Mandibular fracture patterns as related to mechanism and nature of injury-A prospective audit of Johannesburg patients
Date
2007-02-16T11:04:51Z
Authors
Desai, Jameel
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Abstract
The Johannesburg Hospital is a major referral centre for trauma in Johannesburg, and
maxillofacial and oral surgery is one of the most utilized trauma and surgical departments at
this Hospital. Mandibular fractures comprise the bulk of facial fractures treated; unit statistics
on this type of fracture have been collected at intervals for thirty years. Data collection for the
current report was undertaken to update statistics on mandibular fractures, and was
undertaken over a six month period in 2004. This study assessed the epidemiology of
mandibular fractures in 133 patients; concentrating on age, gender, race, mechanism and
nature of injuries, site of fracture, treatment modalities and a cost analysis of surgical
treatment.
Black males in their 30’s made up the bulk of the study sample. A total of 203 fractures were
noted, with a mean of 1.5 fractures per mandible; with angle fractures being the most
commonly involved site (39%). Most patients sustained their injuries due to criminally
motivated incidents. At least 75% of all fractures in this series were surgically treated. This
report highlights some interesting trends that have changed over the last three decades, and
attempts to offer some plausible explanations for this.
Description
Student Number : 8801336R -
M Dent research report -
School of Oral Health (Dentistry) -
Faculty of Health Sciences
Keywords
mandible, fracture, mechanism, injury, Johannesburg