EVALUATION OF MANDIBULAR FRACTURE PATTERNS AND TREATMENT METHODS: A SINGLE CENTER RETROSPECTIVE STUDY

C. Asan, Emil Mursalov, A. Demirba, E. Soylu, S. Bilge, C. Topan, Y. Kaba, A. Alkan
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Abstract

Objectives: Mandible fractures are among the most common bone fractures in the maxillofacial region. Correct and early treatment is important in mandible fractures. The aim of this study is to retrospectively examine and analyze the patterns and treatment methods of mandibular fractures seen in patients admitted with trauma. Methods: Patients treated for mandible fractures between 2006- 2021 years were included in this retrospective study. The files and archive records of the patients were scanned retrospectively. Demographic, clinical and radiological data were recorded. The treatment methods of the patients included in the study were evaluated. Results: 176 patients with a total of 246 fractures were included to the study. Simple fractures were found in 130 patients, green tree fractures in 12 patients, and comminuted fractures in 34 patients. There were 147 un-favorable and 29 favorable fractures in total. Fall was found to be the most common etiologic cause in all gender and age groups (n=55, 31.2%). Angle fracture was observed most frequently in single fracture cases, while condyle fracture was the most common accompanying fracture type in multiple fractures. 88 patients were treated with the open and, 56 with the closed approach, and 32 with both the open and closed approach. Conclusion: Fracture type and etiologic cause are closely related with the type of the fracture. Mandible fractures should be carefully examined and the most appropriate treatment for the type of fracture should be applied as soon as possible.
评估下颌骨骨折类型和治疗方法:一项单中心回顾性研究
目的:下颌骨骨折是颌面部最常见的骨折之一。正确的早期治疗对下颌骨骨折至关重要。本研究的目的是回顾性研究和分析创伤患者下颌骨骨折的模式和治疗方法。方法:2006- 2021年间接受下颌骨骨折治疗的患者纳入本回顾性研究。对患者的档案和档案记录进行回顾性扫描。记录了人口统计学、临床和放射学数据。对纳入研究的患者的治疗方法进行评价。结果:176例患者共246例骨折纳入研究。单纯性骨折130例,青树性骨折12例,粉碎性骨折34例。不良骨折147例,有利骨折29例。跌倒是所有性别和年龄组中最常见的病因(n=55, 31.2%)。单发骨折以角度骨折为多见,多发骨折以髁状骨折为多见。其中开放入路88例,封闭入路56例,开合入路32例。结论:骨折类型及病因与骨折类型密切相关。下颌骨骨折应仔细检查,并应尽快采用最适合骨折类型的治疗方法。
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