Nine Years of Retrospective Study of Mandibular Fractures in Semi-urban Teaching Hospital, Shimla, Himachal Pradesh, India.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Narotam K Ghezta, Yogesh Bhardwaj, Rangila Ram, Monika Parmar, Rowena N Basi, Pooja Thakur
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引用次数: 0

Abstract

Study design: Retrospective study.

Objective: To evaluate current trends in maxillofacial trauma, a retrospective study of mandibular fractures at Government Dental College and Hospital Shimla H.P was carried out.

Methods: In this retrospective study, records of 910 patients with mandibular fractures were reviewed between 2007 and 2015 in the Department of Oral and Maxillofacial Surgery out of total 1656 facial fractures. These mandibular fractures were assessed according to age, sex, aetiology in addition to monthly and yearly distribution. Post-operative complications such as malocclusion, neurosensory disturbances and infection were recorded.

Results: It was observed that mandibular fractures were most frequent in males (67.5%) and in the age group of 21-30 years; accidental fall was the most common etiological factor (43.8%) in the present study and in stark difference to already published reports. The most common fracture site was that of condylar region 239 (26.2%). Open reduction and internal fixation (ORIF) were done in 67.3% cases whereas 32.6% were managed by maxillomandibular fixation and circummandibular wiring. Miniplate osteosynthesis was the most favoured technique. The complication with ORIF was 16%.

Conclusions: To treat mandibular fractures, currently there are many techniques. However, in minimizing complications and in achieving satisfactory functional and aesthetic results experienced surgical team plays an important role.

印度喜马偕尔邦西姆拉半城市教学医院下颌骨骨折九年回顾性研究。
研究设计回顾性研究:为了评估颌面部创伤的当前趋势,对希姆莱政府牙科学院和医院的下颌骨骨折进行了回顾性研究:在这项回顾性研究中,口腔颌面外科回顾了 2007 年至 2015 年间 910 名下颌骨骨折患者的记录,其中面部骨折患者总数为 1656 人。根据年龄、性别、病因以及每月和每年的分布情况对这些下颌骨骨折进行了评估。此外,还记录了术后并发症,如咬合不正、神经感觉障碍和感染等:本研究发现,下颌骨骨折最常见于男性(67.5%)和 21-30 岁年龄组;意外摔倒是最常见的病因(43.8%),这与已发表的报告截然不同。最常见的骨折部位是髁突区 239 处(26.2%)。67.3%的病例采用了切开复位内固定术(ORIF),32.6%的病例采用了上颌骨固定术和颌周布线术。最常用的技术是微板骨合成术。ORIF的并发症发生率为16%:结论:目前治疗下颌骨骨折有多种技术。结论:目前,治疗下颌骨骨折的技术有很多,但在减少并发症、获得满意的功能和美观效果方面,经验丰富的手术团队发挥着重要作用。
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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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