Incidence and Patterns of Mandibular Condyle Fractures
| Autor: | Roger Willian Fernandes Moreira, Renato Sawazaki, Márcio de Moraes, Luciana Asprino, Sergio Monteiro Lima Júnior |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Statistics Nonparametric Condyle Young Adult Fracture Fixation Mandibular Fractures Fracture fixation medicine Humans Sex Ratio Child Aged Retrospective Studies Aged 80 and over Orthodontics Chi-Square Distribution Dentition business.industry Incidence Incidence (epidemiology) Accidents Traffic Mandibular Condyle Seat Belts Middle Aged Bicycling Surgery Exact test Otorhinolaryngology Child Preschool Etiology Female Head Protective Devices Oral Surgery business Chi-squared distribution Brazil |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 68:1252-1259 |
| ISSN: | 0278-2391 |
| Popis: | The aim of the present study was to retrospectively evaluate the epidemiologic characteristics of the prevalence, type, and treatment modalities of condylar fractures of the mandible.Data were collected from patients during an 8-year period (1999 to 2007). The data recorded included demographic data, etiology, diagnosis, type, dislocation, use of protective devices, state of the dentition, associated facial and general trauma, soft tissue lesions, treatment methods, and the interval between trauma and treatment. Data analysis included a descriptive analysis, chi(2) test, Fisher's exact test, t test, and Kruskal-Wallis test.During the 8-year period, 209 unilateral fractures and 54 bilateral fractures were treated, with a male/female ratio of 3.05:1 and a mean age of 28.4 years, for a total of 317 condylar fractures. Male gender was significantly associated with the presence of a condylar fracture (P.05). The most common cause of condylar fractures was road traffic accidents (57.8%). Of the 317 fractures, 300 were classified as simple fractures, and 249 fractures were not displaced. Protective devices significantly decreased the number of condylar fractures occurring from road traffic accidents (P.05). Symphysis fractures were significantly associated with both unilateral and bilateral fractures of the mandibular condyle (P.05). Subcondylar displaced fractures were significantly associated with surgical treatment (P.05).Young adults were involved in most of the accidents. Road traffic accidents were the main cause of condylar fractures. The mandatory use of safety helmets and seatbelts and education of those using the road are essential to decrease the number of facial fractures. |
| Databáze: | OpenAIRE |
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