Recurrent mandibular fractures: a retrospective study over 17 years on aetiology,demographics, fracture patterns,and management |
| |
| Affiliation: | 1. Service de Chirurgie Maxillo-faciale et Chirurgie Plastique, Hôpital Necker – Enfants Malades, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;2. Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Pitié-Salpêtrière, Assistance Publique – Hôpitaux de Paris, Sorbonne Université, Paris, France;3. Service d’Anatomopathologie, Hôpital Cochin – Port-Royal, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;4. Service d’Anatomopathologie, Hôpital Necker – Enfants Malades, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;5. Service d’Anatomopathologie, Hôpital La Timone, APHM, Marseille, France;1. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;2. Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA;1. Department of Oral and Maxillofacial Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK;2. Cellular Pathology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK;1. Instituto Português da Face, Lisboa, Portugal;2. Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal;1. Department of Otolaryngology–Head and Neck Surgery, National University Hospital, Singapore;2. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;3. National University Centre for Organ Transplantation, National University Hospital, Singapore;4. Department of Pathology, National University Hospital, Singapore;5. Department of Otolaryngology–Head and Neck Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore |
| |
| Abstract: | ![]()
Recurrent fractures of the mandible are rare, however in Darwin, Australia, their occurrence is relatively frequent. This retrospective study identified 127 patients with 148 recurrent mandibular fractures treated at Royal Darwin Hospital between 2000 and 2017. Age, sex, ethnicity, marital status, aetiology, risk factors, anatomical location of the fractures, fracture patterns, and management of the fractures were analysed. The majority of patients were male (85.8%) (P < 0.001); 62.8% were unmarried (P < 0.001) and 72.4% were indigenous (P < 0.001). Alcohol was involved in 79.1% of cases (P < 0.001) and assault was the most common mechanism of injury (84.5%) (P < 0.001). The angle of the mandible was the most common site (P < 0.001), and recurrent fractures were more likely to occur at sites different to a previous fracture fixation site (P < 0.001). Smoking, alcohol abuse, and diabetes were strongly associated with recurrent fractures (all P < 0.001). Most patients were managed with open reduction internal fixation. In conclusion, recurrent fractures of the mandible frequently involved the angle of the mandible and occurred at different sites. Their incidence was more common among the unmarried, male, and indigenous population, and smoking, alcohol abuse, and diabetes were found to be significant risk factors. |
| |
| Keywords: | mandibular fractures maxillofacial injuries jaw fractures mandibular injuries facial injuries |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
