Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Retrospective clinical study of mandible fractures

  • Jung, Hai-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Choi, Byung-Jun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Lee, Jung-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Lee, Hyun-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Moon, Chang-Sig (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University) ;
  • Ohe, Joo-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University)
  • Received : 2013.12.19
  • Accepted : 2014.01.28
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this article is to analyze the incidence, demographic distribution, type, and etiology of mandible fractures that were treated by the Department of Oral and Maxillofacial Surgery in Kyung Hee University Dental Hospital from January 2002 to December 2012. Materials and Methods: This was a descriptive and analytic retrospective study that evaluated 735 patients that were treated for mandible fracture. Results: This study included 1,172 fractures in 735 patients. The ratio of male to female patients was 5.45 : 1; the maximum value was in patients between 20 and 29 years (38.1%) and the minimum in patients over 70 years old. The monthly distribution of facial fractures peaked in the fall and was lower during winter. No specific correlation was identified based on the annual fracture distribution. Among the 735 fracture patients, 1.59 fracture lines were observed per patient. The most frequent site was the symphysis, which accounted for a total of 431 fractures, followed by the angle (348), condyle (279), and body (95). The symphysis with angle was the most common site identified in combination with fracture and accounted for 22.4%, followed by symphysis with condyle (19.8%). The angle was the most frequent site of single fractures (20.8%). The major cause of injury was accidental trauma (43.4%), which was followed by other causes such as violence (33.9%), sports-related accidents (10.5%), and traffic accidents (10.1%). Fracture incidents correlated with alcohol consumption were reported between 10.0%-26.9% annually. Conclusion: Although mandible fracture pattern is similar to the previous researches, there is some changes in the etiologic factors.

Keywords

References

  1. Nam KY, Park IS, Kim JB. Retrograde clinical study of mandible bone fracture. Keimyung Med J 2006;25:29-38.
  2. Zix JA, Schaller B, Lieger O, Saulacic N, Thoren H, Iizuka T. Incidence, aetiology and pattern of mandibular fractures in central Switzerland. Swiss Med Wkly 2011;141:w13207.
  3. Dongas P, Hall GM. Mandibular fracture patterns in Tasmania, Australia. Aust Dent J 2002;47:131-7. https://doi.org/10.1111/j.1834-7819.2002.tb00316.x
  4. van den Bergh B, Karagozoglu KH, Heymans MW, Forouzanfar T. Aetiology and incidence of maxillofacial trauma in Amsterdam: a retrospective analysis of 579 patients. J Craniomaxillofac Surg 2012;40:e165-9. https://doi.org/10.1016/j.jcms.2011.08.006
  5. Erol B, Tanrikulu R, Gorgun B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). J Craniomaxillofac Surg 2004;32:308-13. https://doi.org/10.1016/j.jcms.2004.04.006
  6. Paes JV, de Sa Paes FL, Valiati R, de Oliveira MG, Pagnoncelli RM. Retrospective study of prevalence of face fractures in southern Brazil. Indian J Dent Res 2012;23:80-6. https://doi.org/10.4103/0970-9290.99045
  7. Pombo M, Luaces-Rey R, Pertega S, Arenaz J, Crespo JL, García- Rozado A, et al. Review of 793 facial fractures treated from 2001 to 2008 in a coruña university hospital: types and etiology. Craniomaxillofac Trauma Reconstr 2010;3:49-54. https://doi.org/10.1055/s-0030-1249373
  8. Chung IH, Han KD, Suh JD, Hwang KG. Etiology and patterns of mandibular fractures. J Korean Assoc Maxillofac Plast Reconstr Surg 2005;27:472-7.
  9. Natu SS, Pradhan H, Gupta H, Alam S, Gupta S, Pradhan R, et al. An epidemiological study on pattern and incidence of mandibular fractures. Plast Surg Int 2012;2012:834364.
  10. Lee DK, Oh SH, Sung HM, Kim YW, Kwon KH. The clinicostatistical study of facial bone fracture in recent five years. J Korean Assoc Oral Maxillofac Surg 1998;24:448-53.
  11. O'Meara C, Witherspoon R, Hapangama N, Hyam DM. Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 2012;50:36-40. https://doi.org/10.1016/j.bjoms.2010.11.003
  12. O'Meara C, Witherspoon R, Hapangama N, Hyam DM. Mandible fracture severity may be increased by alcohol and interpersonal violence. Aust Dent J 2011;56:166-70. https://doi.org/10.1111/j.1834-7819.2011.01319.x
  13. Lee SC, Kim YG, Ryu DM, Oh SH. A clinical study of facial bone fractures for the last 5 years. J Korean Assoc Oral Maxillofac Surg 1991;17:40-5.

Cited by

  1. A review of cervical spine injury associated with maxillofacial trauma at a UK tertiary referral centre vol.97, pp.1, 2014, https://doi.org/10.1308/003588414x14055925059633
  2. Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan vol.10, pp.9, 2014, https://doi.org/10.1371/journal.pone.0136278
  3. INCIDENCE, AETIOLOGY AND PATTERN OF MANDIBULAR FRACTURES IN PONDICHERRY vol.4, pp.104, 2014, https://doi.org/10.14260/jemds/2015/2555
  4. ASSESSMENT OF EPIDEMIOLOGY IN PATIENTS WITH MAXILLOFACIAL TRAUMA FROM A SINGLE HOSPITAL OF TABRIZ vol.5, pp.44, 2014, https://doi.org/10.14260/jemds/2016/640
  5. Factors Associated With the Complexity of Facial Trauma vol.29, pp.6, 2014, https://doi.org/10.1097/scs.0000000000004565
  6. A retrospective analysis of mandibular fractures in Mewat, India vol.47, pp.5, 2021, https://doi.org/10.5125/jkaoms.2021.47.5.365
  7. Blunt force trauma in the human mandible: An experimental investigation vol.5, pp.None, 2022, https://doi.org/10.1016/j.fsir.2021.100252