Fractures of the mandible: a 20-year retrospective analysis of 753 patients

Eskitaşçıoğlu, Teoman; Öyazgan, İrfan; Çoruh, Atilla; Günay, Galip K.; Yontar, Yalçın; Altıpamak, Mehmet

doi:10.5505/tjtes.2013.56313

Cited by 18 publications

(26 citation statements)

References 20 publications

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“…This study revealed that incidence of mandibular fracture was highest in younger patients, especially in males, in accord with previous studies [ 9 – 12 ]. However, unlike previous reports, the number of the patients aged ≥60 years in our study population was strikingly high at 24.6%, compared to only 3.0% and 6.3% in studies of other regions [ 13 , 14 ]. Moreover, several previous studies reported that only 3.2%−10.0% of patients with mandibular fracture were ≥50 years old [ 9 – 11 ], again substantially lower than in our department.…”

Section: Discussioncontrasting

confidence: 99%

“…The period until first hospital consultation has decreased in our department over the study period, possibly due to the development of more accessible transportation and establishment of an emergency system. In many studies, the most common cause of mandibular fracture was traffic accidents [ 10 – 12 , 14 , 16 , 18 ], although some studies have reported assault or other forms of violence to be the most common cause [ 9 , 13 , 17 ]. In our department, the most common cause of fractures was fall (n = 113), and in almost half of all cases (n = 54).…”

Section: Discussionmentioning

confidence: 99%

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Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan

et al. 2015

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BackgroundThe number of elderly patients with maxillofacial trauma is rapidly increasing due to active lifestyles and longevity. Shimane prefecture has the fastest growing proportion of elderly individuals in Japan. The aim of this study was to reveal the distinctive features and treatment modes of mandibular fracture treatment mode in patients requiring hospitalization at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan.Patients and MethodsPatient age, sex, period between injury and first consultation, years since injury, cause of injury, fracture site, treatment, and duration of hospitalization were evaluated. Univariate Poisson regression, relative risk with 95% confidence interval based on the Wald test, Fisher’s exact test, and Kruskal-Wallis test were used to explore associations among clinical and demographic variables.ResultsIn total, 305 patients were diagnosed with and hospitalized for mandibular fracture from 1980 to 2010. Younger age increased the risk for mandibular fracture. Incidence was higher in males than females, particularly in the young, but the male to female ratio decreased with age. The period until first hospital consultation decreased progressively over the study period. Fall was a much more frequent cause in patients aged ≥60 than in those aged <60 years. Mandibular fracture with condyle, symphysis, and angle involvement were most common and were associated with sex, age, and treatment mode. Length of hospitalization has decreased since 1980.ConclusionIn our department, patients aged ≥60 years accounted for a greater proportion of mandibular fracture cases than in many previous studies, reflecting the greater proportion of elderly residents in Shimane prefecture.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan

et al. 2015

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“…In this study, patients with mandibular fractures accounted for 55.6% of patients with maxillofacial fractures during the same period, consistent with the 36 to 64% reported elsewhere. 5,6 The postoperative infection rate of patients with mandibular fracture was 6.75%, also consistent with some previous reports. For example, the postoperative infection rate was 6.9% in northern Greece in 1998 through 2008 for patients with mandibular fractures.…”

Section: Discussionsupporting

confidence: 90%

“…4 Mandibular fractures is one of the most common fractures of the maxillofacial region. 5 There have been some case reports on MRSA infection after RIF of mandibular fracture, 3 but risk factor analysis of MDRB infection after RIF of mandibular fracture has not been seen. In this study, the authors conducted a retrospective analysis of patients with MDRB infection after RIF of mandibular fracture and they report on their experiences through a large sample and long-term follow-up on treatment of infected patients with mandibular fracture, with the hope of providing information for the prevention and cure of MDRB infection after RIF of mandibular fracture and decreasing MDRB infection by treating bacterial infection and positively controlling the risk factors that might induce MDRB infections.…”

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confidence: 99%

Retrospective Study on Multidrug-Resistant Bacterium Infections After Rigid Internal Fixation of Mandibular Fracture

Zhao

Peng

et al. 2016

Journal of Oral and Maxillofacial Surgery

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MDRB infections occurring after RIF of mandibular fracture were caused mainly by MRSA and MDR-PA. Obesity, preoperative infection, and open fractures were the main risk factors. To lower risk, surgical debridement should be performed sooner once acute infection has been controlled, stable fixation should be achieved with the smallest amount of internal fixation material, the blood supply should be protected, and a reconstruction plate should be used to fix sites with greater stress or large comminuted fracture.

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“…Although both pathologic and traumatic events may induce fractures in the mandibular region, trauma is the main cause [ 5 ]. Traumatic mandibular fractures are classified into several anatomical groups according to the fracture sites: symphysis, parasymphysis, body, angle, subcondyle, condyle, and ramus [ 2 , 6 ]. Among these areas, the sites that have structural relationships with the teeth are the symphysis, parasymphysis, body, and angle areas.…”

Section: Introductionmentioning

confidence: 99%

The effect of the dental root on single mandibular bone fractures

Park

Choi

Shin

et al. 2018

Arch Craniofac Surg

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BackgroundThis study was conducted to determine the effect of the distributional relationship between dental roots and the mandibular bone on single mandibular bone fractures, which are common craniofacial fractures.MethodsThis was a retrospective, single-center study in Seoul, Korea. Patients with single mandibular fractures in the symphysis, parasymphysis, body, and angle area, with tooth structure involvement were included. The control group included patients with simple, bone-level lacerations without fractures. In total, 94 patients (72 males and 22 females) were included in the treatment group, and 125 (71 males and 54 females) were included in the control group. The height of the mandibular bone and the dental root were measured with panoramic radiography. The central incisor represented the symphysis area, the canine represented the parasymphysis area, the first molar represented the body area, and the second molar represented the angle area.ResultsIn the treatment group, symphysis fractures occurred in 16 patients (17%), parasymphysis fractures in 36 patients (38%), body fractures in 17 patients (18%), and angle fractures in 25 patients (27%). The ratios of the dental roots to the total height of the mandibular bone in the treatment group were 30.35%, 39.75%, 39.53%, and 36.27% for symphysis, parasymphysis, body, and angle areas, respectively, whereas in the control group, they were 27.73%, 39.70%, 36.76%, and 35.48%. The ratios of the treatment group were significantly higher than those of the control group.ConclusionThe results show that the higher ratio of the dental root to the height of the mandibular bone increases the fracture risk.

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Fractures of the mandible: a 20-year retrospective analysis of 753 patients

Cited by 18 publications

References 20 publications

Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan

Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan

Retrospective Study on Multidrug-Resistant Bacterium Infections After Rigid Internal Fixation of Mandibular Fracture

The effect of the dental root on single mandibular bone fractures

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