The Relationship Between Fracture Type-Etiology and Age-Fracture Type in Mandibular Fractures: Retrospective Analysis of 274 Cases
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Research Article
P: 97-100
March 2024

The Relationship Between Fracture Type-Etiology and Age-Fracture Type in Mandibular Fractures: Retrospective Analysis of 274 Cases

J Ankara Univ Fac Med 2024;77(1):97-100
1. Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Ankara, Türkiye
2. Sağlık Bilimleri Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 28.09.2023
Accepted Date: 15.01.2024
Publish Date: 05.04.2024
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ABSTRACT

Objectives:

Mandibular fractures are one of the most common injuries in the emergency department and are also the most common type of facial fracture. Follow-up, treatment and approach to mandibular fractures are important due to the frequent occurrence and development of complications affecting functional status such as malocclusion and temporomandibular joint dysfunction. Therefore, we analyzed the patients that underwent operative treatment for mandibular fracture in our clinic.

Materials and Methods:

The study was designed retrospectively. Patients who were operated on due to mandibular fracture were scanned via the hospital data automation system. Age, gender, etiology, fracture type, treatment and complication data were obtained and recorded for a total of 274 patients. As statistical methods, descriptive statistics were expressed as percentages and ratios. In addition, etiology-fracture type, age-fracture type relationships were evaluated with the “Kruskal-Wallis” test and p<0.05 was considered significant. SPSS ver. 26.0 was used to analyze the data.

Results:

78.8% (n=216) of the cases were male and 21.2% (n=58) were female. 3rd decade was most frequently affected (n=93, 33.9%), followed by the 2nd decade (n=67, 24.4%) (Minimum-maximum=1-77, Standard deviation=14.8, Mean=26.8). The most common fracture classes were Class 4 (n=120, 43.8%), followed by Class 3 (42 cases, 15.3%). Statistical analysis showed that Class 1 fractures were the most common in the first decade, and Class 4c fractures were the most common in the 4th decade (p<0.05). Class 1 fractures were most frequently associated with falls, and Class 4 fractures were most frequently associated with assault (p<0.05).

Conclusion:

Taking precautions to reduce assaults and falls has an important role in reducing the occurrence of fractures, and we think that providing and protecting intra- and postoperative occlusion and increasing infection-protective measures in order to reduce post-treatment complications can increase the success of treatment.

Keywords: Mandibular fractures, etiology, fracture type, open reduction internal fixation

References

1
Stacey DH, Doyle JF, Mount DL et al. Management of mandible fractures. Plast Reconstr Surg. 2006;117:48e-60e.
2
Goodday RH. Management of fractures of the mandibular body and symphysis. Oral Maxillofac Surg Clin North Am. 2013;25:601-616.
3
Hassanein AG. Trends and Outcomes of Management of Mandibular Fractures. J Craniofac Surg. 2019;30:1245-1251.
4
Brown JS, Khan A, Wareing S et al. A new classification of mandibular fractures. Int J Oral Maxillofac Surg. 2022;51:78-90.
5
Aydin OE, Tan O, Algan S, et al. Maxillofacial fracture experiences: a review of 152 cases. Eurasian J Med. 2012;44:141-143.
6
Şenen D, Erol S, Orhan A, et al. Mandibula kırıklarına klinik yaklaşımlarımız. Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derg. 2006;14:102-104.
7
Ozgenel GY, Bayraktar A, Ozbek S, et al. Mandibula kiriklari: 204 olgunun retrospektif analizi [A retrospective analysis of 204 mandibular fractures]. Ulus Travma Acil Cerrahi Derg. 2004;10:47-50.
8
Eskitaşcıoğlu T, Ozyazgan I, Coruh A, et al. Fractures of the mandible: a 20-year retrospective analysis of 753 patients. Ulus Travma Acil Cerrahi Derg. 2013;19:348-356.
9
Barry RG, Wolbert TT, Gress TW, et al. Outcomes After Open Reduction With Internal Fixation of Mandible Fractures. J Craniofac Surg. 2018;29:1237-1240.
10
Munante-Cardenas JL, Facchina Nunes PH, Passeri LA. Etiology, treatment, and complications of mandibular fractures. J Craniofac Surg. 2015;26:611-615.
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