Frimpong Paul, Nguyen Truc Thi Hoang, Sodnom-Ish Buyanbileg, Nimatu Edinam Salia, Dampare Nana Yaa Asantewaa, Rockson Roberta, Awuah Samuel Baffour, Amponsah Emmanuel Kofi, Newton Cardinal, Kim Soung Min
Oral and Maxillofacial Microvascular Reconstruction LAB, Sunyani, Ghana.
Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2021 Dec 31;47(6):432-437. doi: 10.5125/jkaoms.2021.47.6.432.
The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for managing mandibular fractures in low-resource health facilities in low-income countries like Ghana.
This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries.
A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the leading cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and industrial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) occurred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation.
Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, especially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.
在道路交通事故后，下颌骨及颌面区域的其他部位会遭受严重的致残性损伤。我们的研究给出了加纳下颌骨骨折的流行病学描述，并评估了闭合复位和间接固定在加纳等低收入国家的资源匮乏的医疗机构中治疗下颌骨骨折的相关性。
这是一项回顾性研究，纳入了2010年1月至2019年12月期间到Sunyani地区医院口腔颌面外科就诊的268例下颌骨骨折患者。评估患者病历以获取有关年龄、性别、骨折病因、骨折的解剖位置、道路交通事故发生的时间以及其他相关损伤的信息。
本研究共纳入268例患者（男性216例[80.6%]；女性52例[19.4%]）。机动车事故（MVA）是下颌骨骨折的主要原因（202例损伤，75.4%）。其他病因包括袭击（39例，14.6%）、枪伤（13例，4.9%）、跌倒（12例，4.5%）和工业事故（2例，0.7%）。在由MVA导致的161例男性病例中，121例（75.2%）发生在夜间和傍晚，其余40例（24.8%）发生在上午和下午。在所有接受治疗的222例患者中，212例（79.1%）采用闭合复位和间接固定技术治疗，10例（3.7%）采用切开复位和直接固定治疗。
闭合复位加间接固定可成功用于资源匮乏的医疗机构，尤其是低收入国家，治疗下颌骨骨折。加纳道路照明系统不佳是机动车事故的一个主要促成因素。
