Analysis of Fractured Mandible Over Two Decades
Identifieur interne : 006966 ( Ncbi/Curation ); précédent : 006965; suivant : 006967Analysis of Fractured Mandible Over Two Decades
Auteurs : Melike Oruç ; Veysel Murat I Ik ; Yüksel Kankaya ; Koray Gürsoy ; Nezih Sungur ; Gürcan Aslan ; U Ur KoçerSource :
- The Journal of Craniofacial Surgery [ 1049-2275 ] ; 2016.
Abstract
Mandible fractures have a special place within the injuries of the other bones of the maxillofacial system. In their management, cosmetic issues and functional aspects such as chewing, speaking, and swallowing become very important.
In this study, a retrospective analysis of 419 mandible fractures in 283 patients was performed in relation to epidemiologic factors, treatment strategies, and complications. The average age was 32.14 years (4–69 years). The male/female ratio was 4/1. The most frequent etiologic factor was interpersonal violence (104 patients, 36.7%). The parasymphysis region was the mostly affected site (28.4%). A total of 157 patients (55.5%) were presented with single fracture and the rest with 2, 3, or 4 fracture lines on the mandible. The most common fracture combination was angulus–parasymphysis fracture combination (24.6%). Open reduction and fixation with mini plates and screws was the most preferred treatment strategy (48.2%). Transient short arch bars were not used intraoperatively for any of the patients. There was not any difference in terms of complications between the patients treated with plating systems and plating systems plus intermaxillary fixation.
In conclusion, proper treatment of mandible fractures is critical. Except certain fracture types, the usage of intermaxillary fixation as an adjunct to fixation with plating systems is not necessary.
Url:
DOI: 10.1097/SCS.0000000000002737
PubMed: 27536913
PubMed Central: 5023768
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Analysis of Fractured Mandible Over Two Decades</title><author><name sortKey="Oruc, Melike" sort="Oruc, Melike" uniqKey="Oruc M" first="Melike" last="Oruç">Melike Oruç</name></author><author><name sortKey="I Ik, Veysel Murat" sort="I Ik, Veysel Murat" uniqKey="I Ik V" first="Veysel Murat" last="I Ik">Veysel Murat I Ik</name></author><author><name sortKey="Kankaya, Yuksel" sort="Kankaya, Yuksel" uniqKey="Kankaya Y" first="Yüksel" last="Kankaya">Yüksel Kankaya</name></author><author><name sortKey="Gursoy, Koray" sort="Gursoy, Koray" uniqKey="Gursoy K" first="Koray" last="Gürsoy">Koray Gürsoy</name></author><author><name sortKey="Sungur, Nezih" sort="Sungur, Nezih" uniqKey="Sungur N" first="Nezih" last="Sungur">Nezih Sungur</name></author><author><name sortKey="Aslan, Gurcan" sort="Aslan, Gurcan" uniqKey="Aslan G" first="Gürcan" last="Aslan">Gürcan Aslan</name></author><author><name sortKey="Kocer, U Ur" sort="Kocer, U Ur" uniqKey="Kocer U" first="U Ur" last="Koçer">U Ur Koçer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27536913</idno><idno type="pmc">5023768</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023768</idno><idno type="RBID">PMC:5023768</idno><idno type="doi">10.1097/SCS.0000000000002737</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003056</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003056</idno><idno type="wicri:Area/Pmc/Curation">003056</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003056</idno><idno type="wicri:Area/Pmc/Checkpoint">000888</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000888</idno><idno type="wicri:Area/Ncbi/Merge">006966</idno><idno type="wicri:Area/Ncbi/Curation">006966</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Analysis of Fractured Mandible Over Two Decades</title><author><name sortKey="Oruc, Melike" sort="Oruc, Melike" uniqKey="Oruc M" first="Melike" last="Oruç">Melike Oruç</name></author><author><name sortKey="I Ik, Veysel Murat" sort="I Ik, Veysel Murat" uniqKey="I Ik V" first="Veysel Murat" last="I Ik">Veysel Murat I Ik</name></author><author><name sortKey="Kankaya, Yuksel" sort="Kankaya, Yuksel" uniqKey="Kankaya Y" first="Yüksel" last="Kankaya">Yüksel Kankaya</name></author><author><name sortKey="Gursoy, Koray" sort="Gursoy, Koray" uniqKey="Gursoy K" first="Koray" last="Gürsoy">Koray Gürsoy</name></author><author><name sortKey="Sungur, Nezih" sort="Sungur, Nezih" uniqKey="Sungur N" first="Nezih" last="Sungur">Nezih Sungur</name></author><author><name sortKey="Aslan, Gurcan" sort="Aslan, Gurcan" uniqKey="Aslan G" first="Gürcan" last="Aslan">Gürcan Aslan</name></author><author><name sortKey="Kocer, U Ur" sort="Kocer, U Ur" uniqKey="Kocer U" first="U Ur" last="Koçer">U Ur Koçer</name></author></analytic><series><title level="j">The Journal of Craniofacial Surgery</title><idno type="ISSN">1049-2275</idno><idno type="eISSN">1536-3732</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Mandible fractures have a special place within the injuries of the other bones of the maxillofacial system. In their management, cosmetic issues and functional aspects such as chewing, speaking, and swallowing become very important.</p><p>In this study, a retrospective analysis of 419 mandible fractures in 283 patients was performed in relation to epidemiologic factors, treatment strategies, and complications. The average age was 32.14 years (4–69 years). The male/female ratio was 4/1. The most frequent etiologic factor was interpersonal violence (104 patients, 36.7%). The parasymphysis region was the mostly affected site (28.4%). A total of 157 patients (55.5%) were presented with single fracture and the rest with 2, 3, or 4 fracture lines on the mandible. The most common fracture combination was angulus–parasymphysis fracture combination (24.6%). Open reduction and fixation with mini plates and screws was the most preferred treatment strategy (48.2%). Transient short arch bars were not used intraoperatively for any of the patients. There was not any difference in terms of complications between the patients treated with plating systems and plating systems plus intermaxillary fixation.</p><p>In conclusion, proper treatment of mandible fractures is critical. Except certain fracture types, the usage of intermaxillary fixation as an adjunct to fixation with plating systems is not necessary.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Matos, Fp" uniqKey="De Matos F">FP De Matos</name></author><author><name sortKey="Arnez, Mfm" uniqKey="Arnez M">MFM Arnez</name></author><author><name sortKey="Sverzut, Ce" uniqKey="Sverzut C">CE Sverzut</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Den Bergh, B" uniqKey="Van Den Bergh B">B Van den Bergh</name></author><author><name sortKey="Karagozoglu, Kh" uniqKey="Karagozoglu K">KH Karagozoglu</name></author><author><name sortKey="Heymans, Mw" uniqKey="Heymans M">MW Heymans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Edwards, Tj" uniqKey="Edwards T">TJ Edwards</name></author><author><name sortKey="David, Jd" uniqKey="David J">JD David</name></author><author><name 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