scholarly journals Management of mandibular parasymphysis fracture: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 1423
Author(s):  
Desak P. K. Wedayanti ◽  
Gusti N. K. Dinatha ◽  
Putu Gosen Partama ◽  
Made Kurniawan Ardi Saputra
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Treatment Options ◽  
Open Reduction Internal Fixation ◽  
Mandibular Fractures ◽  
Facial Skeleton ◽  
Facial Region ◽  
Arch Bar ◽  
Patient Reported ◽  
The Right

Mandibular fractures are among the most common injuries to the facial skeleton. Mandibular parasymphysis fractures lead to the loss of occlusion with step deformity formation. Treatment of mandibular fractures aims to restore occlusion and function and facilitate direct bone healing by adequate reduction and immobilization on the fractured site. We report a mandibular parasymphysis fracture of 17 years old male patient due to the road traffic accidents. Patient reported severe jaw pain during movement and abundant intraoral bleeding was observed. A clinically computed tomography scan of the face with axial, coronal, and 3-D reconstruction was performed, which showed parasymphysis fracture. The following treatment done was the application Arch bar and open reduction internal fixation (ORIF) mini plate under general anesthesia. After access, mandibulomaxillary fixation was performed to ensure satisfactory occlusion after adequate fragment reduction. The fractures were properly fixed with 6 hole and 3 hole, screw 8mm for the left mandibular, and for the right mandibular used 5 hole and 3 hole, screw 8 mm. Mandibular fractures are the most common fractures of facial region and treatment options depend upon the type of fracture of mandible according to the anatomic variations. 

scholarly journals A retrospective study of causes, management, and complications of pediatric facial fractures

2018 ◽  
Vol 12 (02) ◽  
pp. 247-252 ◽  
Author(s):  
Muhammad Ehsan Ul Haq ◽  
Abdul Samad Khan
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Open Reduction Internal Fixation ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Management Options ◽  
Low Socioeconomic ◽  
Fall Injuries ◽  
Study Results

ABSTRACT Objectives: The objective of this study was to report causes, management options, and complications of facial fractures among children. Materials and Methods: The groups were defined on the basis of age, gender, cause of injuries, location, and type of injuries. The treatment modalities ranged from no intervention, closed reduction alone or with open reduction internal fixation (ORIF). Statistical Analysis: Descriptive statistics were generated by using SPSS software for the entire range of the variables under study. Results: Records of 240 pediatric patients were obtained and a total of 322 fractures were found among a study sample. Among these, one-thirds were due to road traffic accidents (RTAs) (37.26%) and fall injuries (36.64%), making them the leading causes of facial fractures. Mandibular fractures were the most common and they accounted for 46% (n = 148) of all fractures. The highest number of RTA (n = 27) was found in adolescents and fall injuries were more prevalent in preschool children (n = 34). Forty-two percent of the fractures (n = 101) were treated with close treatment using arch bars and splints, followed by ORIF (n = 68). The rest, 29.6% (n = 71), received conservative treatments. Postoperative complications were observed in 18.33% (n = 44) of cases, of which jaw deviation, growth disturbance, and trismus were more frequently encountered. Conclusion: Pediatric facial fractures if not managed properly can cause severe issues; therefore, injury prevention strategies should be strictly followed to reduce pediatric injuries in low socioeconomic countries.

scholarly journals Etiology, Patterns And Treatment Modalities For Mandibular Fractures

2018 ◽  
Vol 08 (02) ◽  
pp. 97-102
Author(s):  
Muhammad Asif Shahzad ◽  
Momin Ayub Marath ◽  
Daud Mirza
Keyword(s):  
Teaching Hospital ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Cross Sectional ◽  
Patients Âgés ◽  
Presentation Frequency ◽  
Arch Bar

Objective: The objective of current study was to evaluate the etiology, patterns of presentation, frequency and different treatment modalities for mandibular fractures in patients treated at Lahore Medical and Dental College/Ghurki Trust Teaching Hospital (LMDC/GTTH). Methodology: This descriptive – cross sectional study was conducted at Lahore Medical and Dental College, Lahore/Ghurki Trust Teaching Hospital (LMDC/GTTH) from March 2015 to September 2017. The current study included one hundred and twelve (112) patients who were indentified having mandibular fractures. Data were collected regarding patient’s age, gender, etiology, site of fracture, patterns and treatment modalities and analyzed using SPSS version 20. Results: The patients’ ages were between 3 to 55 years (24.87±10.867, mean/SD). The majority of fractures occurred amongst 21-30 years of age group having female to male ratio of 1:5.6. Road traffic accident (RTA) was the most frequent etiological factor for mandibular fractures in 89 (79.47%) of patients, followed by assaults 11(09.82%) and fall 07 (06.25%). A total of 189 fractures were recorded in 112 patients giving a mean of 1.7 fractures per patient. Out of 189 fractures, the parasymphysis was the most prominent site of mandibular fractures(43.39%), followed by condyle (22.75%) and angle (15.87%). The treatment modality of open reduction and internal fixation (ORIF/ORIF with IMF) was performed in 88(78.57%) of patients while closed reduction and indirect fixation (IMF with eyelet wiring/arch bar elastics & splint fixation) was done in 24 (21.43%) of patients. Conclusion: As evidenced by the present study, road traffic accidents are the most common cause of mandibular fractures in young adults, mostly due to violation of traffic rules. These findings highlight the need to reinforce legislation for prevention of such injuries both in children and adults

scholarly journals Spectrum of Maxillary and Mandibular Fractures Among Patient Visiting Dental Hospital

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1399-1405
Author(s):  
Vivek Babu B ◽  
Herald J. Sherlin ◽  
Samuel Raj Srinivasan
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Mandibular Fractures ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Facial Region ◽  
Retrospective Clinical Study ◽  
Dental Hospital ◽  
Chennai City

Fracture is defined as a break in continuity in the bone. The most common affected bone in the facial region is the mandible. injuries present as one of the most important health problems worldwide. The aim of the present study is to evaluate the spectrum of mandibular and maxillary practice among patients visiting dental hospital. The study was a retrospective study done under hospital setting. The population considered in this study was 64 individuals with fractures. This is an institutional retrospective study and data was collected from 86000 patients visiting Saveetha Dental College And Hospital, during the time period of June 2019 to March 2020 were reviewed and collected data were statistically with the help of SPSS by IBM and tables and graphs well plotted. This retrospective clinical study with the population of 64 patients reveals the increased prevalence fracture in males and that is found to be 62.8% and the most commonly affected age group is a third decade (32.8%). The most common site of fracture is mandible and the prevalence of mandibular fracture was found to be 64.1 percentage. Out of many causes of fracture, the most common factor is due to road traffic accidents and the prevalence was found to be 48.4%. There is a high prevalence of fracture in the population under study and males were the most commonly affected age group in the third decade and common is road traffic accidents in Chennai city, India.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India

2017 ◽  
Vol 3 (4) ◽  
pp. 878
Author(s):  
Basheer N. K. ◽  
Jaya C. ◽  
Sabir V. T.
Keyword(s):  
Traffic Accidents ◽  
Surgical Intervention ◽  
Road Traffic ◽  
Treatment Options ◽  
Cost Benefit ◽  
Minor Bleeding ◽  
Older Individuals ◽  
Bleeding Point ◽  
Common Causes ◽  
Nasal Bleed

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Epistaxis is the most common otorhinolaryngological emergency worldwide. Minor bleeding episodes occur more frequently in children and adolescents, whereas severe bleed requiring otolaryngologic intervention often occur in older individuals. Treatment options can be conservative or surgical, the selection of which should be made considering the parameters: efficiency, complications, and cost-benefit. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This was a prospective study done in 131 patients with epistaxis, in the Department of ENT, Government Medical College, Trivandrum, with the aim to determine the etiology and the outcome of the conservative and surgical management.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The most common causes of epistaxis were trauma and hypertension. The age incidence increased after forty years and majority had unilateral, anterior nasal, mild-moderate bleed. 79% of the cases were managed by conservative measures as opposed to only 21% who required surgical intervention. Success rate of anterior nasal pack and cauterisation of bleeding point was nearly 84%. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Majority of cases of epistaxis can be successfully managed by conservative measures and surgical intervention may not be necessary in most cases. Cauterization of bleeding point is the best conservative method which can be offered to the patient though anterior nasal packing still remains the most preferred method to control the bleed. The most common causes of epistaxis being trauma and hypertension, reducing road traffic accidents and lifestyle illness can reduce the incidence of nasal bleed.</span></p>

scholarly journals Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

2021 ◽  
Vol 03 (01) ◽  
pp. 55-66
Author(s):  
Iftikhor Obidjonovich Nigmatov ◽  
◽  
Shukhrat Abdujalilovich Boymuradov ◽  
Jamolbek Abdukakhkhorovich Djuraev ◽  
Yusupov Shokhrukh Shukhratovich ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Soft Tissues ◽  
Road Traffic ◽  
Craniocerebral Trauma ◽  
High Growth ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Number Of Patients ◽  
The Face ◽  
Post Traumatic

The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.

scholarly journals The Victims of Road Traffic in the Territory of Kosovo and the Way of Their Compensation-Indemnity

2016 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
MSc. Halim Kuliqi
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Comparative Method ◽  
Theory And Practice ◽  
Road Traffic Accidents ◽  
The Road ◽  
Large Numbers ◽  
The Right

Taking into account the fact that in the world the road traffic accidents happen very often and go up to very large numbers, which often are also very disturbing, then there is an indispensable need to study this problem, because without identifying the problem and its causes then it can neither be fought nor prevented.The significance of this paper lays on the presentation of some data regarding the number of accidents and their victims, the ways of compensation for the damage and the presentation of some measures in order to protect the victims of accidents from secondary victimization.This paper fills a scientific gap for victims of accidents and their way of compensation, which until now for the case of Kosovo has been not addressed significantly in terms of theory and practice also. For the presentation and the development of this issue have been used statistical method, comparative method and among others also the case study methods.In other words, the main purpose of this paper is to present data that expose the difficulties for the realization of the right of victims after suffering accidents and also to propose some norms that would protect the victims from secondary victimization, as victims after suffering a traffic accident may be hurt again until the realization of their demand for compensation according to the law.

scholarly journals Оrganizational aspects of primary health care for personal skeleton damage caused by road traffic accidents

2021 ◽  
Vol 22 (3) ◽  
pp. 12-18
Author(s):  
V. V. Masljakov ◽  
O. N. Pavlova ◽  
A. V. Pimenov ◽  
A. G. Proshin ◽  
A. V. Poljako ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Accidents ◽  
Facial Skeleton ◽  
Primary Health ◽  
Open Injuries

The purpose of the study. Study the organizational aspects of providing primary health care for victims with the facial department of the skeleton as a result of traffic accidents. Materials and methods. To achieve this goal, a retrospective study was conducted. The work included victims of road accidents with damage to the facial part of the skull between the ages of 18 and 70 years. In total, 150 victims were included in the study between 2000 and 2019. Results of the study and their analysis. The study shows that injuries to the facial skeleton as a result of traffic accidents are relevant. As a result of the study, it was found that as a result of an accident, there is approximately the same number of closed and open injuries. At the same time, open injuries, which could be regarded as medium and severe, were identified in 45 (30%) cases. In addition, data analysis showed that in 30,7% of observations, first aid was provided by random witnesses and/ or relatives of victims who did not have the skills and necessary knowledge to provide such assistance. In addition, an additional 19,3 per cent of first aid was provided by staff of various services who have some knowledge and skills in first aid. This is due to the fact that in the first group, first aid was provided faster than in the second group. The lack of the necessary skills to provide first aid to victims with such an injury can be explained by the rather high percentage of errors, which in the first group amounted to 18,7%, while employees of various services showed good results in providing such assistance and errors were not noted. Key words: primary health care, damage to the facial skeleton, traffic accident.

scholarly journals Angle Fracture: An Outcome in Bareilly Population

2019 ◽  
Vol 1 (1) ◽  
pp. 26-29
Author(s):  
Archana Chaurasia ◽  
Sakshi Gupta ◽  
Braj Bhushan Mall ◽  
Poonam Singh
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
High Complication Rate ◽  
Mandibular Angle ◽  
Common Cause ◽  
Medical College ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Patient Reported

Introduction: Mandibular angle fracture is a very common fracture of the mandible. These account for approximately 30% of all fractures. These fractures are treated by many techniques such as open reduction or maxilla-mandibular fixation. These fractures have high complication rate accounting for 0% to 32% postoperatively. Material and Methods: This study was conducted on 50 patient reported in Institute of dental sciences, Bareilly and Rohilkhand medical college and hospital, Bareilly to evaluate the outcome of mandibular angle fracture in our institute. Result: Out of 50 patients of mandibular angle fracture, 30 were treated surgically, 17 were treated conservatively, and 3 patients were not interested in any kind of treatment. Males are more commonly affected and road traffic accidents was a very common cause of angle fracture.

scholarly journals Traumatic rib head subluxation through the intervertebral foramen causing spinal cord contusive injury in a cat

2020 ◽  
Vol 6 (1) ◽  
pp. 205511692092926
Author(s):  
Natalie Lisiewicz ◽  
Matthew Green ◽  
Mike Targett ◽  
Mark Lowrie
Keyword(s):  
Spinal Cord ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Intervertebral Foramen ◽  
Case Summary ◽  
Injury Treatment ◽  
The Right ◽  
Rib Head

Case summary A 4-year-old cat involved in a road traffic accident presented with paraparesis, which was worse on the right-hand side. Neurolocalisation was to the T3–L3 spinal cord segments. Survey radiographs showed rib fractures but no definitive diagnosis for the paraparesis. CT revealed fracture of the dorsal rim and a T9 rib subluxation through the intervertebral foramen at T8–T9. This caused a contusive spinal injury. Treatment consisted of rest and analgesia. The cat recovered well, with the owner reporting no abnormalities 5 months following the injury. Relevance and novel information Road traffic accidents are a common cause of injury in the cat population, with a significant number having thoracic injuries. These include rib injures such as fractures. This is the first reported case of a traumatic rib subluxation causing a contusive injury in the spinal cord of any species. Previously reported rib subluxations have been seen in humans with spinal deformities. Conservative management in this case was sufficient.

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