Incidence and management of mandibular fractures in a low-resource health facility in Ghana
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for man-aging mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the lead-ing cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and indus-trial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) oc-curred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, es-pecially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.
Abstract
Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for man-aging mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the lead-ing cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and indus-trial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) oc-curred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, es-pecially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.
참고문헌 (36)
- 진기수, "Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients", Maxillofacial Plastic Reconstructive Surgery, 40(28), pp.1~11 (2018), 대한악안면성형재건외과학회[DOI]
- Mohammad Abadi, "Genioplasty", Facial Plastic Surgery, 31(05), pp.513~522 (2015), Georg Thieme Verlag KG[DOI]
- Anyanechi CE, "Mandibular sites prone to fracture : analysis of 174 cases in a Nigerian tertiary hospital", Ghana Med J, 45, pp.111~114 (2011)
- Soung Min Kim, "Intraoral reinsertion after extracorporeal fixation in condylar fracture", 대한구강악안면외과학회지, 47(6), pp.476~479 (2021), 대한구강악안면외과학회[DOI]
- Shah A, "Pattern and management of mandibular fractures : a study conducted on 264 patients", Pak Oral Dent J, 27, pp.103~106 (2007)
- WHO global status report on road safety 2013: supporting a decade of action, "World Health Organization (WHO)", WHO, ~ (2013)
- K.E. Down, "Maxillofacial and associated injuries in severely traumatized patients: implications of a regional survey", International Journal of Oral and Maxillofacial Surgery, 24(6), pp.409~412 (1995), Elsevier BV[DOI]
- Edward Ellis, "Ten years of mandibular fractures: An analysis of 2,137 cases", Oral Surgery, Oral Medicine, Oral Pathology, 59(2), pp.120~129 (1985), Elsevier BV[DOI]
- Haihua Zhou, "Mechanics in the Production of Mandibular Fractures: A Clinical, Retrospective Case-Control Study", PLOS ONE, 11(2), pp.e0149553~ (2016), Public Library of Science (PLoS)[DOI]
- Ragupathy K, "Incidence, aetiology and pattern of mandibular fractures in Pondicherry", J Evol Med Dent Sci, 4, pp.16946~ (2015)
- Amin MR, "A retrospective study of mandibular fracture in a 2-year period", Bangladesh Dent J, 32, pp.1~3 (2016)
- Dhananjay Barde, "Prevalence and pattern of mandibular fracture in Central India", National Journal of Maxillofacial Surgery, 5(2), pp.153~ (2014), Medknow[DOI]
- A.Olubayo Fasola, "Trends in the characteristics of maxillofacial fractures in Nigeria", Journal of Oral and Maxillofacial Surgery, 61(10), pp.1140~1143 (2003), Elsevier BV[DOI]
- AkinbamiBabatunde Olayemi, "Pattern, severity, and management of cranio-maxillofacial soft-tissue injuries in Port Harcourt, Nigeria", Journal of Emergencies, Trauma, and Shock, 6(4), pp.235~ (2013), Medknow[DOI]
- Parkins G, "Maxillofacial and concomitant injuries in multiple injured patients at Korle Bu Teaching Hospital, Ghana", West Afr J Med, 33, pp.51~55 (2014)
- Ström C, "Jaw fractures in the County of Kopparberg and Stockholm 1979-1988. A retrospective comparative study of frequency and cause with special reference to assault", Swed Dent J, 15, pp.285~289 (1991)
- S. Layton, "Maxillofacial fractures: a study of recurrent victims", Injury, 25(8), pp.523~525 (1994), Elsevier BV[DOI]
- Kheirallah M, "The epidemiological analysis of mandibular fractures in the material of I Department of Maxillofacial Surgery of Warsaw University in the years 1988-1992", Czas Stomatol, 2, pp.123~127 (1994)
- S Ansari, "Causes and effects of road traffic accidents in Saudi Arabia", Public Health, 114(1), pp.37~39 (2000), Elsevier BV[DOI]
- C Bereket, "Incidence of mandibular fractures in black sea region of Turkey", Journal of Clinical and Experimental Dentistry, pp.e410~e413 (2015), Medicina Oral, S.L.[DOI]
- V. Ravindran, "Metaanalysis of Maxillofacial Trauma in the Northern Districts of Kerala: One Year Prospective Study", Journal of Maxillofacial and Oral Surgery, 10(4), pp.321~327 (2011), Springer Science and Business Media LLC[DOI]
- Natu SS, "An epidemiological study on pattern and incidence of mandibular fractures", Plast Surg Int, 2012, pp.834364~ (2012)[DOI]
- Robert E. King, "Mandible fracture patterns: A suburban trauma center experience", American Journal of Otolaryngology, 25(5), pp.301~307 (2004), Elsevier BV[DOI]
- Atanasov DT, "A retrospective study of 3326 mandibular fractures in 2252 patients", Folia Med(Plovdiv), 45, pp.38~42 (2003)
- Wong KH, "Mandible fractures: a 3-year retrospective study of cases seen in an oral surgical unit in Singapore", Singapore Dent J., 23(1 Suppl), pp.6~10 (2000)
- E.T Adebayo, "Analysis of the pattern of maxillofacial fractures in Kaduna, Nigeria", British Journal of Oral and Maxillofacial Surgery, 41(6), pp.396~400 (2003), Elsevier BV[DOI]
- Țenţ PA, "The pattern and characteristics of mandibular fractures – a 3-year prospective clinical study", ASRJETS, 32, pp.168~180 (2017)
- Mohammad Hosein Kalantar Motamedi, "Pattern of maxillofacial fractures", Journal of Trauma and Acute Care Surgery, 77(4), pp.630~634 (2014), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Leesa Rix, "An analysis of 80 cases of mandibular fractures treated with miniplate osteosynthesis", International Journal of Oral and Maxillofacial Surgery, 20(6), pp.337~341 (1991), Elsevier BV[DOI]
- Bolaji O. Ogundare, "Pattern of mandibular fractures in an urban major trauma center", Journal of Oral and Maxillofacial Surgery, 61(6), pp.713~718 (2003), Elsevier BV[DOI]
- Kirk L. Fridrich, "Changing trends with mandibular fractures: A review of 1,067 cases", Journal of Oral and Maxillofacial Surgery, 50(6), pp.586~589 (1992), Elsevier BV[DOI]
- K. Subhashraj, "Review of maxillofacial injuries in Chennai, India: A study of 2748 cases", British Journal of Oral and Maxillofacial Surgery, 45(8), pp.637~639 (2007), Elsevier BV[DOI]
- Khaled Sakr, "Review of 509 mandibular fractures treated at the University Hospital, Alexandria, Egypt", British Journal of Oral and Maxillofacial Surgery, 44(2), pp.107~111 (2006), Elsevier BV[DOI]
- R.-A. Elgehani, "Incidence of mandibular fractures in eastern Libya", Medicina Oral Patología Oral y Cirugia Bucal, pp.e529~e532 (2009), Medicina Oral, S.L.[DOI]
- C. Michael Hill, "Facial fractures — the results of a prospective four-year-study", Journal of Maxillofacial Surgery, 12, pp.267~270 (1984), Elsevier BV[DOI]
- Robert A. Olson, "Fractures of the mandible: A review of 580 cases", Journal of Oral and Maxillofacial Surgery, 40(1), pp.23~28 (1982), Elsevier BV[DOI]