Brucoli Matteo, Boffano Paolo, Pezzana Andrea, Benech Arnaldo, Corre Pierre, Bertin Helios, Pechalova Petia, Pavlov Nikolai, Petrov Petko, Tamme Tiia, Kopchak Andrey, Romanova Anna, Shuminsky Eugen, Dediol Emil, Tarle Marko, Konstantinovic Vitomir S, Jelovac Drago, Karagozoglu K Hakki, Forouzanfar Tymour
Researcher, Division of Maxillofacial Surgery, University of Eastern Piedmont, Novara, Italy.
Maxillofacial Surgeon, Division of Maxillofacial Surgery, University of Eastern Piedmont, Novara, Italy.
J Oral Maxillofac Surg. 2019 Apr;77(4):791.e1-791.e7. doi: 10.1016/j.joms.2018.12.013. Epub 2018 Dec 27.
The aim of this study was to analyze the demographic variables and causes and characteristics of mandibular angle fractures managed at several European departments of maxillofacial surgery.
This study was based on a multicenter systematic database that allowed the recording of data from all patients with mandibular angle fractures between January 1, 2013, and December 31, 2017. The following data were recorded: gender, age, etiology, side of angle fracture, associated mandibular fractures, presence of third molar, intermaxillary fixation, and osteosynthesis.
The study included 1,162 patients (1,045 male and 117 female patients). A significant association was found between the presence of a third molar and the diagnosis of an isolated angle fracture (P < .0000005). Furthermore, assaults were associated with the presence of voluptuary habits (P < .00005), a younger mean age (P < .00000005), male gender (P < .00000005), and left-sided angle fractures (P < .00000005).
Assaults and falls actually represent the most frequent causes of angle fractures. The presence of a third molar may let the force completely disperse during the determination of the angle fracture, finding a point of weakness.
本研究旨在分析欧洲多个颌面外科科室治疗的下颌角骨折患者的人口统计学变量、病因及特点。
本研究基于一个多中心系统数据库，该数据库记录了2013年1月1日至2017年12月31日期间所有下颌角骨折患者的数据。记录的以下数据：性别、年龄、病因、角骨折的侧别、相关下颌骨骨折、第三磨牙的存在情况、颌间固定及骨固定。
该研究纳入了1162例患者（1045例男性患者和117例女性患者）。发现第三磨牙的存在与孤立性角骨折的诊断之间存在显著关联（P <.0000005）。此外，袭击与放荡习惯的存在相关（P <.00005）、平均年龄较小（P <.00000005）、男性性别（P <.00000005）及左侧角骨折（P <.00000005）。
袭击和跌倒实际上是角骨折最常见的原因。第三磨牙的存在可能会在角骨折发生时使力量完全分散，找到一个薄弱点。
