Patterns of Mandibular Fractures in South Australia: Epidemiology, Treatment, and Clinical Outcomes.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Jun 2022
01 Jun 2022
Historique:
pubmed:
25
9
2021
medline:
2
9
2022
entrez:
24
9
2021
Statut:
ppublish
Résumé
The mandible is one of the most common facial bones to be injured with great clinical variability across countries caused by assaults, road traffic accidents, and falls. A retrospective review was conducted for adult mandibular fractures from January 2012 to January 2017 at the Royal Adelaide Hospital, Adelaide. Our aim was to describe epidemiological trends of mandibular fractures, differences for sex and age, and clinical outcomes. Five hundred sixty five adult patients presented with a mandibular fracture with a male predominance (4.5:1). The mean age was 34.2 years with men 11.9 years younger than females (32.0 versus 44.1 years, P < 0.001). Assaults represented 58.2% of cases. A quarter of the cohort reported alcohol use. Assaults commonly resulted in angle and symphyseal fractures, whereas almost all falls and road traffic accident resulted in condylar or coronoid fractures. Young men were 1.9 times more likely to have mandibular fractures compared to women, whereas elderly men were 11.8% less likely ( P < 0.001). The most common fracture was the angle (33.6%) and the angle/symphyseal (14.2%). Men were 2.5 times more likely to have surgery. The complication rate was 10.8% and the re-operative rate was 5.0%. Women had a significantly longer admission of 1.6 days compared to men (4.4 versus 2.8 days, P = 0.003). Young men are more likely to have mandibular fractures from assaults and have surgery. Young women and elderly females are more likely to have animal and fall-related injuries resulting including in condylar fractures with associated injuries and extended length of stay.
Identifiants
pubmed: 34560730
doi: 10.1097/SCS.0000000000008244
pii: 00001665-900000000-92152
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1018-1022Informations de copyright
Copyright © 2021 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Ogundare BO, Bonnick A, Bayley N. Pattern of mandibular fractures in an urban major trauma center. J Oral Maxillofac Surg 2003; 61:713–718.
Lamphier J, Ziccardi V, Ruvo A, et al. Complications of mandibular fractures in urban teaching center. J Oral Maxillofac Surg 2003; 61:745–749.
Fridrich KL, Pena-Velasco G, Olson RA. Changing trends with mandibular fractures: a review of 1,067 cases. J Oral Maxillofac Surg 1992; 50:586–589.
Chrcanovic BR, Abreu MH, Freire-Maia B, et al. 1,454 mandibular fractures: a 3-year study in a hospital in Belo Horizonte, Brazil. J Craniomaxillofac Surg 2012; 40:116–123.
Kruger E, Tennant M. Fractures of the mandible and maxilla: A 10-year analysis. Australas Med J 2016; 9:17–24.
Kruger E, Heitz-Mayfield LJ, Perera I, et al. Geographic modelling of jaw fracture rates in Australia: a methodological model for healthcare planning. Dent Traumatol 2010; 26:217–222.
Snell B, Grave B. The multidisciplinary management of complex facial trauma at Royal Adelaide Hospital. Australas J Plast Surg 2018; 1:31–32.
Australian Bureau of Statistics. Information paper. An introduction to Socio- Economic Indexes for Areas (SEIFA) 2006(2039. 0). Canberra, Australia: ABS; 2008.
Australian Bureau of Statistics, Australian Statistical Geography Standard (ASGS): Volume five - Remoteness Structure, July 2016. Accessed 12/1/2021: https://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/1270.0.55.005Main%20Features15July%202016?opendocument&tabname=Summary&prodno=270.0.55.005&issue=July%202016&num=&view =
Lalloo R, Lucchesi LR, Bisignano C, et al. Epidemiology of facial fractures: incidence, prevalence and years lived with disability estimates from the Global Burden of Disease 2017 study. Inj Prev 2020; 26 (Supp one):i27–i35.
Chew DJ, Edmundson HD. A study of maxillofacial injuries in the elderly resulting from falls. J Oral Rehabil 1996; 23:5–9.
Lin KC, Peng SH, Kuo PJ, et al. Patterns Associated with Adult Mandibular Fractures in Southern Taiwan-A Cross-Sectional Retrospective Study. Int J Environ Res Public Health 2017; 14:821.
Rashid S, Kundi JA, Sarfaraz A, et al. Patterns of Mandibular Fractures and Associated Comorbidities in Peshawar, Khyber Pakhtunkhwa. Cureus 2019; 11:e5753.
Amarista Rojas FJ, Bordoy Soto MA, Cachazo M, et al. The epidemiology of mandibular fractures in Caracas, Venezuela: Incidence and its combination patterns. Dent Traumatol 2017; 33:427–432.
Moshy JR, Msemakweli BS, Owibingire SS, et al. Pattern of mandibular fractures and helmet use among motorcycle crash victims in Tanzania. Afr Health Sci 2020; 20:789–797.
Edwards TJ, David DJ, Simpson DA, et al. Patterns of mandibular fractures in Adelaide, South Australia. Aust N Z J Surg 1994; 64:307–311.
Yildirgan K, Zahir E, Sharafi S, et al. Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre. Emerg Med Int 2016; 2016:3502902.
Diab J, Moore MH. Facial fractures in the elderly: epidemiology, clinical characteristics, and management. Eur J Plast Surg 2021. 1–10.
Diab J, Moore MH. Animal-related facial fractures in South Australia. ANZ J Surg 2021; 91:954–961.
Diab J, Leinkram D, Wykes J, et al. Maxillofacial reconstruction with prefabricated prelaminated osseous free flaps. ANZ J Surg 2021; 91:430–438.
Ullah R, Turner PJ, Khambay BS. Accuracy of three-dimensional soft tissue predictions in orthognathic surgery after Le Fort I advancement osteotomies. Br J Oral Maxillofac Surg 2015; 53:153–157.
Oberdan W, Finn D. Mandibular fractures in Far North Queensland: an ethnic comparison. Australia and New Zealand Journal ofSurgery 2007; 77:73–79.
AIHW, Al-Yaman F, Van Doeland M. 2006. Family violence among Aboriginal and Torres Strait Islander peoples. Cat. no. IHW 17. Canberra: AIHW. [cited 2014 Feb 24]. Available from: http://www.aihw.gov.au/publication-detail/?id=6442467912 . Accessed date Dec 15, 2020
Zavlin D, Jubbal KT, Echo A, et al. Multi-institutional analysis of surgical management and outcomes of mandibular fracture repair in adults. Craniomaxillofac Trauma Reconstr 2018; 11:041–48.
Gualtieri M, Pisapia F, Fadda MT, et al. Mandibular Fractures Epidemiology and Treatment Plans in the Center of Italy: A Retrospective Study. J Craniofac Surg 2020.
Hassanein AG. Trends and Outcomes of Management of Mandibular Fractures. J Craniofac Surg 2019; 30:1245–1251.
Teenier TJ, Smith BR. Management of complications associated with mandible fracture treatment. Atlas Oral Maxillofac. Surg Clin North Am 1997; 5:181–209.
Passeri LA, Ellis E III, Sinn DP. Complications of nonrigid fixation of mandibular angle fractures. J Oral Maxillofac Surg 1993; 51:382–384.
Munante-Cardenas JL, Facchina Nunes PH, Passeri LA. Etiology, treatment, and complications of mandibular fractures. J Craniofac Surg 2015; 26:611–615.
Lapidus JB, Santosa KB, Skolnick GB, et al. OpioidPrescribingandUse Patterns in Postsurgical Facial Trauma Patients. Plast Reconstr Surg 2020; 145:780–789.
Collins C, Lee J, Pirinjian G. An analysis of 274 mandible fractures treated with monocortical fixation. J Oral Maxillofac Surg 2001; 59: (supplement one.):
Brandt MT, Haug RH. Open versus closed reduction of adult mandibular condyle fractures: A review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg 2003; 61:1324–1332.
Assael LA. Open versus closed reduction of adult mandibular condyle fractures: An alternative interpretation of the evidence. J Oral Maxillofac Surg 2003; 61:1333–1339.
Aziz SR, Najjar T. Management of the edentulous/atrophic mandibular fracture. Atlas Oral Maxillofac Surg Clin North Am 2009; 17:75–79.
Marciani RD. Invasive management of the fractured atrophic edentulous mandible. J Oral Maxillofac Surg 2001; 59:792–795.
Bruce RA, Strachan DS. Fractures of the edentulous mandible: the Chalmer J Lyons academy study. J Oral Surg 1976; 34:973–979.
Bruce RA, Ellis E. The second Chalmers J Lyons academy study of fractures of the edentulous mandible. J Oral Maxillofac Surg 1993; 51:904–911.
Olson RA, Fonseca RJ, Zeitler DL, et al. Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg 1982; 40:23–28.
Ellis E III, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg OralMed Oral Pathol 1985; 59:120–129.
Lim LH, Lam LK, Moore MH, et al. Associated injuries in facial fractures: review of 839 patients. Br J Plast Surg 1993; 46:635–638.
Pena I Jr, Roberts LE, Guy WM, et al. The cost and inpatient burden of treating mandible fractures: a nationwide inpatient sample database analysis. Otolaryngol Head Neck Surg 2014; 151:591–598.
World Health Organization. Regional Office for South-East Asia. (2015). Child development and motorcycle safety. World Health Organization. Available from URL: https://apps.who.int/iris/handle/10665/160762 . Accessed June 2, 2020
Peden M, Scurfield R, Sleet D, et al. World report on road traffic injury prevention. World Health Organization. 2004. [Availble at: https://apps.who.int/iris/bitstream/handle/10665/42871/9241562609.pdf?sequence=1 Accessed June 1, 2020