STUDY OF THE CLINICAL AND RADIOLOGICAL CHARACTERISTICS OF THE FRACTURE OF VERTICAL MANDIBULAR UNITS

Background: Fracture of the vertical mandibular units caused by trauma are very common, difficulty in clinical diagnostics, if the emergency management is incorrect it will be dangerous to life of patients. Objective of this study: describe the clinical and radiological characteristics of fracture of the vertical mandibular units. Materials and method: Cross-sectional descriptive methods on 71 patients with the fracture of the vertical mandibular units caused by trauma, examined and treated at the Hue University Hospital and Hue Central Hospital from 05/2012 to 04/2013. Results: the majority of the patients were males (83.1%), 19 - 39 years of age (63.4%), the most common cause was road traffic accident (77.5%). The majority of them had associated fractures (74.6%), associated horizontal mandibular fracture (63.4%), occuring often in parasymphyseal region (49.4%). The majority of the vertical mandibular fracture were caused by traumatic force on parasymphyseal region (49.4%) and direction of traumatic force on one side of mandible (63.3%). Condylar fracture (55.0%) was the most fracture of vertical mandibular units, followed by mandibular angle fracture (38%); mandibular angle fracture is often unfavorable (92.6%) and displaced (63.0%) fracture; the majority of the condylar fracture was condylar head (48.7%) and displaced fracture (61.5%). The most common symptoms were difficult chewing (97.2%), painful swelling (91.5%), limited mouth openning (88.7%), throbbing pain (85.9%) and malocclusion (77.5%). The rate of films used to diagnose including panorama (97.2%), facial film (54.9%), oblique lateral film (45.0%) and CT Scans (39.4%). The rate of fractured detection of CTScans is 100%, of panoramic and posterior-anterior radiographs in mandibular angle fracture was in succession 100% and 94.4%, in condylar fracture was 94.9% and 26.3%. Conclusion: vertical mandibular fracture occured often in condyle and angle, associated often with parasymphyseal fractures; clinical diangosis based on limited mouth openning, throbbing pain and malocclusion; radiographs used often and had high rate of fractured detection were panorama and CT Scans. Key words: vertical mandibular fracture, clinical and radiological characteristics

Angle Fracture: An Outcome in Bareilly Population

The Traumaxilla ◽

10.1177/2632327319881072 ◽

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 ◽

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.

Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v5i2.37058 ◽

2018 ◽

Vol 5 (2) ◽

pp. 45-48

Author(s):

Uday Kumar Goswami ◽

Binay Kumar Das ◽

Prodip Chandra Dash ◽

Md Razaul Islam

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Road Traffic ◽

Maxillofacial Surgery ◽

Demographic Characteristics ◽

Oral And Maxillofacial Surgery ◽

Mandibular Angle ◽

Cross Sectional ◽

Background: Simple mandibular angle fracture can occur in different group of people due to different etiology.Objective: The purpose of the present study was to find out the demographic characteristics and etiology of simple mandibular angle fracture.Methodology: This cross-sectional study was conducted in the Department of Oral and Maxillofacial Surgery at Dhaka Dental College & Hospital, Dhaka and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2010 to December 2010 for a period of one (01) year. Among all patients admitted/attended to the hospital IPD or OPD with fracture of mandibular angle with or without other associated fracture sites were selected as study subjects. The details of demographics characteristics and etiology of fracture were recorded. Result: A total number of 30 patients were recruited for this study. Majority of the respondents 21(70%) were male and rest 09(30%) were female. Mean age of the patients was 29.5±6.795 years. Among the 30 respondents 46.7% had history of Road Traffic Accident, 43.3% due to assault and only 10% for other causes.Conclusion: In conclusion the most common etiology of mandibular angle fracture is road traffic accident. Male and younger adult are frequently encounter the mandibular angle fracture.Journal of Current and Advance Medical Research 2018;5(2):45-48

Right mandibular angle and left comminuted mandibular body fractures stabilised with a combination of an acetabular plate and secured pin intermandibular ventral epoxy resin (SPIVER) frame in a four-month-old puppy

Veterinary Record Case Reports ◽

10.1136/vetreccr-2020-001131 ◽

2020 ◽

Vol 8 (3) ◽

pp. e001131

Author(s):

Fabrizio di Virgilio ◽

Alexandros Bourbos ◽

Filippo Cinti ◽

Guido Pisani

Keyword(s):

Epoxy Resin ◽

Mandibular Fracture ◽

Mandibular Fractures ◽

Mandibular Angle ◽

Angle Fracture ◽

Mandibular Body ◽

Fracture Configuration ◽

Osteosynthesis Techniques ◽

One Year

This case report aimed to describe a surgical technique combining a secured pin intermandibular ventral epoxy resin (SPIVER) frame and an acetabular plate to manage a complex mandibular fracture configuration in a puppy. A four-month-old, entire male, German wirehaired pointer was referred for assessment of a combination of recent (three days before hospitalisation) and older traumatic (45 days before hospitalisation) facial injuries inflicted by the dam. CT revealed multiple mandibular and maxillary fractures with complex acute mandibular fractures requiring surgical stabilisation. wo techniques were combined on stabilisation of the mandible: a single acetabular plate 2.7 to repair the mandibular angle fracture and a SPIVER frame to repair the comminuted mandibular fracture. Both fractures healed uneventfully, and the dog had normal jaw function one year postoperatively. Occlusion was not modified compared with the preoperative condition, considering that the patient already had a malocclusion defect due to old lesions. The combination of two different osteosynthesis techniques had satisfactory short-term and long-term outcomes in this puppy.

Posttraumatic Parotid Sialocele Complicating a Mandibular Fracture: A Case Report

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0036-1593891 ◽

2017 ◽

Vol 10 (4) ◽

pp. 314-317

Author(s):

Jesse Falk ◽

Ryan Borgwardt ◽

Stephen MacLeod

Keyword(s):

Case Report ◽

Parotid Gland ◽

Blunt Trauma ◽

Mandibular Fracture ◽

Transoral Approach ◽

Mandibular Angle ◽

Unique Case ◽

Blunt trauma to the parotid resulting in the formation of a sialocele is rare, with only three cases identified in the literature. We present a unique case involving a 32-year-old man with blunt trauma resulting in a left mandibular angle fracture. The patient underwent open reduction and internal fixation of the left mandibular angle fracture via transoral approach. At follow-up, after resolution of the edema from the injury, a sialocele was noted in the region of the left anterior parotid gland. The patient was treated conservatively with antisialagogues, pressure dressings, and multiple percutaneous aspirations that ultimately resulted in resolution of the sialocele.

A Retrospective study of 186 mandibular angle fractures: Influence of mountainous topography on etiology of mandibular angle fracture

Advances in Oral and Maxillofacial Surgery ◽

10.1016/j.adoms.2020.100010 ◽

2021 ◽

pp. 100010

Author(s):

Monika Parmar ◽

Manish Sahore ◽

Narotam Kumar Ghezta ◽

Abhishek Soni

Keyword(s):

Retrospective Study ◽

Mandibular Angle ◽

Angle Fracture ◽

Angle Fractures

Osteosynthesis using cannulated headless Herbert screws in mandibular angle fracture treatment: A new approach?

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2017.01.025 ◽

2017 ◽

Vol 45 (4) ◽

pp. 526-539 ◽

Cited By ~ 3

Author(s):

Jürgen Wallner ◽

Knut Reinbacher ◽

Matthias Feichtinger ◽

Mauro Pau ◽

Georg Feigl ◽

...

Keyword(s):

Fracture Treatment ◽

Mandibular Angle ◽

New Approach ◽

A Prospective Study of Strut versus Miniplate for Fractures of Mandibular Angle

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0033-1349213 ◽

2013 ◽

Vol 6 (3) ◽

pp. 191-196 ◽

Cited By ~ 13

Author(s):

Amy S. Xue ◽

John C. Koshy ◽

Erik M. Wolfswinkel ◽

William M. Weathers ◽

Kristina P. Marsack ◽

...

Keyword(s):

Mandibular Angle ◽

Patient Demographics ◽

Plate Group ◽

Angle Fracture ◽

Significant Difference ◽

Comminuted Fractures ◽

Angle Fractures ◽

A Prospective Study ◽

To Receive

This prospective randomized clinical trial compared the treatment outcomes of strut plate and Champy miniplate in fixation of mandibular angle fractures. Patients with mandibular angle fracture were consented and enrolled into this study. Exclusion criteria include patients with severely comminuted fractures. The patients were randomly assigned to receive the strut plate or Champy miniplate for angle fracture fixation. Patient demographics, fracture characteristics, operative and postoperative outcomes were collected prospectively. Statistical analysis was performed to evaluate the significance of the outcome. A total of 18 patients were included in this study and randomly assigned to receive either the strut plate or Champy miniplate. Out of which five patients were excluded postoperatively due to complex fracture resulting in postoperative maxillomandibular fixation. The final enrollment was 13 patients, N = 6 (strut) and N = 7 (Champy). There was no statistically significant difference in the pretreatment variables. Nine of these patients had other associated facial fractures, including parasymphyseal and subcondylar fractures. Most of the (11) patients had sufficient follow-up after surgery. Both groups exhibited successful clinical unions of the mandibular angle fractures. The complications associated with the mandibular angle were 20% in the strut plate group and 16.7% in the Champy group. One patient in the strut plate group had a parasymphyseal infection, requiring hardware removal. The strut plate demonstrated comparable surgical outcome as the Champy miniplate. It is a safe and effective alternative for management of mandibular angle fracture.