Abbas Iram, Ali Kamran, Mirza Yaqoob Baig
Department of Oral & Maxillofacial Surgery, Ayub Medical College, Abbottabad.
J Ayub Med Coll Abbottabad. 2003 Apr-Jun;15(2):12-4.
Mandible being the only mobile bone of the facial skeleton plays a major role in mastication, speech and deglutition. Among the maxillofacial trauma, mandible is the high risk exponent. Its fractures result in severe loss of function and disfigurement. The increased vehicular accidents, conditions of our roads and other assaults have focused attention in recent years to prevent injuries.
A descriptive case series of 126 patients with mandibular fractures attending a tertiary referral centre over a six-month period is presented. Data concerning the patients' demographics, aetiology and pattern were obtained and analysed.
Approximately 56% of the patients sustained fractures from road traffic accidents and 34% of the fractures occurred in the 21-30 year age range. There was a male preponderance with a male to female ratio of 9:1. Parasymphyseal fractures were the most common followed by those of the condylar and subcondylar regions.
We need to encourage further research work in this field to provide better record keeping and quality of services to the injured people. Amendments in the traffic rules and legislation about seat-belt usage and traditional kite flying to reduce frequency of fractures are required.
下颌骨是面部骨骼中唯一可活动的骨骼，在咀嚼、言语和吞咽中起主要作用。在颌面部创伤中，下颌骨是高风险因素。其骨折会导致严重的功能丧失和容貌损毁。近年来，交通事故的增加、道路状况以及其他袭击事件使人们将注意力集中在预防损伤方面。
呈现了一个描述性病例系列，涉及在六个月期间到一家三级转诊中心就诊的126例下颌骨骨折患者。获取并分析了有关患者人口统计学、病因和骨折类型的数据。
约56%的患者因道路交通事故导致骨折，34%的骨折发生在21至30岁年龄组。男性居多，男女比例为9:1。颏旁骨折最为常见，其次是髁突和髁突下区域的骨折。
我们需要鼓励在该领域开展进一步的研究工作，以便为受伤人员提供更好的记录保存和服务质量。需要修订交通规则和关于使用安全带及传统放风筝的立法，以减少骨折发生率。
