Jha Sushil G, Sinha Vikas, Samanth T U, Dadhich Swati
Department of E.N.T, GMC Bhavnagar, Sir. T Hospital Campus, Bhavnagar, 364001 India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):417-424. doi: 10.1007/s12070-018-1332-5. Epub 2018 Apr 10.
The facial area is one of the most frequently injured parts of the body (Abiose in Br J Oral Maxillofac Surg 24(1):319, 1986; Adi et al. in Br J Oral Maxillofac Surg 28(3):1949, 1990; Allan and Daly in Int J Oral Maxillofac Surg 19(5):26871, 1990), and the mandible is one of the most commonly fractured maxillofacial bones (1990; Azevedo et al. in J Trauma 45(6):10847, 1998; Bremerich et al. in Acta Stomatol Belg 93:511, 1996). Mandible is the only mobile bone of the skeleton, and hence vulnerable to fracture. This is a retrospective study of 50 mandibular fracture cases managed at the Department of ENT, Govt. Medical College Bhavnagar during the 2 years period from 2014 to 2016. Maximum subjects were in age group 21-30 years with a male preponderance. Road traffic accident is the main cause followed by falls and assault. Symphysis is the most common site of Mandibular fracture. Mandible fracture is a common entity in Road traffic accidents. Multiple fractures are seen in 40% of mandibular fracture cases. The results were equally good in patients requiring only MMF (Maxillo Mandibular Fixation) and inpatients requiring MMF and Plating, during the follow up up to 8 weeks. Physiotherapy was advised for all the post op patients after 2 months.
面部是身体最常受伤的部位之一（阿比奥斯，《英国口腔颌面外科杂志》24(1):319，1986年；阿迪等人，《英国口腔颌面外科杂志》28(3):1949，1990年；艾伦和戴利，《国际口腔颌面外科杂志》19(5):26871，1990年），而下颌骨是颌面骨中最常发生骨折的骨骼之一（1990年；阿泽维多等人，《创伤杂志》45(6):10847，1998年；布雷默里希等人，《比利时口腔医学学报》93:511，1996年）。下颌骨是骨骼中唯一可活动的骨头，因此容易骨折。这是一项对2014年至2016年期间在巴夫纳加尔政府医学院耳鼻喉科治疗的50例下颌骨骨折病例的回顾性研究。最大的患者群体年龄在21 - 30岁之间，男性居多。道路交通事故是主要原因，其次是跌倒和袭击。颏联合是下颌骨骨折最常见的部位。下颌骨骨折在道路交通事故中是一种常见情况。40%的下颌骨骨折病例可见多处骨折。在长达8周的随访期间，仅需要颌间固定（MMF）的患者和需要颌间固定及钢板固定的住院患者的治疗效果同样良好。建议所有术后患者在2个月后进行物理治疗。
