Mandibular Fractures

Authors

  • M.Madhusudana Naik Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
  • E.Mahender Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
  • N.Nagaprasad Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India

DOI:

https://doi.org/10.21276/apjhs.2016.3.3.24

Keywords:

Fracture, mandibular

Abstract

Aim and Objectives: To study the age and sex , etiological factors causing mandibular fracture, types of fractures, its modalities of treatment and complications associated with various modalities of treatment. Materials & Methods: A prospective study of 250 consecutive cases of mandibular fractures that are treated over a period of 28 months. Patients who died due to polytrauma in Emergency ward have not been included in our study. Results: It is seen that in our series of 250patients, 88.8(222) are Males, only 11.2% (28) are females. Maximum number of patients is in 21-30 age groups i.e. 40.8% (102) cases, Total numbers of pediatric cases are 9. Distributed in 2:1 ratio (boys-6—66.6% and girls-3-33.3%). The minimum age being 3yrs. 92% (230) Patients had a unilateral mandibular fractures while 8% (20) patients had bilateral fractures. Only in 12.8 %( 32) of cases the mandible fracture is associated with other facial bone fractures while in majority 87.2% (218) no such associated injury was observed. Fractures of parasymphysis (70.5%), body(10.4%), angle(7.8%), condyle(5.9%), dentoalveolar(2%) and symphysis(1.3%) are the most common sites while fractures of ramus(0.7%), coronoid(0.7%) and subcondyle(0.7%)are the least common fracture sites. Among the cases having multiple site fractures (65),fracture parasymphysis+angle is the commonest(64.6%), The most common associated injury are to other facial bones, in which maxilla involved more i.e., 22 cases (8.8%) followed by 10 cases (4%) of Zygoma. 218 cases (87.2%) are mandible fractures, which are exceeding over associated injuries. Conclusion: We conclude that open reduction and internal fixation along with Inter Maxillary fixation is the best method among the three alternatives with very less morbidity and complications.

Downloads

Download data is not yet available.

Author Biographies

M.Madhusudana Naik, Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India

Assistant Professor, 

E.Mahender, Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India

Assistant Professor, 

N.Nagaprasad, Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India

Professor and HOD,

Downloads

Published

2016-09-30

How to Cite

M.Madhusudana Naik, E.Mahender, & N.Nagaprasad. (2016). Mandibular Fractures. Asian Pacific Journal of Health Sciences, 3(3), 160–166. https://doi.org/10.21276/apjhs.2016.3.3.24