REVIEW OF 40 CASES OF ISOLATED FRACTURE MANDIBLE

Abstract

Shashikant Kondiram Mhashal1, Chetan Gangadhar Gharat2, Mitul C. Bhatt3, Rajesh R. Yadav4, Dipti D. Kakade5

BACKGROUND
Mandible fractures are a frequent injury because of the mandible's prominence and relative lack of support. The purpose of this study is to clinically determine the most common sites and the prevalence of isolated fracture mandible in our scenario and determine most common traumatic aetiology factor responsible for fracture mandible. Numerous investigators have reported studies on populations on all continents; fractures of the mandible have been reported to account for 36-70% of all maxillofacial fractures. All reports apparently show a higher frequency in males aged 21-30 yrs. There is an emerging trend towards an increase in the frequency of violent mechanisms of fracture and in the proportion of adolescents and young adults sustaining such injuries.
MATERIALS AND METHODS
Patients treated at the Otorhinolaryngology Head and Neck Surgery Department of B.D.B.A. Hospital from a period between January 2014 to January2016 were (retrospectively) evaluated with respect to age groups, gender, aetiology, localisation, type of fractures and treatment.
RESULTS
Total number of patients 38, 2 patients had bilateral fracture, males 27 (71.05%), females 11 (28.95%). Anatomical location symphysis and parasymphysis 14 (35%), condylar 12 (30%), body 7 (17.5%), angle 6 (15%), coronoid 1 (2.5%). Aetiological factors road traffic accidents 19 (50%), assault 13 (34.24%), fall 3 (7.89%), work-related trauma 2 (5.26%), sports trauma 1 (2.6%).
CONCLUSION
This study indicates that most common fracture in adult patient were symphysis and parasymphysis, second most common were condylar followed by body fracture and angle fracture. The most common cause of the injury maybe road traffic accidents, second most common assault followed by work related injuries, fall and sports injuries.

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