Mandibula kırıklarının prevalansı, tedavisi ve komplikasyonları

Abstract

Materiala and Methods: Mandibular fractures were sorted by etiology and classified according to the fracture location. Open reduction and internal fixation(ORIF) were performed using 2.0-mm or 2.4-mm fixation systems. Closed reduction(CR) of fractures was performed using arch bars, intermaxillary fixation screws or wire-composite splints. The complications were recorded. Results: The most common cause of mandibular fractures in this study was interpersonal violence (32.1%), followed by road-traffic accidents (26.2%) and falls (25%). The least common cause of fractures was sports accident (7.1%). The most common fracture localization was the condyle (24.5%), followed by the angle (21.8%), body (17.3%), symphysis/parasymphysis (16.4%) and alveolar bone (15.5%). Fifty patients were treated by ORIF (59.5%), 29 patients were treated by CR (34.5%). Three patients (3.6%) received no treatment. Various complications were observed in 25(29.7%) patients. The most common complication in this study was temporary paresthesia (13.1%) followed by TMD (6.0%). Conclusion: Following contemporary trends in mandibular trauma to understand how different centers manage patients in different socioeconomic regions and different levels of clinical facilities/resources is important for conducting better healthcare policy.