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ETIOLOGY AND PATTERNS OF MANDIBULAR FRACTURES  

Chung, Il-Hyuk (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital)
Han, Ki-Deok (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital)
Suh, Je-Duck (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital)
Hwang, Kyung-Gyun (Department of Dentistry/Oral-Maxillofacial Surgery, College of Medicine, Hanyang University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.27, no.5, 2005 , pp. 472-477 More about this Journal
Abstract
This study investigated the mandibular fractures that were treated at the Seoul National University Boramae Hospital in order to analyze the characteristics of mandibular fractures and the relationship between the causes and injury patterns. A total of 141 patients with mandibular fractures who were treated between 1996 and 2004 were analyzed retrospectively. The male to female ratio in the patient group was 5.13:1, and the mean age was 33.7 years. The most common etiologic factor was assaults (45.4%), and which was followed by activities associated with daily-life (40.4%) includeding falls, stumbling, collisions, and traffic accidents (11.3%). Single fracture sites were present in 75 patients (53.2%), two or more fracture sites were observed in other patients, and a total of 211 fracture sites were observed. The mandibular angle fractures (46.7%) was the most common in case of single fractures, and symphysis and angle fractures (45.4%) was most common in multiple fractures. Through out overall fracture sites, the most common fracture site was the symphysis (41.2%), followed by the angle (32.2%) and condyle (18.5%). Among assault and falls-related injuries, the common involving sites were the symphysis, and followed by the body and condyle. In case of traffic accidents, the symphysis fracture was the most common, and which was followed by the condyle and angle fractures. This study documented the characteristics of the mandibular fractures. The results demonstrate that preventive measures according to these characteristics will need to be implemented in order to minimize the risk of maxillofacial injuries.
Keywords
Mandibular fractures; Mandibular angle; Symphysis; Condyle; Etiology; Assault;
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1 Ellis E. El-Attar A, Moos KF : An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg 43 : 417, 1985   DOI   PUBMED
2 Lindquist C, Sorsa S, Hyprkas T, Santavirta S : Maxillofacial fractures sustained in bicycle accidents. Int J Oral Maxillofac Surg 15 : 12, 1986   DOI   PUBMED   ScienceOn
3 Jang HS, You JY, Kim YK, Yang BE : A clinical study on mandibular fracture. Kor J Plast Reconstr Surg 19 : 181, 1997
4 Van Beek GJ, Merkx CA : Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 28 : 424, 1999   DOI   ScienceOn
5 Van Hoof RF, Merkx CA, Stekelenburg EC : The different patterns of fractures of the facial skeleton in four European countries. Int J Oral Surg 6 : 3, 1977   DOI   PUBMED
6 Haug RH, Prather J, Indresano T : An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 48 : 926, 1990   DOI   ScienceOn
7 Ida S, Kogo M, Suguira T, Mima T, Matsuya T : Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30 : 286, 2001   DOI   ScienceOn
8 Starkhammer H, Olofsson J : Facial fractures; a review of 922 cases with special reference to incidence and aetiology. Clin Otolaryngol 7 : 405, 1982   DOI
9 Ellis E. Moos KF, El-Attar A : A ten year analysis of mandibular fractures. An analysis of 2137 cases. Oral Surg 59 : 120, 1985   DOI   ScienceOn
10 Olson RA, Fonseca RJ, Zeiter DL, Osbon DB : Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg 40 : 23, 1982   DOI   PUBMED
11 Adekey EO : Fractures of the zygomatic compelx in Nigerian patients. J Oral Surg 38 : 596, 1980   PUBMED
12 Anderson L, Hultin M, Nordenram A, Ramstrom G : Jaw fractures in the county of Stockholm (1978-1980) (1) General survey. Int J Oral Maxillofac Surg 13 : 194, 1984
13 Voss R : The etiology of jaw fractures in Norwegian patients. J Maxillofac Surg 10 : 146, 1982   DOI   PUBMED   ScienceOn
14 Ugboko VI, Odusanya SA, Fagade OO : Maxiollofacial fractures in a semi-urban Nigerian teaching hospital. A review of 442 cases. Int J Oral Maxiollofac Surg 28 : 424, 1999   DOI   ScienceOn
15 Gassner R, Tuli T, Ha¨chl O, Rudisch A, Uimer H : Cranio-maxillofacial trauma: 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 31 : 51, 2003   DOI   PUBMED   ScienceOn
16 Busuito MJ, Smith DR Jr, Robson MC : Mandibular fractures in urban trauma center. J Trauma 26 : 826, 1986   DOI   PUBMED
17 Brook IM, Wood N. Aetiology and incidence of facial fractures in adults. Int J Oral Maxillofac Surg 12 : 293, 1983
18 Scherer M, Sulliven WG, Smith DJ, Philips LG, Robson MC : Analysis of 1423 facial fractures in 788 patients at an urban trauma center. J Trauma 29 : 388, 1989   DOI   PUBMED   ScienceOn
19 Telfer MR, Jones GM, Shepherd JP : Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977-1987). Br J Oral Maxillofac Surg 29 : 250, 1991   DOI   ScienceOn