Epidemiological Study of the Socioeconomic Impact of Mandible Fractures in a Spanish Tertiary Hospital: Review of the Literature.

Autor: Jariod Ferrer ÚM; 1Oral and Maxillofacial Department, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain.; 2Faculty of Medicina, Zaragoza University, C/Domingo Miral s/n, 50009 Zaragoza, Spain., Blanco Sanfrutos S; Oral and Maxillofacial Department, Can Misses Hospital, Carrer de Corona 11, 07800 Eivissa, Ibiza (Illes Balears) Spain., Gavin Clavero MA; 1Oral and Maxillofacial Department, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain., Simon Sanz MV; 1Oral and Maxillofacial Department, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain., Uson Bouthelier T; 1Oral and Maxillofacial Department, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain., Nadal Cristobal B; 1Oral and Maxillofacial Department, Miguel Servet University Hospital, Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain.
Jazyk: angličtina
Zdroj: Journal of maxillofacial and oral surgery [J Maxillofac Oral Surg] 2019 Jun; Vol. 18 (2), pp. 217-223. Date of Electronic Publication: 2018 Aug 28.
DOI: 10.1007/s12663-018-1148-6
Abstrakt: Introduction: Mandibles fractures are one of the most frequent pathologies treated in an Oral and Maxillofacial Department and represent a serious public health problem.
Materials and Methods: We present a retrospective study of patients treated for mandible fractures by the Oral and Maxillofacial Surgery Department in a Spanish tertiary hospital during 2010-2012.
Results: One hundred and thirty-nine patients with 201 mandible fracture sites were assisted in our department; 15% were female and 85% were male, with a male-to-female ratio of 5.5:1. The observed mean age was 35 years with a range between 15 and 89 years. The most frequent etiology of fractures was the assault (43%) followed by falls (32%). The most common fracture site was the mandibular angle (35%), followed by the parasymphysis (30%). Concerning combined fractures (60%), the most repeated association was the angle and the parasymphysis. The principal imaging test for diagnosis was the orthopantomography. The intermaxillary fixation was performed in the 25% of cases, and the rest of mandible fractures were fixed by osteosynthesis. The surgical treatment had an average of 4.2 days after the trauma, and the mean time of hospitalization was 6.5 days.
Conclusion: The principal aim of the treatment of mandible fractures is to restore the function of the patient occlusion. A malocclusion after surgery may decrease the patient quality of life, so a correct fracture reduction could shrink health spending. After the result shown in the present study, the social education should be improved in the developed countries with the objective of decline in the amount of aggressiveness.
Competing Interests: Compliance with Ethical StandardsAll authors certify that they have NO affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.
Databáze: MEDLINE
Externí odkaz: