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Mandibular fracture patterns in Tasmania, Australia
1Oral and Maxillofacial Surgery Unit, Royal Hobart Hospital, The University of Tasmania.
Australian Dental Journal
|July 26, 2002
Summary
Mandibular fractures are common in young males in Tasmania, primarily due to assaults and sports like Australian Rules Football. Prevention strategies targeting these causes and associated alcohol use are recommended.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Public Health
Background:
- Limited research exists on mandibular fracture patterns in Tasmania and Australia.
- Understanding demographics, causes, and treatments of mandibular fractures is crucial for targeted interventions.
Purpose of the Study:
- To analyze the patterns of mandibular fractures in Tasmania.
- To identify demographic, etiological, and treatment characteristics of these injuries.
Main Methods:
- A retrospective study of 251 patients with mandibular fractures at Royal Hobart Hospital (1993-1999).
- Data collected from fracture records and hospital patient files.
Main Results:
- Mandibular fractures predominantly affected males aged 21-30, with a male to female ratio of 4.5:1.
- Assaults (55%) were the leading cause, followed by motor vehicle accidents (18.3%) and sports (16.7%), particularly Australian Rules Football.
- The mandibular angle was the most common fracture site; alcohol abuse was associated with 41.4% of cases, predominantly in males.
Conclusions:
- Mandibular fractures are prevalent in Tasmania, linked to assaults and sports, with a notable association with alcohol consumption in young males.
- Preventive measures and public awareness campaigns focusing on high-risk groups and behaviors are essential.
- Open reduction and internal fixation with miniplate osteosynthesis is the preferred treatment.