Online ISSN: 2515-8260

Keywords : Mandibular fracture


Correlation of Pattern of Mandibular Fracture and the Mechanism of Injury: A Study at a Tertiary Care Centre

M. Junaid Alam, Sandeep Kumar, Naodeep Kumar, Md Anas

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3592-3596

Introduction: Mandible is the second most common facial fracture after nasal bone. There has been a significant increase in the number of cases in recent years. Mandibular fractures constitute a substantial proportion of maxillofacial trauma cases in Ranchi and adjacent districts. Road traffic accidents were the most common cause of fracture with para symphysis being the commonest site. There was no gender bias in etiology with number of fracture sites.
Method: This is an observational study design done in the period between March 2021 to August 2022 in the department of ENT at RIMS Ranchi. The study comprises of35 patients of mandibular fracture that were included. This study evaluated the pattern of mandibular fracture, on the basis of site involved presenting at RIMS Ranchi.
Results: The study reviewed 35 patients with mandibular fractures of age ranging from 18-70 years significantly higher for males. The highest incidence (60%) of mandibular fractures was in the age group of 21–35 years. The main cause were road traffic accidents (RTAs, 85.7%) followed by assaults (8.5%) and other reasons (5.7%). Parasymphyseal fractures were the most frequent (71.4%), followed by condyle (8.5%) and angle (8.6%) fractures in occurrence.
Conclusion: The mechanism of injury correlates significantly with the anatomic location of fracture. In contrary to the general teaching, here in this study, instead of condylar, parasymphysis fracture was the most common presenting type of mandibular fracture; thus, a surgeon should better know all the aspect of management of this type. Because RTAs are the most frequent cause, every centre should follow basic ATLS protocol simultaneously with management of mandibular fracture.

MANDIBULAR FRACTURE TREATMENT IN EASTERN INDIA AND COMPLICATIONS FOLLOWING ITS TREATMENT

SaloniBharti .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11475-11482

Over a two-year period, individuals with mandibular fractures underwent surgical treatment, and the complications that resulted from that are examined. 225 patients (mean age 32.6 (SD ±14.6) years) who underwent surgery for a mandibular fracture between two years. There were 426 fracture lines in all. 29 of the 213 dentate patients were largely treated with intermaxillary fixation (IMF). On 99 patients, IMF and osteosynthesis were carried out. To enable open reduction and internal fixation (ORIF), 79 individuals solely underwent IMF during surgery. Three of the 12 edentulous patients had Gunning splint treatment. Internal fixation and manual reduction were used to treat nine patients.442 plates and 1965 screws in all were used. Sixty (26.7%) of the patients had problems, including TMJ dysfunction, dysocclusion (15 patients), contaminated osteosynthesis material (15 patients), and (temporary) hyposensibility of the lip and chin (34 patients) (five patients). For the surgical retreatment required to address a dysocclusion, four patients. The findings of this study provide crucial information for improving the treatment of the broken mandible, and they partially accord with those of other studies.

Coleman Sign: A Hallmark For Mandibular Fracture? A Rare Case Exception

Dr Premalatha Shetty(MDS); Dr Aditya Nandan; Dr Mahabalesh Shetty; Dr Suraj Shetty

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 1064-1070

Mandibular fracture involving the parasymphysis region is one of the most common fractures of mandible. Majority of parasymphysis fractures are due to direct blow or injury to the chin region. Specific signs and symptoms for parasymphysis fracture are pain, swelling, tenderness in the chin region, deranged occlusion, soft tissue injury to chin and the lower lip and sublingual hematoma. Frank Coleman considered a sublingual hematoma as “almost pathognomonic of fracture of the mandible”. We present a case that fails to replicate this hallmark sign associated with a mandibular fracture, as the patient had all the signs and symptoms of parasymphysis fracture except sublingual hematoma which is very rare and unusual to observe. The final diagnosis was made on the basis of radiographic examination using CBCT scan. On surgical exposure the mandibular parasymphysis fracture in the region of right lateral incisor and canine was confirmed. Such clinical scenario is very rare and unusual to observe. This case emphasizes on the fact that though Coleman sign has a very high specificity for mandibular fracture but it may not have high sensitivity. The examining doctor who completely relies on this sign and thus miss the fracture would be committing a gruesome mistake. In addition, this can lead to a risk of undermining a grievous hurt as that of a simple one which can result in medicolegal implication.

PATTERNS & INCIDENCE OF MANDIBULAR FRACTURES: AN EPIDEMIOLOGICAL STUDY

Dr. Rakesh Kumar; Dr. Purva Kulkarni; Dr. Jayendra Purohit; Dr. Abin Ann Abraham; Dr. Vipindas A P; Dr. Sameera Qureshi Mohd Rehman

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7144-7149

 Aim: The purpose of our research was to study various patterns as well as incidence of mandibular population amongst Indian population. Methodology: The medical records of 1842 patients with mandibular fractures treated
over a 3 years period were identified and analyzed supported age, sex, mechanism of trauma, seasonal variation, drug/alcohol abuse, number and anatomic location Results: 464 Patients who were in age range of 7 to 89 years participated in the study. The highest incidence (37.5%) of mandibular fractures was in the age group of 21–30 years. Most prominent cause for mandibular fracture was due to road traffic accidents which accounted for 68.8 % of all cases followed by free falls as well as assault cases. It was observed that parasymphyseal fracture was the most common site affected in mandible and the least affected was the angle of mandible. Mandibular angle
fractures were found mostly to be related to assault victims. Conclusion: The mechanism of injury correlates significantly with the anatomic location of fracture and knowledge of those associations should guide the surgeons for appropriate and timely management.