A RETROSPECTIVE STUDY OF EPIDEMIOLOGY FRACTURES OF MANDIBLE IN TERTIARY CARE TEACHING HOSPITAL OVER A PERIOD OF A DECADE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 58
Abstract
Mandible is the lower facial bone that plays an important role in complex function of chewing, deglutition, speech, supports Tongue and forms contour of lower third of Face. Rapid urbanization has resulted in increase in the number of road traffic accidents with fractures of the Facial bones. Mandible is the second most common facial bone to get fractured. Fractures of the Mandible need intervention at the earliest. AIM To retrospectively analyse the cause, age and sex incidence, sites of fracture of mandible, combination of fractures, various diagnostic and treatment modalities that were used. METHOD AND MATERIALS The study includes 1087 patients with isolated fractures of the mandible treated in the Department of Plastic Surgery at Gandhi Hospital between the years 2005 to 2014. The patterns of the history, clinical examination, diagnostic tests done were assessed. Age, sex, aetiology, method of management were the variables analysed. The statistical analysis was done using SPSS (Statistical Package for Social Sciences 0 Version 15.0 Statistical analysis software). The values are represented in frequencies and percentages. RESULTS 1087 patients with isolated fractures of the mandible were studied. Steep rise in the incidence from 8.98% in 2005 to 18% in 2014 was noted. Males were more frequently involved (92.64%) in comparison to females. The commonly involved age group was between 21-30 years (54.55%). Most of the patients sustained injury due to road traffic accidents (75.9%) of which majority were two wheeler accidents (45.81%). Parasymphysis was fractured in 41.39%. X-rays were used as the diagnostic modality between the years 2004 to 2010. Later digital X-rays and 3D Computerized Tomography have replaced it. Closed reduction was done in 57.22%. Complications (1.1%) in the form of infection and mal-occlusions were noted. DISCUSSION AND CONCLUSIONS The commonest aetiology was road traffic accidents and sense of public awareness is to be created about traffic rules and regulations. Males, age group between 21-30 and parasymphysis were commonly involved. Class I occlusion was achieved with closed method of Maxillomandibular fixation in 57.22% and open reduction was done in cases where closed reduction was not possible and they amounted to 42.77%.
Authors and Affiliations
Gurram , Arige Kumar, Pokkula
Keywords
Related Articles
- EP ID EP133724
- DOI 10.14260/jemds/2016/918
- Views 103
- Downloads 0
KNOWLEDGE AND ATTITUDE OF SECOND YEAR MEDICAL, DENTAL AND NURSING STUDENTS IN THIRUVANANTHAPURAM GOVERNMENT MEDICAL COLLEGE CAMPUS TOWARDS ORGAN AND WHOLE-BODY DONATION
BACKGROUND Students of medical as well as paramedical courses can function as a potential source of reliable information to the lay public regarding organ and body donation. They ultimately can play a key role in motivat...
A STUDY TO ASSESS THE QUALITY OF LIFE AFTER MASTECTOMY AMONG WOMEN IN A TERTIARY CARE HOSPITAL, KARAD
BACKGROUND Breast cancer is the most common cancer in women. Surgical treatment is the most common treatment of breast cancer which is mastectomy. It may have influence on the quality of life (QOL). So, this study was un...
SERUM MAGNESIUM AS A MARKER OF DIABETIC COMPLICATIONS
Type 2 diabetes has become a leading cause of morbidity and mortality world over. Magnesium homeostasis has been hypothesized to be a link between insulin resistance type 2 diabetes mellitus, hypertension and C...
“CORRELATIVE STUDY OF PLACENTAL THICKNESS WITH RESPECT TO THE GESTATIONAL AGE AND FETAL WEIGHT BY ULTRASONOLOGICAL EVALUATION ˝
Placental thickness plays an important role when the menstrual age is not known. Placental thickness increases linearly with gestational age. Placental thickness and fetal weights are closely correlated in most circu...
COMPARISON OF DIFFERENT DOSES OF EPIDURAL BUTORPHANOL 2 MG/4 MG AS ADJUVANT TO 0.125% BUPIVACAINE FOR POSTOPERATIVE ANALGESIA FOR VARIOUS INFRAUMBILICAL SURGERIES
BACKGROUND Postoperative analgesia is wide spread in this era. There are multimodal techniques available for same. The aim of this study was to compare efficacy, effectiveness, safety, of different doses of butorphanol a...