Pattern of Mandibular Fracture at Universal College of Medical Sciences (UCMS), Bhairahawa, Rupandehi, Nepal

Volume 4 - Issue 2

Shashank Tripathi¹*, Ravish Mishra¹, Deepak Yadav¹, Laxmi Kandel¹, Bikash Pahari¹ and Pradip Chhetri²

Received: December 04, 2019;   Published: December 12, 2019

DOI: 10.32474/MADOHC.2018.03.000181

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

A descriptive retrospective study was carried out and evaluated the pattern of mandibular fractures in western region of Nepal at Universal College of Medical Sciences, Bhairahawa, Rupandehi. Among 498 cases of maxillofacial trauma registered between March 2014 to December 2018; 199 cases of mandibular fractures who were admitted and undergone conservative or surgical treatment were enrolled in the study. Parameters recorded were personal details of patients including age, sex, day and month of fracture, mode of trauma, alcohol abuse, site of mandibular fracture, treatment done, duration of hospital stay, and need for intensive care unit (ICU) stay. The selected group include 157 males (78.9%) and 42 females (21.1%). The mean age of patient was 30.34 ±13.98 years (age range, 3-77 years). The mode of trauma was from road traffic accident (69.8%) in majority of cases followed by physical assault (15.6%) and fall from height (12.6%). Majority of trauma for mandibular fracture were seen on Wednesday and Friday in the month of June followed by February and December. 27.1% of patients with mandibular fractures were under the influence of alcohol. Majority of patients (94%) were secondarily managed with open reduction internal fixation (ORIF) under general anesthesia followed by closed reduction under local anesthesia (3%) and circum-mandibular wiring under general anesthesia (3%). Circum-mandibular wiring was opted for patient who were in mixed dentition period. The mean duration of hospital stay was 8.72±2.91 days (range, 5-20 days) in which maximum hospital stays were with patients associated with craniofacial fracture and associated intracranial injury. Majority of patients (98%) were managed post operatively in general surgical wards whereas few patients (2%) were shifted to ICU from major operating room due to post-operative anesthetic complications. Para symphysis fracture were seen in majority of cases followed by angle and condyle respectively. The mechanism of injury correlates significantly with the anatomic location of fracture and knowledge of these associations should guide the surgeons for appropriate and timely management. Because RTAs are most frequent, good traffic sense needs to be imbibed and developed by the government as well as the public.

Keywords: Mandibular Fractures; Trauma; Pattern; RTAs

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| References|