2007, Number 4
<< Back Next >>
Otorrinolaringología 2007; 52 (4)
Mandibular fractures: five-year study at Hospital Central Militar de Mexico
Pacheco RMA, Rodríguez PMA
Language: Spanish
References: 13
Page: 150-153
PDF size: 177.12 Kb.
ABSTRACT
Background: Mandible occupies the second place in frequency as site of facial fractures. Most frequent causes are automobile accidents and violent assaults. Characteristics of fractures depend on factors as anatomical structures with weak areas or the existence of non-erupted third molars.
Objective: To determine most frequent causes of mandibular fractures in patients treated at the Hospital Central Militar de Mexico, as well as the affected anatomical regions.
Material and methods: Retrospective study of cases with diagnosis of mandibular fracture, since January 1, 1997, until December 31, 2001. Cases with data of age, genre, site of the fracture and cause of the traumatism were included.
Results: Forty-one patients (39 male and two female) with ages were between 17 and 57 years (mean of 29.9). Most frequent cause of fracture was urban violence (41%), followed by car accident (29%), fall accidents (17%), sport injuries (5%), firearm wound (5%), and auto running down (3%). Most affected anatomical place was mandibular angle (33.8%), followed by mandibular symphysis (30.8%). Male gender suffered most of the trauma (95%).
Conclusion: Results coincide with similar studies. Existence of an impacted third molar increases incidence of these fractures significantly.
REFERENCES
Waite DE. Tratados de cirugía bucal práctica. México: El Manual Moderno, 2000;pp:303-20.
Rojas RA, Julián G, Lankin J. Fracturas mandibulares: experiencias en un hospital de traumatología. Rev Med Chil 2002;130(5):537-43.
Sojot AJ, Meisami T, Sandor GK, Clokie CM. The epidemiology of mandibular fractures treated at the Toronto General Hospital: a review of 246 cases. J Can Dent Assoc 2001;67(11):640-4.
Klenk G, Kovacs A. Etiology and patterns of facial fractures in the United Arab Emirates. J Craniofac Surg 2003;14(1):78-84.
Aksoy E, Unlu E, Senzos O. A retrospective study on epidemiology and treatment of maxillofacial fractures. J Craniofac Surg 2002;60(12):1435-8
Boole JR, Holtel M, Amoroso P, Yore M. 5196 mandible fractures among 4381 active duty army soldiers, 1980 to 1998. Laryngoscope 2001;111(10):1691-6.
Ogundare BO, Bonnick A, Bayley N. Pattern of mandibular fractures in an urban major trauma center. J Oral Maxillofac Surg 2003;61(6):713-8.
Dongas P, Hall GM. Mandibular fracture patterns in Tasmania, Australia. Aust Dent J 2002;47(2):131-7.
Schon R, Roveda SI, Carter B. Mandibular fractures in Townsville, Australia: incidence, aetiology and treatment using the 2.0 AO/ASIF miniplate system. Br J Oral Maxillofac Surg 2000;39(2):143-8.
Tan WK, Lim TC. Aetiology and distribution of mandibular fractures in the National University Hospital, Singapore. Ann Acad Med Singapore 1999;28(5):625-9.
Lee JT, Dodson TB. The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 2000;58(4):394-8.
Meisami T, Sojat A, Sandor GK, Lawrence HP, Clokie CM. Impacted third molars and risk of angle fracture. Int J Oral Maxillofac Surg 2002;31(2):140-4.
Toma VS, Mathong RH, Toma RS, Meleca RJ. Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 2003;128(2):215-9.