Prevalence and Pattern of Mandibular Fractures

Saluja, Jagveer Singh; Bambawale, Amrut; Priyadharsana, P S; Ganesh, C; Karunajothi, E; Shunmugavelu, Karthik

doi:10.4103/jpbs.jpbs_713_21

Cited by 2 publications

(4 citation statements)

References 9 publications

(8 reference statements)

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“…Saravanan et al, 7 in their study reported that males constituted up to 88% of the patients. Similar findings were reported by Saluja et al 8 (2022) and Farzan et al 9 ( 2021).…”

Section: Discussionsupporting

confidence: 90%

“…In our study, 97 patients (91.5%) out of 106 patients had RTA as the mechanism of injury followed by assault (4.7%) and fall (3.8%). Similar findings were reported by Shah et al, 10 Saluja et al 8 (2022) and Tabatabaee et al 11 Lapeña et al, 12 advocated road safety measures such as proper use of helmets to prevent mandible fractures.…”

Section: Discussionsupporting

confidence: 76%

“…Treatment was done according to the protocols laid down in literature. 8 Saluja et al 15 found that an increase time to treatment is an independent risk factor for complications.…”

Section: Discussionmentioning

confidence: 99%

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Objective assessment of the factors affecting outcome of immediate management of mandibular fractures – A prospective study in a Level-I trauma care center

Tushar Dutta,

Basu

2023

Asian J Med Sci

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Background: Mandibular fractures lead to complications if improperly treated. The management of mandibular fractures includes open reduction and internal fixation (ORIF) or closed reduction. Associated complications include malocclusion, infection, hardware extrusion, and nerve injury. Aims and Objectives: The aims of this study were to evaluate the functional outcome of various treatment modalities of mandibular fracture and to identify the factors affecting the outcome. Materials and Methods:The study included patients admitted in the trauma care center, between 13 and 70 years of age, and having mandibular fracture. Patients underwent ORIF or closed reduction according to the type of fracture. Mandibular injury severity score (MISS), Mandibular functional impairment questionnaire (MFIQ) score, and pain visual analog score were used to assess the functional outcome of treatment and complications. Results: Majority of the patients were male and were in the age group 21–30 years. The most common cause of fracture was road traffic accident (RTA). Majority of the patients underwent ORIF. Patients having higher injury severity scores, severe MFIQ scores and pain visual analog scores had more complications. Overall, complications in open reduction cases were higher than closed reduction ones. However, weight loss and time to functional improvement were more in closed reduction cases. Conclusion:Young males are most commonly affected with fracture of mandibles and mostly due to RTAs. There should be minimal delay from presentation to operative intervention in case of patients who require ORIF. Scoring systems such as MISS, MFIQ, and pain visual analog scale scores may help in the early prognostication of injury and warn against imminent complications.

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“…Saravanan et al, 7 in their study reported that males constituted up to 88% of the patients. Similar findings were reported by Saluja et al 8 (2022) and Farzan et al 9 ( 2021).…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 76%

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Objective assessment of the factors affecting outcome of immediate management of mandibular fractures – A prospective study in a Level-I trauma care center

Tushar Dutta,

Basu

2023

Asian J Med Sci

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“…3 Symphysis/parasymphysis fractures of the mandible have been reported to occur in 9% to 57% of cases. [4][5][6] The treatment of parasymphysis fractures is the same as other mandible or maxillofacial fractures introduced by Hippocrates in 460-375 BC. It uses occlusion guidelines or the ideal relationship between the lower teeth and maxillary teeth.…”

Section: Introductionmentioning

confidence: 99%

Comparison outcome of open and close reduction treatments for parasymphysis mandibular fractures

Fardhani,

Rizqiawan,

Mulyawan

et al. 2023

Dent. J.

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Background: Mandibular fracture is a condition of mandibular discontinuity. The treatment aims to reconstruct the appropriate anatomical position. Reduction is the process of repositioning fracture fragments to their original anatomical positions, which can be done by open and closed techniques. Open reduction is more invasive, and the possibility of nerve or blood vessel injury and infection postoperatively is greater. Closed reduction also has postoperative complications such as muscle atrophy, periodontal tissue and mucosa damage, speech disorders, and nutritional disorders. In the final determination of the treatment plan, the advantages, disadvantages, and risks of each treatment and the risk of complications should be sufficiently discussed with patients and the patient’s guardians. Purpose: This case aims to compare the outcome of open reduction and internal fixation (ORIF) with closed reduction treatment in the management of mandibular parasymphysis fractures. Cases: Two case studies of mandibular parasymphysis fractures. Clinically, each patient had mandibular displacement and occlusion disturbance before treatment. Case Management: The treatment plan is considered by the patient’s age and fracture type. One patient received ORIF, and the other received close reduction treatment with gradual repositioning. Malocclusion after treatment was absent in both cases. Conclusion: Open reduction is recommended for displaced parasymphysis fractures. In cases where the open reduction technique cannot be performed, the closed technique can be an alternative, especially on non-displaced or minimally displaced parasymphysis fractures.

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Prevalence and Pattern of Mandibular Fractures

Cited by 2 publications

References 9 publications

Objective assessment of the factors affecting outcome of immediate management of mandibular fractures – A prospective study in a Level-I trauma care center

Objective assessment of the factors affecting outcome of immediate management of mandibular fractures – A prospective study in a Level-I trauma care center

Comparison outcome of open and close reduction treatments for parasymphysis mandibular fractures

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