Ahmadi Shahab Uddin, Fayaz Yahya, Miri Said Ahmad Sorosh, Wikins Wakil Muhammad, Nazari Fareed Ahmad, Karimi Ali Naqi, Yaqubi Ismail, Nikzad Naseer Ahmad, Joya Musa, Fahimi Reza
Department of Stomatology, Khatam AL Nabieen University, Kabul, Afghanistan.
Department of Prosthodontics, Khatam AL Nabieen University, Kabul, Afghanistan.
Clin Cosmet Investig Dent. 2024 Oct 16;16:413-418. doi: 10.2147/CCIDE.S487658. eCollection 2024.
The mandible, a key bone in the lower face, is prone to trauma. Although mandibular fractures are widely recognized as common and costly, there is a research gap on this topic in Afghanistan. This study explores the causes of lower jaw fractures and their link to demographic factors in the Afghan population.
A retrospective analysis of 535 medical records from a Kabul tertiary hospital (March 2021 to March 2022) examined lower jaw fractures, patient demographics (age, sex), and injury causes. Statistical methods, including chi-square tests and Pearson's contingency coefficient, were employed to explore correlations between mandibular fractures and demographic factors.
In this study, we analyzed 579 mandibular fractures in 535 patients, with road accidents (33.08%), falls (22.61%), and interpersonal conflicts being the leading causes. Most patients were aged 21-30, with single fractures being the most common (92.3%) and parasymphyseal fractures being the most prevalent (28.5%). Although certain fracture types were significantly correlated with age, no notable association was found between age and injury cause.
This study reveals that road accidents, falls, and interpersonal conflicts are the main causes of lower jaw fractures in Kabul, with the highest incidence in individuals aged 21-30. These findings highlight the necessity for targeted public health interventions, such as improved road safety campaigns and stricter traffic regulation enforcement, to lower injury rates. Incorporating these insights into clinical practice can also help healthcare providers more effectively manage lower jaw fractures in affected populations.
下颌骨是下脸部的关键骨骼，容易受到创伤。尽管下颌骨骨折被广泛认为是常见且代价高昂的，但阿富汗在这一主题上存在研究空白。本研究探讨了阿富汗人群下颌骨骨折的原因及其与人口统计学因素的关联。
对喀布尔一家三级医院（2021年3月至2022年3月）的535份病历进行回顾性分析，研究下颌骨骨折情况、患者人口统计学特征（年龄、性别）及受伤原因。采用卡方检验和皮尔逊列联系数等统计方法，探讨下颌骨骨折与人口统计学因素之间的相关性。
在本研究中，我们分析了535例患者的579例下颌骨骨折，道路交通事故（33.08%）、跌倒（22.61%）和人际冲突是主要原因。大多数患者年龄在21 - 30岁，单发骨折最为常见（92.3%），下颌骨正中旁骨折最为普遍（28.5%）。虽然某些骨折类型与年龄显著相关，但未发现年龄与受伤原因之间存在明显关联。
本研究表明，道路交通事故、跌倒和人际冲突是喀布尔下颌骨骨折的主要原因，21 - 30岁人群发病率最高。这些发现凸显了针对性公共卫生干预措施的必要性，如加强道路安全宣传活动和更严格执行交通法规，以降低受伤率。将这些见解纳入临床实践也有助于医疗服务提供者更有效地管理受影响人群的下颌骨骨折。
