Pattern of Mandibular Fractures in Northern of Jordan

Abstract

Purpose: The aim of this retrospective cohort study is to investigate the incidence and etiology the pattern of mandibular fractures in Northern of Jordan. Methods: This was a retrospective cohort study of clinical records and radiographs of patients with mandibular fractures treated during the 4-year period from January 2018 to December 2021 were retrieved and analyzed regarding age, sex, etiology anatomical site of fracture, type of fracture, type of injury, type facial injury, and treatment modality. Data were analyzed using IBM SPSS Statistics software, (Version 27; IBM, NY, USA). Categorical data were presented as frequency and percentages. A Chi-Square test was performed to compare proportions. A value of p ≤0.05 was considered statistically significant. Results: A total of 295 patients had 525 between the age of 4 and 66 years of whom 112 patients with 181 mandibular fractures were analyzed. Of these, males were 90(80.36%) and females were 22(19.64%) (Male: female ratio was 4:1). Road traffic accident (RTA) was the most common cause of mandibular fractures 74(66.07%). Open reduction and internal fixation (ORIF) were the predominant treatment modality in 93(83.0%) patients. Conclusion: Mandibular fractures are predominant and are most common of all maxillofacial fractures. Mostly common combination fractures and involve any of the anatomic sites with simultaneous multiple sites involvement. Still the RTA is the most common cause of maxillofacial fractures in developing countries. Treatments generally vary according to fracture type, number and location, surgeon performance, and patient age.