Prevalence, treatment and complications of mandibular fractures

Hüseyin Can Tükel; Mehmet Emre Benlidayı

doi:10.17826/cumj.469210

EN TR

Prevalence, treatment and complications of mandibular fractures

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 2017

Materials 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.

Keywords

Mandible,maxillofacial,trauma

Mandibula kırıklarının prevalansı, tedavisi ve komplikasyonları

Öz

Amaç:Bu çalışmanın amacı Çukurova Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi tarafından 2015-2017 yılları arasında tedavi edilen mandibula kırıklarının prevalansı, tedavisi ve komplikasyonlarını incelemektir.

Gereç ve Yöntem:Mandibula kırıkları etiyolojiye ve kırıkların lokalizasyonuna göre sınıflandırıldı. Açık redüksiyon ve internal fiksasyon 2.0mm veya 2.4mm fiksasyon sistemleri kullanılarak yapıldı. Kapalı redüksiyonda ark-bar, intermaksiller fiksasyon vidaları veya tel-kompozit splint kullanıldı. Aşağıdaki komplikasyonlar kaydedildi: Geçici parestezi, kalıcı parestezi, maloklüzyon, enfeksiyon, temporomandibular eklem bozukluğu,fiksasyon materyalinin açığa çıkması ve kök hasarı.

Bulgular:Ortalama hasta yaşı 32,8±(13,8) idi. Erkekler, çalışmaya dahil edilen vakaların %77.4(n = 65), kadınlar ise % 22.6(n=19) 'sını oluşturdu. Bu çalışmada mandibula kırıklarının nedenleri sırasıyla kişilerarası şiddet(27 olgu,%32,1), trafik kazaları(22 olgu,%26,2) ve düşme (21 olgu,% 25) olarak bulundu. Kırıkların en nadir nedeni spor kazasıydı (6 olgu,% 7,1). En yaygın kırık lokalizasyonu sırasıyla kondil(27,%24.5), ardından angulus (24,% 21,8), korpus (19,%17.3), simfiz / parasimfiz (18,% 16,4) ve alveolar kemik (17, %15,5) idi. Elli hasta açık redüksiyon (% 59,5) ile tedavi edilirken, 29 hasta kapalı redüksiyon (%34.5) ile tedavi edildi. Üç hasta (%3,6) tedavi görmedi. Hastaların 25'inde (%29,7) değişen derecelerde komplikasyonlar gözlendi. Bu çalışmada en sık rastlanan komplikasyon geçici parestezi (%13,1) olmuştur. Bunu temporomandibular eklem rahatsızlığı (%6,0) izlemiştir. Diğer komplikasyonlar seyrek görülmüştür.

Sonuç:Farklı merkezlerin hastalarını farklı sosyo-ekonomik bölgelerde ve farklı klinik imkan / kaynak düzeylerinde nasıl yönettiğini anlamak ve güncel tedavi yöntemlerini takip etmek önemlidir. Mandibular kırıkların görülme sıklığı ve nedenleri, toplum içindeki travma modellerini yansıtması açısından daha iyi sağlık politikası stratejileri yürütmek için yol gösterici olabilir.

Anahtar Kelimeler

Mandibula,alt çene,kırık,fraktür,maksillofasiyal,travma

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Hüseyin Can Tükel ^*
0000-0002-6723-0842
Türkiye

Mehmet Emre Benlidayı
0000-0002-6102-9136
Türkiye

Yayımlanma Tarihi

30 Haziran 2019

Gönderilme Tarihi

10 Ekim 2018

Kabul Tarihi

5 Aralık 2018

Yayımlandığı Sayı

Yıl 2019 Cilt: 44 Sayı: 2

DOI

https://doi.org/10.17826/cumj.469210

IZ

https://izlik.org/JA93PF36WJ

MLA

Tükel, Hüseyin Can, ve Mehmet Emre Benlidayı. “Prevalence, treatment and complications of mandibular fractures”. Cukurova Medical Journal, c. 44, sy 2, Haziran 2019, ss. 369-77, doi:10.17826/cumj.469210.