Ghodke Monali H, Bhoyar Subhash C, Shah Seemit V
Department of Oral and Maxillofacial Surgery, Sinhgad Dental College and Hospital, Pune, Maharashtra, India.
, Chhatrapati Shahu Maharaj Shikshan Sanstha Dental College and Hospital, Aurangabad, Maharashtra, India.
J Int Soc Prev Community Dent. 2013 Jul;3(2):51-8. doi: 10.4103/2231-0762.122428.
The aim of this study is to determine the etiology, frequency of mandibular fractures among different age and sex, to determine the frequency of anatomic distribution, and to report the different modalities of treatment provided to the patients reported at our institution from February 2008 to September 2009.
All patients fulfilling the selection criteria and having mandible fracture were selected for the study. Patient information was collected by means of a medical data form specifically designed for the present study. The values were subjected to Z and Chi-square tests.
Out of 35 patients, thirty one were males (88.57%) and four were females (11.43%) with a male:female ratio of 8:1. We found a peak occurrence in young adults, aged 21-30 years (n = 15, 42.86%). In case of etiology of fracture, road traffic accidents (RTAs) was the most common (n = 25, 71.43%) and condyle was most frequently involved site (n = 19, 38.78%). In most (n = 16, 45.71%) of the patients, an open reduction and rigid internal fixation using bone plate and screws was done.
In the present study, the prevalence of mandible fractures was more prevalent in male patients, especially during the 3(rd) decade of life. The most common cause was road traffic accident and the more frequently affected region was condyle of the mandible. Open reduction and rigid internal fixation using miniplates and screws was the most commonly used treatment.
本研究旨在确定下颌骨骨折在不同年龄和性别人群中的病因、发生率，确定其解剖分布频率，并报告2008年2月至2009年9月在本机构就诊的患者所接受的不同治疗方式。
所有符合入选标准且患有下颌骨骨折的患者均被选入本研究。通过专门为本研究设计的医疗数据表收集患者信息。对这些数据进行Z检验和卡方检验。
35例患者中，男性31例（88.57%），女性4例（11.43%），男女比例为8:1。我们发现21至30岁的年轻人发病率最高（n = 15，42.86%）。在骨折病因方面，道路交通事故（RTAs）最为常见（n = 25，71.43%），髁突是最常受累部位（n = 19，38.78%）。大多数患者（n = 16，45.71%）接受了使用接骨板和螺钉的切开复位坚固内固定治疗。
在本研究中，下颌骨骨折在男性患者中更为普遍，尤其是在生命的第三个十年。最常见的原因是道路交通事故，最常受累的区域是下颌骨髁突。使用微型接骨板和螺钉进行切开复位坚固内固定是最常用的治疗方法。
