Amjad Shah, Adnan Ali Shah, Abdus Salam.
Pattern and management of mandibular fractures: a study conducted on 264 patients.
Pak Oral Dental J Jan ;27(1):103-6.

The descriptive study was undertaken to determine the pattern and different methods of treatment of maxillofacial fractures. Two hundred and sixty four patients with mandibular fractures were treated during the year 2001-2002. A review of patients’ records and radiographs was conducted. Data regarding age, gender, cause of fracture, anatomic site and treatment modalities were reviewed. There was higher prevalence in male (4.8:1), with occurrence peak between 21-30 years. The principal causes of fracture in this study were RTA (Road Traffic Accidents) representing 62.8%(n=166), followed by fall (n=53; 20%), assault, sports, Fire Arm Injury (FAI). The most injured sites were, in decreasing order, body of the mandible (30.3%) followed by condylar region (24.2%), angle, paraymphysis, dentoalveolar, symphysis, ramus, coronoid. Most patients of mandibular fractures were treated by closed reduction [eyelet wiring, arch bars with intermaxillary fixation (IMF) & splint fixation], 18.9% of patients were treated with open reduction (Interosseous & miniplates fixation. This study reflects patterns of mandibular fracture within the community and, it is hoped that assessment presented here will be valuable to government agencies and health care professionals involved in planning future programs of prevention & treatment.

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