Mandibula kırıklarının prevalansı, tedavisi ve komplikasyonları

Abstract

Purpose: The purpose of this study was to review and analyze the prevalence, treatment, and complications of mandibular fractures managed by the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Çukurova University between March 2015 and March 2017Materials and Methods: Mandibular fractures were sorted by etiology and fracture location. Open reduction and internal fixation of mandibular fractures were performed using 2.0mm or 2.4mm fixation systems. Closed reduction of fractures was performed using arch bars, intermaxillary fixation screws or wire-composite splints. The following complications were recorded: Temporary paresthesia, permanent paresthesia, malocclusion, infection, temporomandibular joint disorder, plate exposure and root damage.Results: The mean patient age was 32.8±(13.8). Males constituted 77.4%(n=65) and females constituted 22.6%(n=19) of the patients. The most common cause of mandibular fractures in this study was interpersonal violence (27 cases,32.1%), followed by road traffic accidents(22 cases, 26.2%) and falls(21 cases,25%). The least common cause of fractures was sports accident(6 cases,7.1%). The most common fracture localization was the condyle(27,24.5%), followed by the angle (24,21.8%), body (19,17.3%), symphysis/parasymphysis (18, 16.4%) and alveolar bone (17,15.5%). Fifty patients were treated by ORIF (59.5%), 29 patients were treated by closed reduction (34.5%). Complications in varying severity were observed in 25(29.7%) patients. The most common complication in this study was temporary paresthesia(13.1%) followed by TMD(6.0%). Other complications were seen infrequently.Conclusion: It is important to follow contemporary trends to understand how different centers manage their patients in different socio-economic regions and different levels of clinical facilities/resources. The incidence and causes of mandibular fractures may reflect the trauma patterns within the community, which is important for conducting better health policy strategies.