scholarly journals Pattern and Etiology of Mandibular Fractures Reported at Nepalgunj Medical College: A Prospective Study

2017 ◽  
Vol 13 (2) ◽  
pp. 21-24
Author(s):  
Niva Kansakar ◽  
Bikram Budhathoki ◽  
Namdev Prabhu ◽  
Anjani Kumar Yadav

Background: Mandibular fracture is one of the most common fractures of the maxillofacial region. The pattern of mandibular fractures varies from country to country and these variations can be due to social, cultural, and environmental factors. Objectives: This study was conducted to evaluate the etiology, incidence and pattern of mandibular fractures in western region of Nepal, reported at Nepalgunj Medical College Teaching Hospital.Methodology: A prospective study of 130 patients with mandibular  fractures  was  conducted  in  Department  of  Dentistry,  Nepalgunj  Medical  College  Teaching  Hospital  from  November  2013  to November 2014. These patients were examined both using clinical and radiographic parameters for mandibular fracture. Data concerning age, gender, causes of fracture and sites of fracture were analyzed.Result: Out of 130 patients, 104(80%) were male patients and 26(20%) were female patients. Most common age group was between 21-30 years. Most common cause of mandibular fracture was road traffic accidents accounting for 66(50.77%) cases followed by fall injury in 30(23.08%) cases. Most common site involved was parasymphysis 46(30.47%) followed by angle 27(17.89%).  Road traffic  accidents due to alcohol  consumption 40(68.97%) was the leading cause followed by assault 10(17.24%) and fall 8(13.79%).Conclusion: Mandibular fractures are more frequent  in  male  than  female  with  higher  frequency  in  21-30  years  age  group.  The most commonly fractured site was the parasymphysis. Road traffic accidents were the most common etiology and significantly associated with alcoholism. JNGMC Vol. 13 No. 2 December 2015

2016 ◽  
Vol 85 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Praveen Athani ◽  
Basappa S Hugar ◽  
S Harish ◽  
YP Girishchandra

This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted. The majority of childhood deaths were in the age group of 15–18 years of both sexes constituting 46.88%. Males constituted 55.22% of cases. Suicide accounted for 40.63% of the cases. Most children committed suicide by hanging (82.05%). The main reason was academic failure and some of the cases were accidental (48.96%). Road traffic accidents accounted for 26.04% of the cases, where most children were pedestrians (56%). Drowning accounted for 15.63% of the cases. Most of the children drowned while playing near ponds (83.33%). Homicide accounted for 9.36% of the cases – either killed by their mother as part of a pedicide–suicide event or by the father, and in two cases the children were sexually abused before being killed.


Author(s):  
Kana Ram Patel ◽  
Jagdish Jugtawat ◽  
Shalender Kumar ◽  
P.C. Vyas

Accidents are not due to external factors all the time but often they occur due to failure of control of self-conscience and free thoughts. Road Traffic Accidents is still the major cause of death worldwide including India. A retrospective study has been conducted in Dr. S.N. Medical College, Jodhpur (Raj.), in the year 2019 to study the pattern and distribution of Head Injuries of fatal road traffic accidents and to prepare the demographic profile of it. Out of total 901 cases, male to female ratio was 9:1, and commonest age group affected was 21-30 years (39.8%). Among total victims, Hindus were 748 (83%) and rests were Muslims 103 (11.4%) and other religions. Head injury was the most common injury, present alone in 509 cases (56.4%) and in 392 (43.6) cases along with other injuries. Skull fractures were found in 451 (50.5), in which linear/fissure fracture (32.9%) was most common. Most common bone fractured was temporal bone. The commonest variety of intracranial hemorrhage was subdural hemorrhage and craniotomy was done in 29 (3.2%) cases. Keywords: Accidents, Road traffic, Head injury, Fractures.


2021 ◽  
Vol 7 (4) ◽  
pp. 282-286
Author(s):  
Babacar Tamba ◽  
Mouhammad Kane ◽  
Catherine Bintou Gassama ◽  
Mamadou Diatta ◽  
Abdou Ba ◽  
...  

The objective was to study the epidemiological, clinical and radiological aspects of patients with mandibular fractures in the odontostomatology department at the General hospital Idrissa Pouye in Senegal. This was a retrospective study of the records of patients who came for a mandibular fracture during the period from February 2007 to June 2019 to the odontostomatology department of the General hospital Idrissa Pouye in Dakar. The inclusion criterion was any patient file containing complete information and presenting a mandibular fracture received in the odontostomatology department. We used sociodemographic, clinical and radiographic variables. Of 128 patients who came for consultation with a mandibular fracture, 115 were male and 13 were female. The age group most affected was between 21 and 30 years. Workers (25.2%), pupils and students (25.2%) were the most represented. The most frequent cause of mandibular fractures was road traffic accidents (36.71%). In 41% of the road accidents, Jakarta mopeds were involved. The diagnosis was confirmed by radiological examination, which consisted of an orthopantomogram in 83.5% of cases. The mandibular symphysis was the most frequent location with 40.3% of fracture sites. Total continuity of the lines was observed in 21.9% of cases.


2018 ◽  
Vol 7 (1) ◽  
pp. 1637
Author(s):  
Geeta Mishra Tripathi ◽  
Divashree Sharma ◽  
Sourabh Dixit ◽  
Atul Bhat ◽  
Lal Singh Yadav ◽  
...  

<p><strong>Background:</strong> Condylar fractures accounts for 25-50% of all mandibular fractures. It can be extracapsular or intracapsular, nondisplaced, displaced, deviated, or dislocated from the disc.</p><p><strong>Objective:</strong> To evaluate the retromandibular transparotid approach for open reduction &amp; internal fixation of subcondylar fractures for post-operative occlusal status, stability of fixation &amp; postoperative complications.</p><p><strong>Material and Methods:</strong> The prospective study was performed on 24 patients (18 male and 8 females) sustaining 26 subcondylar fractures who were treated surgically utilizing retromandibular transparotid incision.</p><p><strong>Results:</strong> The most common etiology of injury was road traffic accidents in 62.5% patients. Satisfactory anatomic reduction and occlusion was achieved in all patients. The incidence of transient facial nerve injury was 16.67%. The facial nerve returned to normal function in 3 months in all the 4 affected patients.</p><p><strong>Conclusion:</strong> The incision provides easy visualization of the subcondylar region from the posterior edge of the ramus to the sigmoid notch, allows the perpendicular placement of screws to the fracture site, with minimal post operative complications and satisfactory esthetic results.</p>


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