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Mandibular Fracture Patterns in a Rural Setup: A 7-Year Retrospective Study.
Uday Kiran Uppada1, Ramen Sinha1, M Susmitha1
1Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India.
Journal of Maxillofacial and Oral Surgery
|March 10, 2023
Summary
Mandibular fractures are most common in young males due to road traffic accidents. These fractures often affect multiple areas of the mandible, particularly the parasymphysis region.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Public Health
Background:
- Mandibular fractures represent a significant public health concern, particularly in rural settings.
- Understanding demographic and injury patterns is crucial for targeted prevention and treatment strategies.
Purpose of the Study:
- To investigate the epidemiological patterns of mandibular fractures in a rural population.
- To correlate fracture patterns with patient demographics and the mechanisms of injury.
Main Methods:
- Retrospective analysis of maxillofacial fracture cases treated between June 2012 and May 2019.
- Data collection included patient demographics (age, gender), etiology, and fracture type.
- All fractures were managed with open reduction and rigid internal fixation.
Main Results:
- A total of 224 patients (195 males, 29 females) with 278 mandibular fractures were analyzed.
- Road traffic accidents were the leading cause, with the 21-30 age group most affected (38%).
- The mandibular parasymphysis region was the most common fracture site (32.3%), and fractures often involved multiple anatomical areas.
Conclusions:
- Mandibular fractures predominantly affect young adults (second and third decades) due to high-speed road traffic accidents.
- Lack of safety accessories contributes to the high incidence of these injuries.
- Mandibular fractures frequently involve more than one anatomical location, necessitating comprehensive treatment approaches.

