Ten-year retrospective study on mandibular fractures in central Taiwan

Abstract

Objective To analyse the epidemiology of mandibular fractures and the correlation between combined fractures during a 10-year period in central Taiwan. Methods This retrospective study analysed data collected from the medical records of patients that had mandibular fractures between January 2007 and October 2017. Data on age, sex, cause of injury, anatomical site of fracture, treatment and complications were obtained and analysed. Results A total of 265 patients who received treatment were included in the study. The mean ± SD age was 30.08 ± 13.47 years (range, 6–70 years) and the 21–30 years age group showed the highest incidence of mandibular fractures. The male-to-female ratio was 1.25:1. Road traffic accidents were the most common cause of fracture (206 of 265; 77.74%). The symphysis and parasymphysis area was the most common fracture site (169 of 420; 39.29%). Single-site fracture represented slightly more than 50% of the total 420 fractures. The most frequent combination of two fractures was an angle fracture combined with a symphysis and parasymphysis fracture (29 of 106 double fracture patients [27.36%]). There was a weak positive association between several combinations of fractures. Conclusions A better understanding of the influence of age and sex on the mechanism of injury is of great clinical importance in the assessment and diagnosis of fractures.

Clinical and radiological aspects of mandibular fractures: A review of 128 cases

“…The high frequency of mandibular fractures in this age group could be explained by the high level of physical and professional activity at this period of life and the clear predominance of young people in the age pyramid in Senegal. 2 Our results are similar to studies from Taiwan, 3 Egypt, 4 Cameroon 5 and India 6 where the most affected age group was between 20 and 30 years.…”

The epidemiology of facial trauma in a city in Northern Brazil

“…Traffic accidents are the leading cause of facial fractures in developing countries (Falcão and Leite Segundo 2005;Elgehani and Orafi 2009;Silva et al 2011;Agudelo-Suárez et al 2015;Munante-Cardenas et al 2015;Hassanein 2019;Liu et al 2020;Moshy et al 2020), addition to being the most aggressive fractures (Flandes et al 2019), while in developed countries the slightly higher number is due to individual victims of assault (Adeyemo et al 2008;Eskitaşcioǧlu et al 2013;Verma and Chambers 2015;Owusu et al 2016;Brucoli et al 2019) (figure 3). There are epidemiological surveys that contradict this information thaand state that traffic accidents are the main cause of facial fractures in industrialized countries (Siwani et al 2014;Chen et al 2020). The main reasons are deficiencies in legislation and traffic, vehicle maintenance, bad roads and recklessness (Elgehani and Orafi 2009;Silva et al 2009;Eskitaşcioǧlu et al 2013;Agudelo-Suárez et al 2015;Bede 2015;Kanala et al 2021).…”

“…Education about the consumption of alcohol and other substances before driving is of the utmost importance to reduce the number of road accidents (Munante-Cardenas et al 2015;Verma and Chambers 2015). Research, Society and Development, v. 10, n. 13, e565101321687, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i13.21687 7 centers in developing countries for two reasons: lower cost of motorcycles (Adeyemo et al 2008;Agudelo-Suárez et al 2015;Chen et al 2020;Moshy et al 2020) and the ease of motorcycles to drive through areas with a higher volume of traffic (Adeyemo et al 2008;Chen et al 2020;Moshy et al 2020). Motorcyclists and passengers who do not wear a helmet have an increased incidence of facial fractures, most notably in the jaw.…”

“…Motorcyclists and passengers who do not wear a helmet have an increased incidence of facial fractures, most notably in the jaw. (Adeyemo et al 2008;Bede 2015;Munante-Cardenas et al 2015;Abosadegh et al 2019;Chen et al 2020;Moshy et al 2020). Cyclists also have a high incidence of jaw fractures due to the lack or improper use of helmets and personal safety items (Munante-Cardenas et al 2015).…”

“…Research, Society and Development, v. 10, n. 13, e565101321687, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i13.21687 9 Traffic accidents are the leading cause of facial fractures worldwide. In many articles this etiology was not separated into passenger cars, motorcycles, utility vehicles, bicycles and pedestrians, but the articles that discussing which vehicle it was clearly show the relatively higher number of cases involving motorcycles (Chen et al 2020). The implementation of training and inspection programs on the use of helmets is an essential public policy in reducing the number of facial traumas as a whole.…”