence: 99%

Open vs Closed Management of Condylar Fracture Our Experience of 100 Cases in a Suburban Tertiary Care Hospital

Kumar

Ramanujam

Kumaravelu

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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Study Design Retrospective Observational Study. Objective Mandibular condyle fractures are distinctive among maxillofacial injuries in which they disrupt mandibular function in a way that other traumatic injuries do not. Condylar fractures can be treated using either the conservative (closed reduction and immobilisation) or surgical (open reduction and internal fixation) approaches. Both of these modalities of treatment have advantages and disadvantages, as well as indications and contraindications. The purpose of this study is to compile and compare our experience in the management of condylar fractures through open and closed reduction. Methods The present retrospective analysis included a total 100 patients of condylar fractures in patients > 18 years of age who were randomly divided into nonsurgical and surgical group based on Edward Ellies criteria. In the present study, the outcomes of conservative vs surgical management of condylar fractures were discussed in terms of seven parameters, including the maximal inter-incisal mouth opening, protrusive and lateral excursive movements of the mandible, status of occlusion, deviation of mandible during mouth opening, temporo-mandibular disorders and facial nerve paralysis which were measured and evaluated pre- and post-operatively at different intervals of time. Follow-up period was for 6 months. Results It was noted that the main cause of condylar fracture was trauma with a male predilection with an average age of 32.6 ± 1.2 years. Subcondylar fracture was the commonest type of condylar fracture that we encountered. 33.3% of the patients had restricted mouth opening and 57% of the patients had deranged occlusion. 37% of the patients were treated surgically and 48.6% of these fractures were approached using peri-angular approach. More patients had an increased mouth opening and a stable occlusion at the 6 months follow-up when compared to that of the 2 month follow up. Conclusions From the above study we can conclude that the treatment plan should be patient specific and follow the algorithm for a particular type of fracture. We endorse the same based on our experience in treating condylar fractures over the last 5 years. The art of decision making solely depends on the surgeon’s expertise in managing condylar fractures.

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Epidemiological analysis of mandibular fractures treated in Sao Paulo, Brazil

Cited by 3 publications

References 16 publications

Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City

Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City

Abordagem de fratura de mandíbula atrófica por sistema do tipo carga suportada: relato de caso

Open vs Closed Management of Condylar Fracture Our Experience of 100 Cases in a Suburban Tertiary Care Hospital

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