Abstract
Mandible is the second most common facial fracture. There has been a significant increase in the number of cases in recent years with the advent of fast moving automobiles. Mandibular fractures constitute a substantial proportion of maxillofacial trauma cases in Lucknow. This study was undertaken to study mandibular fractures clinicoradiologically with an aim to calculate incidence and study pattern and the commonest site of fractures in population in and around Lucknow. Patient presenting with history of trauma at various centers of maxillofacial surgery in and around Lucknow were included in this study. Detailed case history was recorded followed by thorough clinical examination, and radiological interpretation was done for establishing the diagnosis and the data obtained was analyzed statistically. Out of 66 patients with mandibular fractures, highest percentage was found in 21–30 years of age with male predominance. Road traffic accidents were the most common cause of fracture with parasymphysis being commonest site. Commonest combination was parasymphysis with subcondyle. There was no gender bias in etiology with number of fracture sites. The incidence and causes of mandibular fracture reflect trauma patterns within the community and can provide a guide to the design of programs geared toward prevention and treatment.
Highlights
The sheer pace of modern life with high-speed travel as well as an increasingly violent and intolerant society has made facial trauma a form of social disease from which no one is immune
Mandible is the only mobile bone of facial skeleton and their has been a significant increase in number of cases in recent years
Out of 66 patients, 37 had a unilateral mandibular fracture while 29 had bilateral fractures with maximum number of subjects were in the age group 21–30 years (28.8%) followed by 11– 20 (25.8%), 31–40 (21.2%),
Summary
The sheer pace of modern life with high-speed travel as well as an increasingly violent and intolerant society has made facial trauma a form of social disease from which no one is immune. Mandible is the only mobile bone of facial skeleton and their has been a significant increase in number of cases in recent years. It is embryologically a membrane bone and is more commonly fractured than the other bones of face. The energy required to fracture it being of the order of 44.6–74.4 kg/m, which is about the same as the Plastic Surgery International zygoma and about half that for the frontal bone [4,5,6,7]. (2) Angle is the second most common site of fracture. Because indirect fractures of the mandible are common, it is important to take radiographs at both sides of the jaw in every trauma case. (2) study the pattern of fracture and the commonest site of fractures, in population in and around Lucknow
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