Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun;16(2):138-146.
doi: 10.1177/19433875221095984. Epub 2022 May 3.

Nine Years of Retrospective Study of Mandibular Fractures in Semi-urban Teaching Hospital, Shimla, Himachal Pradesh, India

Narotam K Ghezta  1 , Yogesh Bhardwaj  1 , Rangila Ram  1 , Monika Parmar  1 , Rowena N Basi  1 , Pooja Thakur  1
Affiliations

Nine Years of Retrospective Study of Mandibular Fractures in Semi-urban Teaching Hospital, Shimla, Himachal Pradesh, India

Narotam K Ghezta et al. Craniomaxillofac Trauma Reconstr. 2023 Jun.

Abstract

Study design: Retrospective study.

Objective: To evaluate current trends in maxillofacial trauma, a retrospective study of mandibular fractures at Government Dental College and Hospital Shimla H.P was carried out.

Methods: In this retrospective study, records of 910 patients with mandibular fractures were reviewed between 2007 and 2015 in the Department of Oral and Maxillofacial Surgery out of total 1656 facial fractures. These mandibular fractures were assessed according to age, sex, aetiology in addition to monthly and yearly distribution. Post-operative complications such as malocclusion, neurosensory disturbances and infection were recorded.

Results: It was observed that mandibular fractures were most frequent in males (67.5%) and in the age group of 21-30 years; accidental fall was the most common etiological factor (43.8%) in the present study and in stark difference to already published reports. The most common fracture site was that of condylar region 239 (26.2%). Open reduction and internal fixation (ORIF) were done in 67.3% cases whereas 32.6% were managed by maxillomandibular fixation and circummandibular wiring. Miniplate osteosynthesis was the most favoured technique. The complication with ORIF was 16%.

Conclusions: To treat mandibular fractures, currently there are many techniques. However, in minimizing complications and in achieving satisfactory functional and aesthetic results experienced surgical team plays an important role.

Keywords: complications; demographics; maxillofacial trauma; prevalence.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Bar diagram showing distribution of mandibular fractures by year and sex.
Figure 2.
Figure 2.
Pie diagram showing monthly distribution of mandibular Fractures.
Figure 3.
Figure 3.
Bar diagram showing etiological factors.
Figure 4.
Figure 4.
Bar diagram showing fracture distribution among various anatomic site.
Figure 5.
Figure 5.
Pie diagram showing maxillofacial fractures associated with mandibular fractures.
Figure 6.
Figure 6.
Bar diagram showing treatment modalities for mandibular fractures.
Figure 7.
Figure 7.
Patient with complications of mandibular fractures.
See this image and copyright information in PMC

References

    1. Dongas P, Hall G. Mandibular fracture patterns in Tasmania, Australia. Aust Dent J. 2002;47(2):131-137. - PubMed
    1. Lida S, Kongo M, et al. Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg. 2001;30:286-290. - PubMed
    1. Simsek S, Simsek B, Abubaker AO, Laskin DM. A comparative study of mandibular fractures in the United States and Turkey. Int J Oral Maxillofac Surg. 2007;36(5):395-397. - PubMed
    1. Bormann KH, Wild S, Gellrich NC, et al. Five-year retrospective study of mandibular fractures in Freiburg, Germany: Incidence, etiology, treatment, and complications. J Oral Maxillofac Surg. 2009;67:1251-1255. - PubMed
    1. Subhashraj K, Ramkumar S, Ravindran C. Pattern of mandibular fractures in Chennai, India. Br J Oral Maxillofac Surg. 2008;46:126-127. - PubMed

LinkOut - more resources