MANAGEMENT OF MANDIBLE FRACTURES AT TERTIARY CENTRE

Dr. Monali Makadia, Dr. Pranit D Mankare

Abstract


Background: To evaluate the cases of mandible fractures treated by open reduction and rigid fixation at the B.J Medical college, Ahmedabad.
Methods: Two hundred and forty mandible fractures cases were treated by open reduction and rigid fixation from September 2011 to September
2017. These were retrospectively analyzed based on the following patient related factors i.e. mode of injury, age and sex distribution, site of injury,
associated injuries and surgical treatment.
Result: The significant finding was that the most common etiology for fracture mandible was road traffic accidents (RTA), 216 (90%). Of the
patients who reported, 205 (85.5%) were males in the third decade of life. 108 (45%) patients had parasymphysis fractures, 74 (30.5%) had angle
fractures, 36 (15%) condylar fractures, 19 (7.9%) body fractures and 3 (1.6%) had ramus fracture. Early intervention using open reduction and
internal fixation was the protocol followed, based on which results were studied.
Conclusion: As RTA especially two wheelers accidents appeared to be the most common cause of mandible fractures. Most commonly males
suffer mandible fracture. Moreover open reduction and rigid internal fixation appears to be the suitable treatment modality in successful treatment
of mandible fractures in reducing morbidity and complications and ensuring early return to normalcy.


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References


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