The Pattern and Characteristics of Mandibular Fractures – A 3-Year Prospective Clinical Study

Authors

  • Paul Andrei Țenţ Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073, Oradea, Romania
  • Daniela Popa Prosthetic Dentistry, Department IV- Prosthetic dentistry and Dental materials, Faculty of Dental Medicine, „Iuliu Hațieganu" University of Medicine and Pharmacy, 32 Clinicilor Street, 400006, Cluj-Napoca, Romania
  • Raluca-Iulia Juncar Prosthetic Dentistry, Department IV- Prosthetic dentistry and Dental materials, Faculty of Dental Medicine, „Iuliu Hațieganu" University of Medicine and Pharmacy, 32 Clinicilor Street, 400006, Cluj-Napoca, Romania
  • Antonia Haranguş Leon Daniello Pneumology Hospital, 6 BogdanPetriceicu HaşdeuStreet, 400332, Cluj-Napoca, Romania
  • Teofil Lung Department of Oral and MaxilloFacial Surgery I, County Clinical Emergency Hospital of Cluj-Napoca, 3-5 Clinicilor Street, 400006 Cluj-Napoca, Romania
  • Mihai Juncar Faculty of Medicine and Pharmacy, University of Oradea, 10 Piața 1 Decembrie Street, 410073, Oradea, Romania
  • Marius Negucioiu Prosthetic Dentistry, Department IV- Prosthetic dentistry and Dental materials, Faculty of Dental Medicine, „Iuliu Hațieganu" University of Medicine and Pharmacy, 32 Clinicilor Street, 400006, Cluj-Napoca, Romania

Keywords:

traumatology, mandible, fracture, bone, etiology.

Abstract

In the absence of early diagnosis and correct treatment, mandibular fractures may lead to major functional and aesthetic complications affecting the subsequent integration of the traumatized patient in society. Mandibular fractures are most frequently masked by associated injuries of adjacent soft tissues, which can mislead less experienced clinicians.

Materials and methods: The aim of this study was to identify the incidence and type of injuries associated with mandibular fractures and to correlate them with the clinical characteristics of fracture lines. For this, patients diagnosed with mandibular fractures in the Clinic of Oral and Maxillofacial Surgery I in Cluj-Napoca in the period 1 January 2014 – 31 December 2016 were prospectively analyzed. Results: The study included 60 patients with 101 mandibular fracture foci. The most frequent location was subcondylar (24.75%). All fracture lines were complete (100%), the majority of which were displaced (70.30%) and intraorally open (50.70%). Displaced fractures were most frequently intraorally or extraorally open, while non-displaced fractures were closed (p=0.017). Bone fragment displacement was most frequently found in the case of lateral mandibular fractures (p=0.576). The most frequent associated injuries were laceration and soft tissue contusion, in equal proportions. Displaced fractures were most frequently accompanied by associated soft tissue injuries (p=0.035). Conclusions: Bone fragment displacement favors the opening of the fracture focus. The development and severity of concomitant soft tissue injuries are directly proportional to the degree of bone fragment displacement in the fracture focus.

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Published

2017-05-31

How to Cite

Țenţ, P. A., Popa, D., Juncar, R.-I., Haranguş, A., Lung, T., Juncar, M., & Negucioiu, M. (2017). The Pattern and Characteristics of Mandibular Fractures – A 3-Year Prospective Clinical Study. American Scientific Research Journal for Engineering, Technology, and Sciences, 32(1), 168–180. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/3064

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