Incidence and management of mandibular fractures in a low-resource health facility in Ghana

Frimpong, Paul; Nguyen, Truc Thi Hoang; Sodnom-Ish, Buyanbileg; Nimatu, Edinam Salia; Dampare, Nana Yaa Asantewaa; Rockson, Roberta; Awuah, Samuel Baffour; Amponsah, Emmanuel Kofi; Newton, Cardinal; Kim, Soung Min

doi:10.5125/jkaoms.2021.47.6.432

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…Considering adults, the most frequent site was the symphysis/parasymphysis (36%), followed by the condyle (20%) and body (20%). However, in a recent study by Frimpong et al [37], the most frequent site in adults was parasymphysis (37.2%), followed by the body (26.8%) and the condyle (17.2%). According to this clinical analysis, there are no significant improvements to be made, while the simplification of the numerical model and the use of finite element simulation play an important role in the results.…”

Section: Discussionmentioning

confidence: 84%

Six Sigma Analysis of Mini-Plate Fixation Systems Used in Human Mandible Fractures: A Clinical Case Study of Symphysis Fracture

Shokry,

Kharmanda,

Mulki

et al. 2023

Applied Sciences

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The objective of Six Sigma Analysis (SSA) is to determine the robustness level of a current design, process or system considering the expected range of an input parameter. This strategy has been successfully applied to several fields, including healthcare management. This work presents a novel study of SSA to assess the mini-plate fixation employed for mandible fracture. The objective is to reflect the number of concerns in a surgical operation case by performing a statistical measurement of operation capability. A three-dimensional finite element model of a clinical case is elaborated. Some muscles may be severed or damaged during surgery and unable to function to their full potential. To obtain reliable designs, these muscle forces are considered as random variables. The Six Sigma analysis is used to determine if the output parameters satisfy the Six Sigma quality criteria or not. The remarked potential failure modes in this study are found to be similar to those found in a previous reliability study that was applied to the same clinical case. According to the results of SSA, the assessment level (2.462 << 6) means that much of the data are outside of the demand, and require several improvements to ensure patient satisfaction.

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Section: Discussionmentioning

confidence: 84%

Six Sigma Analysis of Mini-Plate Fixation Systems Used in Human Mandible Fractures: A Clinical Case Study of Symphysis Fracture

Shokry,

Kharmanda,

Mulki

et al. 2023

Applied Sciences

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“…and Adesina et al [ 36 ]. This may be related to the protruding nature of the mandible and its arch shape in the facial position [ 37 ]. The symphysial (682 cases, 36.16%) and condyle (656 cases, 34.78%) are also weak sites of the mandible and prone to fractures.…”

Section: Discussionmentioning

confidence: 99%

Maxillofacial Fractures: A Four-Year Retrospective Study of 1828 Cases in West China

Miao¹,

Zhang²,

Yan³

et al. 2023

Cureus

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Objective: To analyze the epidemiological and clinical characteristics of maxillofacial fracture cases in a stomatological center in southwest China. Methods: This study includes 1828 cases of maxillofacial fractures treated in our hospital from January 2018 to December 2021. We analyzed the gender, age, causes of injury, fracture sites, concomitant injuries, treatment, and postoperative infection of these cases. Our data are also compared with those from similar domestic studies. Results: Among the 1828 cases, the male-to-female ratio was 2.48:1 with an average age of 34.55 ± 16.36 years. The highest incidence of fracture was 21-50 years old, and the most common cause of injury was falls (38.95%). There was a statistically significant difference in the composition of injury causes among different age groups(P<0.05). Mandible (37.56%) was the most easily fractured site, and limb injury (17.89%) was the most common concomitant body injury. In all cases, 85.23% of patients were treated with open reduction and internal fixation. Conclusions: Maxillofacial fractures often occur in the mandible of young and middle-aged men. Falls and traffic accidents are the main causes of injury, often accompanied by limb and brain injuries. Open reduction and internal fixation is still the most commonly used treatment. There are some differences in the results reported by different domestic hospitals.

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“…[22][23][24][25] Studies have shown that men are exposed to more maxillofacial trauma than women. 21,26,27 In another study conducted in Nigeria, it was stated that maxillofacial fractures are more common in women due to the fact that women have to work more in the external environment. 28 In our study, it was determined that the number of male was higher than female in all age groups, and this ratio was 2.5 / 1 in the total number of patients.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Evaluation of Maxillofacial Fractures With Cone-Beam Computed Tomography

HAYLAZ

Geduk

Şeker

et al. 2022

Cumhuriyet Dental Journal

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ÖZ Amaç: Bu çalışmanın amacı maksillofasiyal bölgede meydana gelen fraktürlerin yaş ve cinsiyete göre dağılımlarını, lokalizasyonlarını, sayısını, deplasman varlığını, radyolojik özelliklerini Konik Işınlı Bilgisayarlı Tomografi (KIBT) ile retrospektif olarak değerlendirmektir. Gereç ve Yöntemler: Zonguldak Bülent Ecevit Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Radyolojisi Anabilim Dalı’na 2019 ve 2021 yılları arasında travma nedeniyle başvuran 84 hastadan alınan KIBT görüntüleri retrospektif olarak incelenmiştir. Yaş, cinsiyet, fraktür lokalizasyonu, fraktürlerde deplasman varlığı kayıt altına alındı. İstatistiksel analiz için tüm hasta grubuna tanımlayıcı ve frekans analizleri uygulanırken, hastaların yaş ve cinsiyetlerini; fraktür hattı ve fraktür bölgesi ile karşılaştırırken ki-kare testi uygulandı. Bulgular: 60 erkek 24 kadın hasta (E/K, 2,5/1) olmak üzere toplam 84 hastanın maksillofasiyal travma nedeniyle KIBT görüntüsü incelendi. Çalışmada incelenen hasta grubunun yaşları 6 ve 72 arasında değişmekte olup yaş ortalaması 33.17±1.48 olarak belirlendi. Farklı etiyolojik nedenlerden kaynaklı çeşitli lokalizasyonlarda meydana gelen 116 fraktür hattı sayısı radyolojik olarak tespit edildi. İncelenen tüm fraktürlerin 73’ünde deplasman izlenirken kalan 43 fraktür hattında deplasman görülmedi. Meydana gelen fraktürler en sık angulus mandibulada (%22,61:n=19) tespit edildi. En az fraktür mandibula ramus (%3,57; n=3) ve koronoid proseste (%3,57; n=3) görüldü. Sonuçlar: Fraktür hatlarının varlığının, lokalizasyonlarının ve kırık parçalarının yer değişiminin doğru radyografik teknikler aracılığıyla tespit edilmesi, gerekli tedavi prosedürlerinin uygulanması açısından önem taşımaktadır. İki boyutlu radyografilerin kullanımının yetersiz kaldığı durumlarda KIBT gibi üç boyutlu görüntüleme yöntemleri tercih edilmelidir. Anahtar Kelimeler: Konik Işınlı Bilgisayarlı Tomografi, Fraktür, Mandibula, Teşhis

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Incidence and management of mandibular fractures in a low-resource health facility in Ghana

Cited by 5 publications

References 26 publications

Six Sigma Analysis of Mini-Plate Fixation Systems Used in Human Mandible Fractures: A Clinical Case Study of Symphysis Fracture

Six Sigma Analysis of Mini-Plate Fixation Systems Used in Human Mandible Fractures: A Clinical Case Study of Symphysis Fracture

Maxillofacial Fractures: A Four-Year Retrospective Study of 1828 Cases in West China

Retrospective Evaluation of Maxillofacial Fractures With Cone-Beam Computed Tomography

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