Mandibular kırık yeri üzerine yaşın etkisi

Öz

The mandible is the largest and strongest bone of the face, and it is basically a tubular long bone which is bent into a blunt V-shape. The aim of the study was to study effect of age on the site of mandibular fracture. The study included 100 patients (80 were males and the rest were females) with mandibular injuries admitted to Maxillofacial Unit, Specialized Hospital for Surgery in Baghdad from April 1996 to December 1996. The majority of those patients were of civilian type of injury, and a few of them were of bullet injury. The highest number of patients' age was between 20 to 29 years, males constitute higher numbers than females. The common etiology for mandibular fractures were fight (35%), and fall from height (31%). The common site of single fracture was angle (42.31%), and in the multiple fractures were condyler and parasymphysis (27.27%). Mandibular fracture is more common in younger age group (20-29 years) and then 30-39 years. This study showed that fight and falls are most common cause of mandibular fracture in younger men affecting angle and condylar region.

Anahtar Kelimeler

• Mandible,Age Factors,Fractures, Bone,Sex Distribution,Age Distribution,Mandibular Fractures

Effect of age on the site of mandibular fracture

Öz

Mandibula yüzün en geniş ve en kuvvetli kemiğidir ve temelde künt V-şekline bükülmüş tübüler uzun bir kemiktir. Çalışmanın amacı, mandibular kırık yeri üzerine yaşın etkisini çalışmaktı. Çalışmaya, Nisan 1996 - Aralık 1996 arasında Bağdat'ta Specialized Hospital for Surgery'nin Maksillofasial Ünitesi'ne başvuran mandibular hasarlı 100 hasta (80'ni erkek ve diğerleri bayan) alındı. Bu hastaların çoğunluğu sivil tipi hasardı ve bir kaçı kurşun yarasıydı. Hastaların yaşının en yüksek olduğu sayı 20 ila 29 yaş arasıydı, erkekler bayanlardan daha fazla sayıdaydı. Mandibular kırığın başlıca etyolojisi kavga (%35) ve yüksekten düşme (%31) idi. Tek kırığın başlıca bölgesi açı (%42.31) idi ve çoklu kırıklarda ise kondiler ve parasimfisis (%27.27) idi. Mandibular kırık 30-39 yaşa göre genç yaş grubunda (20-29 yaş) daha yaygındı. Bu çalışma, kavga ve düşmenin açı ve kondilar bölgeyi etkileyen genç erkeklerdeki mandibular kırığın en yaygın nedeni olduğunu gösterdi.

Anahtar Kelimeler

• Alt çene,Yaş faktörü,Kırıklar, kemik,Cinsiyet dağılımı,Yaş dağılımı,Alt çene kırıkları

Kaynakça

1. 1. Thoma KH. A historical review of methods advocated for the treatment of jaw fractures, with ten commandments for modern fracture treatment. Am J Orthodont Oral Surg 1944;30(8): C399-C504
2. 2. Bailey BJ, Calhoun KH, Healy GB, Pillsbury III HC, Johnson JT, Tardy ME, et al. Head and Neck Surgery–Otolaryngology, vols 1 & 2, illustrated by Gralapp C and Pazos A, 3rd ed, Philadelphia, Lippincott Williams & Wilkins, 2001
3. 3. Nair KB, Paul G. Incidence and aetiology of fractures of the facio-maxillary skeleton in Trivandrum: a retrospective study
4. Br J Oral Maxillofac Surg 1986;24(1):40-3
5. 4. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Craniomaxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31(1):51-61
6. 5. Gassner R, Tuli T, Emshoff R, Waldhart E. Mountainbiking - a dangerous sport: comparison with bicycling on oral and maxillofacial trauma. Int J Oral Maxillofac Surg 1999;28(3):188-91
7. 6. Hagan EH, Huelke DF. An analysis of 319 cases reports of mandibular fractures. J Oral Surg Aneasth Hosp Dent Serv 1961;19:93-104
8. 7. Adi M, Ogden GR, Chisholm DM. An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985). Br J Oral Maxillofac Surg 1990;28(3):194-9

9. 8. Olson RA, Fonseca RJ, Zeitler DL, Osbon DB. Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg 1982;40(1):23-8
10. 9. Busuito MJ, Smith DJ, Robson MC. Mandibular fractures in an urban truma center. J Trauma 1986;26(9):826-9
11. 10. Edwards TJ, David DJ, Simpson DA, Abbott AA. Patterns of mandibular fractures in Adelaide, South Australia. Aust N Z J Surg 1994;64(5):307-11
12. 11. de Almeida OM, Alonso N, Fogaça WC, Rocha DL, Ferreira MC. Facial fractures. Analysis of 130 cases. Rev Hosp Clin Fac Med Sao Paulo 1995;50 Suppl:10-2
13. 12. Yamamoto K, Murakami K, Sugiura T, Ishida J-I, Imai Y, Fujimoto M, et al. Maxillofacial fractures sustained during baseball and softball. Dent Traumatol 2009;25(2):194-7
14. 13. Goldberg MG, Williams AC. The location and occurrence of mandibular fractures. An analysis of 202 cases. Oral Surg Oral Med Oral Path 1969;28(3):336-41
15. 14. Stanley RB. Pathogenesis and evaluation of mandibular fractures. In: Maxillofacial Trauma, Ed: Mathog RH. Williams and Wilkins, London, 1984;138-46
16. 15. Pirok DJ, Merrill RG. Dislocation of the mandibular condyle into the middle cranial fossa. Report of a case. Oral Surg Oral Med Oral Pathol 1970;29(1):13-8
17. 16. Tevepaugh DB, Dodson TB. Are mandibular third molars a risk factor for angle fractures? A retrospective cohort study. J Oral Maxillofacial Surg 1995;53(6):646-9
18. 17. Haskell R, Bradley JC, Row NL, Williams JL, Grattan E, Hobbs JA. Applied surgical anatomy, In: Maxillofacial Injuries. Vol. 1
19. Eds. Row NL, Williams JL. Churchill Livingstone, Edinburgh, 1985;3-10
20. 18. Naidoo S, Sheiham A, Tsakos G. Traumatic dental injuries of permanent incisors in 11- to 13-year-old South African schoolchildren. Dent Traumatol 2009;25(2):224-8
21. 19. Yamamoto K, Kuraki M, Kurihara M, Matsusue Y, Murkami K, Horita S, et al. Maxillofacial fracture resulting from falls. J Oral Maxillofac Surg 2010;68(7):1602-7