Mandibular Sites Prone to Fracture: Analysis of 174 Cases in a Nigerian Tertiary Hospital
Identifieur interne : 002326 ( Pmc/Corpus ); précédent : 002325; suivant : 002327Mandibular Sites Prone to Fracture: Analysis of 174 Cases in a Nigerian Tertiary Hospital
Auteurs : C E Anyanechi ; B D SaheebSource :
- Ghana Medical Journal [ 0016-9560 ] ; 2011.
Abstract
Mandibular fracture is an important surgical condition in our environment and elsewhere in the world.
The purpose of this study is to clinically determine the most common sites of the mandible prone to fracture.
This two-year prospective study was carried out at the Dental and Maxillofacial clinic, University of Calabar Teaching Hospital, Nigeria, in 2007 and 2008.
One hundred and seventy four patients' ages between six to 70 years (mean 28.7± 5.3 years) were studied. One hundred and forty two (81.6%) of them were males and 32 (18.4%) females, with a male/female ratio of 4.4:1.Road traffic accident significantly (χ2=17.1607, P=0.0087) accounted for 139 (79.9%) of the fractures. There were 244 fracture sites in the 174 patients, with the body of the mandible being significantly (χ2=21, P=0.0008) affected than other sites in fracture (n= 115, 47.1%). However, 96 (39.3%) and 132 (54.1%) of the fractures occurred on the right and left sides of the mandible respectively. Most patients had single (44.3%) and double (31.6%) fractures and this finding was significant (χ2=60.9314, P=0.0000). The patients encountered were fully (62.6%) and partially dentate (37.4%). The fractures were successfully treated by conservative method, closed reduction and open reduction techniques.
This study shows that the tooth-bearing portion, body, left and right sides of the mandible are most commonly prone to fracture when multiple aetiologies are considered.
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PubMed: 22282578
PubMed Central: 3266144
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PMC:3266144Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mandibular Sites Prone to Fracture: Analysis of 174 Cases in a Nigerian Tertiary Hospital</title>
<author><name sortKey="Anyanechi, C E" sort="Anyanechi, C E" uniqKey="Anyanechi C" first="C E" last="Anyanechi">C E Anyanechi</name>
<affiliation><nlm:aff id="A1">Dept of Dental surgery, University of Calabar Teaching Hospital, Calabar</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saheeb, B D" sort="Saheeb, B D" uniqKey="Saheeb B" first="B D" last="Saheeb">B D Saheeb</name>
<affiliation><nlm:aff id="A2">Dept of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-city, Benin, Nigeria</nlm:aff>
</affiliation>
</author>
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<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22282578</idno>
<idno type="pmc">3266144</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266144</idno>
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<date when="2011">2011</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mandibular Sites Prone to Fracture: Analysis of 174 Cases in a Nigerian Tertiary Hospital</title>
<author><name sortKey="Anyanechi, C E" sort="Anyanechi, C E" uniqKey="Anyanechi C" first="C E" last="Anyanechi">C E Anyanechi</name>
<affiliation><nlm:aff id="A1">Dept of Dental surgery, University of Calabar Teaching Hospital, Calabar</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Saheeb, B D" sort="Saheeb, B D" uniqKey="Saheeb B" first="B D" last="Saheeb">B D Saheeb</name>
<affiliation><nlm:aff id="A2">Dept of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-city, Benin, Nigeria</nlm:aff>
</affiliation>
</author>
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<series><title level="j">Ghana Medical Journal</title>
<idno type="ISSN">0016-9560</idno>
<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Background</title>
<p>Mandibular fracture is an important surgical condition in our environment and elsewhere in the world.</p>
</sec>
<sec><title>Objective</title>
<p>The purpose of this study is to clinically determine the most common sites of the mandible prone to fracture.</p>
</sec>
<sec sec-type="subjects|methods"><title>Patients and method</title>
<p>This two-year prospective study was carried out at the Dental and Maxillofacial clinic, University of Calabar Teaching Hospital, Nigeria, in 2007 and 2008.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>One hundred and seventy four patients' ages between six to 70 years (mean 28.7± 5.3 years) were studied. One hundred and forty two (81.6%) of them were males and 32 (18.4%) females, with a male/female ratio of 4.4:1.Road traffic accident significantly (χ2=17.1607, P=0.0087) accounted for 139 (79.9%) of the fractures. There were 244 fracture sites in the 174 patients, with the body of the mandible being significantly (χ2=21, P=0.0008) affected than other sites in fracture (n= 115, 47.1%). However, 96 (39.3%) and 132 (54.1%) of the fractures occurred on the right and left sides of the mandible respectively. Most patients had single (44.3%) and double (31.6%) fractures and this finding was significant (χ2=60.9314, P=0.0000). The patients encountered were fully (62.6%) and partially dentate (37.4%). The fractures were successfully treated by conservative method, closed reduction and open reduction techniques.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>This study shows that the tooth-bearing portion, body, left and right sides of the mandible are most commonly prone to fracture when multiple aetiologies are considered.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id>
<journal-title-group><journal-title>Ghana Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0016-9560</issn>
<publisher><publisher-name>Ghana Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22282578</article-id>
<article-id pub-id-type="pmc">3266144</article-id>
<article-id pub-id-type="publisher-id">jGMJ.v45.i3.pg111</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>Mandibular Sites Prone to Fracture: Analysis of 174 Cases in a Nigerian Tertiary Hospital</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Anyanechi</surname>
<given-names>C E</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saheeb</surname>
<given-names>B D</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Dept of Dental surgery, University of Calabar Teaching Hospital, Calabar</aff>
<aff id="A2"><label>2</label>
Dept of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-city, Benin, Nigeria</aff>
<author-notes><corresp><bold>Corresponding Author: Dr C.E. Anyanechi</bold>
<bold>Email:</bold>
<email>ceanyanechi@yahoo.com</email>
</corresp>
<fn fn-type="conflict"><p><bold>Conflict of Interest:</bold>
None declared</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>9</month>
<year>2011</year>
</pub-date>
<volume>45</volume>
<issue>3</issue>
<fpage>111</fpage>
<lpage>114</lpage>
<permissions><copyright-statement>Copyright © Ghana Medical Association 2011</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract abstract-type="executive-summary"><title>Summary</title>
<sec><title>Background</title>
<p>Mandibular fracture is an important surgical condition in our environment and elsewhere in the world.</p>
</sec>
<sec><title>Objective</title>
<p>The purpose of this study is to clinically determine the most common sites of the mandible prone to fracture.</p>
</sec>
<sec sec-type="subjects|methods"><title>Patients and method</title>
<p>This two-year prospective study was carried out at the Dental and Maxillofacial clinic, University of Calabar Teaching Hospital, Nigeria, in 2007 and 2008.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>One hundred and seventy four patients' ages between six to 70 years (mean 28.7± 5.3 years) were studied. One hundred and forty two (81.6%) of them were males and 32 (18.4%) females, with a male/female ratio of 4.4:1.Road traffic accident significantly (χ2=17.1607, P=0.0087) accounted for 139 (79.9%) of the fractures. There were 244 fracture sites in the 174 patients, with the body of the mandible being significantly (χ2=21, P=0.0008) affected than other sites in fracture (n= 115, 47.1%). However, 96 (39.3%) and 132 (54.1%) of the fractures occurred on the right and left sides of the mandible respectively. Most patients had single (44.3%) and double (31.6%) fractures and this finding was significant (χ2=60.9314, P=0.0000). The patients encountered were fully (62.6%) and partially dentate (37.4%). The fractures were successfully treated by conservative method, closed reduction and open reduction techniques.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>This study shows that the tooth-bearing portion, body, left and right sides of the mandible are most commonly prone to fracture when multiple aetiologies are considered.</p>
</sec>
</abstract>
<kwd-group><kwd>Mandible</kwd>
<kwd>site</kwd>
<kwd>fracture</kwd>
<kwd>Calabar</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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