Advertisement

Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 2, pp 217–223 | Cite as

Epidemiological Study of the Socioeconomic Impact of Mandible Fractures in a Spanish Tertiary Hospital: Review of the Literature

  • Úrsula M. Jariod FerrerEmail author
  • Sara Blanco Sanfrutos
  • Marina A. Gavin Clavero
  • Maria Victoria Simon Sanz
  • Tomas Uson Bouthelier
  • Bartolomeu Nadal Cristobal
Clinical Paper
  • 19 Downloads

Abstract

Introduction

Mandibles fractures are one of the most frequent pathologies treated in an Oral and Maxillofacial Department and represent a serious public health problem.

Materials and Methods

We present a retrospective study of patients treated for mandible fractures by the Oral and Maxillofacial Surgery Department in a Spanish tertiary hospital during 2010–2012.

Results

One hundred and thirty-nine patients with 201 mandible fracture sites were assisted in our department; 15% were female and 85% were male, with a male-to-female ratio of 5.5:1. The observed mean age was 35 years with a range between 15 and 89 years. The most frequent etiology of fractures was the assault (43%) followed by falls (32%). The most common fracture site was the mandibular angle (35%), followed by the parasymphysis (30%). Concerning combined fractures (60%), the most repeated association was the angle and the parasymphysis. The principal imaging test for diagnosis was the orthopantomography. The intermaxillary fixation was performed in the 25% of cases, and the rest of mandible fractures were fixed by osteosynthesis. The surgical treatment had an average of 4.2 days after the trauma, and the mean time of hospitalization was 6.5 days.

Conclusion

The principal aim of the treatment of mandible fractures is to restore the function of the patient occlusion. A malocclusion after surgery may decrease the patient quality of life, so a correct fracture reduction could shrink health spending. After the result shown in the present study, the social education should be improved in the developed countries with the objective of decline in the amount of aggressiveness.

Keywords

Oral surgery Mandible fractures Maxillofacial trauma 

Notes

Acknowledgements

We thank all patients treated in our department.

Compliance with Ethical Standards

Conflict of interest

All authors certify that they have NO affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.

References

  1. 1.
    Brook IM, Wood N (1983) Aetiology and incidence of facial fractures in adults. Int J Oral Surg 12(5):293–298CrossRefGoogle Scholar
  2. 2.
    de Matos FP, Arnez MF, Sverzut CE, Trivellato AE (2010) A retrospective study of mandibular fracture in a 40-month period. Int J Oral Maxillofac Surg 39(1):10–15CrossRefGoogle Scholar
  3. 3.
    Boffano P, Kommers SC, Karagozoglu KH, Forouzanfar T (2014) Aetiology of maxillofacial fractures: a review of published studies during the last 30 years. Br J Oral Maxillofac Surg 52(10):901–906CrossRefGoogle Scholar
  4. 4.
    Boffano P, Roccia F, Zavattero E, Dediol E, Uglešić V, Kovačič Ž, Vesnaver A, Konstantinović VS, Petrović M, Stephens J, Kanzaria A, Bhatti N, Holmes S, Pechalova PF, Bakardjiev AG, Malanchuk VA, Kopchak AV, Galteland P, Mjøen E, Skjelbred P, Koudougou C, Mouallem G, Corre P, Løes S, Lekven N, Laverick S, Gordon P, Tamme T, Akermann S, Karagozoglu KH, Kommers SC, Forouzanfar T (2015) European Maxillofacial Trauma (EURMAT) project: a multicentre and prospective study. J Craniomaxillofac Surg 43(1):62–70CrossRefGoogle Scholar
  5. 5.
    Patrocínio LG, Patrocínio JA, Borba BH, Bonatti Bde S, Pinto LF, Vieira JV, Costa JM (2005) Mandibular fracture: analysis of 293 patients treated in the Hospital of Clinics, Federal University of Uberlândia. Braz J Otorhinolaryngol 71(5):560–565CrossRefGoogle Scholar
  6. 6.
    Afzelius LE, Rosén C (1980) Facial fractures. A review of 368 cases. Int J Oral Surg 9(1):25–32CrossRefGoogle Scholar
  7. 7.
    Hogg NJ, Stewart TC, Armstrong JE, Girotti MJ (2000) Epidemiology of maxillofacial injuries at trauma hospitals in Ontario, Canada, between 1992 and 1997. J Trauma 49(3):425–432CrossRefGoogle Scholar
  8. 8.
    Iida S, Kogo M, Sugiura T, Mima T, Matsuya T (2001) Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30(4):286–290CrossRefGoogle Scholar
  9. 9.
    Hackl W, Hausberger K, Sailer R, Ulmer H, Gassner R (2001) Prevalence of cervical spine injuries in patients with facial trauma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92(4):370–376CrossRefGoogle Scholar
  10. 10.
    Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31(1):51–61CrossRefGoogle Scholar
  11. 11.
    Laski R, Ziccardi VB, Broder HL, Janal M (2004) Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofac Surg 62(6):685–688CrossRefGoogle Scholar
  12. 12.
    Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102(1):28–34CrossRefGoogle Scholar
  13. 13.
    Eggensperger N, Smolka K, Scheidegger B, Zimmermann H, Iizuka T (2007) A 3-year survey of assault-related maxillofacial fractures in central Switzerland. J Craniomaxillofac Surg 35(3):161–167CrossRefGoogle Scholar
  14. 14.
    Erdmann D, Follmar KE, Debruijn M, Bruno AD, Jung SH, Edelman D, Mukundan S, Marcus JR (2008) A retrospective analysis of facial fracture etiologies. Ann Plast Surg 60(4):398–403CrossRefGoogle Scholar
  15. 15.
    Chrcanovic BR (2012) Factors influencing the incidence of maxillofacial fractures. Oral Maxillofac Surg 16(1):3–17.  https://doi.org/10.1007/s10006-011-0280-y CrossRefGoogle Scholar
  16. 16.
    Lee K (2012) Global trends in maxillofacial fractures. Craniomaxillofac Trauma Reconstr 5(4):213–222CrossRefGoogle Scholar
  17. 17.
    Arangio P, Vellone V, Torre U, Calafati V, Capriotti M, Cascone P (2014) Maxillofacial fractures in the province of Latina, Lazio, Italy: review of 400 injuries and 83 cases. J Craniomaxillofac Surg 42(5):583–587CrossRefGoogle Scholar
  18. 18.
    Mijiti A, Ling W, Tuerdi M, Maimaiti A, Tuerxun J, Tao YZ, Saimaiti A, Moming A (2014) Epidemiological analysis of maxillofacial fractures treated at a university hospital, Xinjiang, China: a 5-year retrospective study. J Craniomaxillofac Surg 42(3):227–233CrossRefGoogle Scholar
  19. 19.
    Zhou HH, Liu Q, Yang RT, Li Z, Li ZB (2015) Maxillofacial Fractures in Women and Men: a 10-Year Retrospective Study. J Oral Maxillofac Surg 73(11):2181–2188CrossRefGoogle Scholar
  20. 20.
    Roccia F, Savoini M, Ramieri G, Zavattero E (2016) An analysis of 711 victims of interpersonal violence to the face, Turin, Italy. J Craniomaxillofac Surg 44(8):1025–1028CrossRefGoogle Scholar
  21. 21.
    Bonavolontà P, Dell’aversana Orabona G, Abbate V, Vaira LA, Lo Faro C, Petrocelli M, Attanasi F, De Riu G, Iaconetta G, Califano L (2017) The epidemiological analysis of maxillofacial fractures in Italy: the experience of a single tertiary center with 1720 patients. J Craniomaxillofac Surg 45(8):1319–1326CrossRefGoogle Scholar
  22. 22.
    Naveen Shankar A, Naveen Shankar V, Hegde N (2012) Sharma, Prasad R. The pattern of the maxillofacial fractures–a multicentre retrospective study. J Craniomaxillofac Surg 40(8):675–679CrossRefGoogle Scholar
  23. 23.
    Kraft A, Abermann E, Stigler R, Zsifkovits C, Pedross F, Kloss F, Gassner R (2012) Craniomaxillofacial trauma: synopsis of 14,654 cases with 35,129 injuries in 15 years. Craniomaxillofac Trauma Reconstr 5(1):41–50CrossRefGoogle Scholar
  24. 24.
    Simoni P, Ostendorf R, Cox AJ 3rd (2003) Effect of air bags and restraining devices on the pattern of facial fractures in motor vehicle crashes. Arch Facial Plast Surg 5(1):113–115CrossRefGoogle Scholar
  25. 25.
    Anderson T, Alpert B (1992) Experience with rigid fixation of mandibular fractures and immediate function. J Oral Maxillofac Surg 50(6):555–560CrossRefGoogle Scholar
  26. 26.
    Ministry of Health, Spain (2015)Google Scholar
  27. 27.
    James RB, Fredrickson C, Kent JN (1981) Prospective study of mandibular fractures. J Oral Surg 39(4):275–281Google Scholar
  28. 28.
    Motamedi MH (2003) An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 61(1):61–64CrossRefGoogle Scholar
  29. 29.
    Depprich R, Handschel J, Hornung J, Meyer U, Kübler NR (2007) Causation, therapy and complications of treating mandibular fractures–a retrospective analysis of 10 years. Mund Kiefer Gesichtschir 11(1):19–26CrossRefGoogle Scholar
  30. 30.
    Schön R, Roveda SI, Carter B (2001) Mandibular fractures in Townsville, Australia: incidence, aetiology and treatment using the 2.0 AO/ASIF miniplate system. Br J Oral Maxillofac Surg 39(2):145–148CrossRefGoogle Scholar
  31. 31.
    Lee KH (2008) Epidemiology of mandibular fractures in a tertiary trauma centre. Emerg Med J 25(9):565–568CrossRefGoogle Scholar
  32. 32.
    Gandhi S, Ranganathan LK, Solanki M, Mathew GC, Singh I, Bither S (2011) Pattern of maxillofacial fractures at a tertiary hospital in northern India: a 4-year retrospective study of 718 patients. Dent Traumatol 27(4):257–262CrossRefGoogle Scholar
  33. 33.
    Oji C (1999) Jaw fractures in Enugu, Nigeria, 1985-95. Br J Oral Maxillofac Surg 37(2):106–109CrossRefGoogle Scholar
  34. 34.
    Zix JA, Schaller B, Lieger O, Saulacic N, Thorén H, Iizuka T (2011) Incidence, aetiology and pattern of mandibular fractures in central Switzerland. Swiss Med Wkly 27(141):w13207Google Scholar
  35. 35.
    Sakr K, Farag IA, Zeitoun IM (2006) Review of 509 mandibular fractures treated at the University Hospital, Alexandria, Egypt. Br J Oral Maxillofac Surg 44(2):107–111CrossRefGoogle Scholar
  36. 36.
    Qudah MA, Bataineh AB (2002) A retrospective study of selected oral and maxillofacial fractures in a group of Jordanian children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94(3):310–314CrossRefGoogle Scholar
  37. 37.
    Abosadegh MM, Rahman SA, Saddki N (2017) Association of traumatic head injuries and maxillofacial fractures: a retrospective study. Dent Traumatol 33(5):369–374CrossRefGoogle Scholar
  38. 38.
    Erdmann D, Follmar KE, Debruijn M, Bruno AD, Jung SH, Edelman D, Mukundan S, Marcus JR (2008) A retrospective analysis of facial fracture etiologies. Ann Plast Surg 60(4):398–403CrossRefGoogle Scholar
  39. 39.
    Gutta R, Tracy K, Johnson C, James LE, Krishnan DG, Marciani RD (2014) Outcomes of mandible fracture treatment at an academic tertiary hospital: a 5-year analysis. J Oral Maxillofac Surg 72(3):550–558CrossRefGoogle Scholar
  40. 40.
    Arangio P, Vellone V, Torre U, Calafati V, Capriotti M, Cascone P (2014) Maxillofacial fractures in the province of Latina, Lazio, Italy: review of 400 injuries and 83 cases. J Craniomaxillofac Surg 42(5):583–587CrossRefGoogle Scholar
  41. 41.
    Oikarinen K, Thalib L, Sàndor GK, Schutz P, Clokie CM, Safar S, Meisami T, Perheentupa U (2005) Differences in the location and multiplicity of mandibular fractures in Kuwait, Canada and Finland during the 1990s. Med Princ Pract 14(1):10–15CrossRefGoogle Scholar
  42. 42.
    Cabrini Gabrielli MA, Real Gabrielli MF, Marcantonio E, Hochuli-Vieira E (2003) Fixation of mandibular fractures with 2.0-mm miniplates: review of 191 cases. J Oral Maxillofac Surg 61(4):430–436CrossRefGoogle Scholar
  43. 43.
    Horibe KE, Pereira MD, Ferreira LM, Andrade EF (2004) Perfil epidemiologico de fraturas mandibulares tratadas na Universidade Federal de São Paulo–Escola Paulista de Medicina. Rev Assoc Med Bras 50:417–421CrossRefGoogle Scholar
  44. 44.
    Allareddy V, Allareddy V, Nalliah RP (2011) Epidemiology of facial fractureinjuries. J Oral Maxillofac Surg 69(10):2613–2618CrossRefGoogle Scholar
  45. 45.
    Domingo F, Dale E, Gao C, Groves C, Stanley D, Maxwell RA, Waldrop JL (2016) A single-center retrospective review of postoperative infectious complications in the surgical management of mandibular fractures: postoperative antibiotics add no benefit. J Trauma Acute Care Surg 81(6):1109–1114CrossRefGoogle Scholar
  46. 46.
    Abubaker AO, Rollert MK (2001) Postoperative antibiotic prophylaxis in mandibular fractures: a preliminary randomized, double-blind, and placebo-controlled clinical study. J Oral Maxillofac Surg 59(12):1415–1419CrossRefGoogle Scholar
  47. 47.
    Miles BA, Potter JK, Ellis E 3rd (2006) The efficacy of postoperative antibiotic regimens in the open treatment of mandibular fractures: a prospective randomized trial. J Oral Maxillofac Surg 64(4):576–582CrossRefGoogle Scholar
  48. 48.
    Hindawi YH, Oakley GM, Kinsella CR Jr, Cray JJ, Lindsay K, Scifres AM (2011) Antibiotic duration and postoperative infection rates in mandibular fractures. J Craniofac Surg 22(4):1375–1377CrossRefGoogle Scholar
  49. 49.
    Oruç M, Işik VM, Kankaya Y, Gürsoy K, Sungur N, Aslan G, Koçer U (2016) Analysis of Fractured Mandible Over Two Decades. J Craniofac Surg 27(6):1457–1461CrossRefGoogle Scholar
  50. 50.
    Chuong R, Donoff RB, Guralnick WC (1983) A retrospective analysis of 327 man- dibular fractures. J Oral Maxillofac Surg 41:305–309CrossRefGoogle Scholar
  51. 51.
    Zandi M, Khayati A, Lamei A, Zarei H (2011) Maxillofacial injuries in western Iran: a prospective study. Oral Maxillofac Surg 15(4):201–209CrossRefGoogle Scholar
  52. 52.
    Lee JH, Cho BK, Park WJ (2010) A 4-year retrospective study of facial fractures on Jeju, Korea. J Craniomaxillofac Surg 38(3):192–196CrossRefGoogle Scholar
  53. 53.
    Simsek S, Simsek B, Abubaker AO, Laskin DM (2007) A comparative study of mandibular fractures in the United States and Turkey. Int J Oral Maxillofac Surg 36(5):395–397CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Úrsula M. Jariod Ferrer
    • 1
    • 2
    Email author
  • Sara Blanco Sanfrutos
    • 3
  • Marina A. Gavin Clavero
    • 1
  • Maria Victoria Simon Sanz
    • 1
  • Tomas Uson Bouthelier
    • 1
  • Bartolomeu Nadal Cristobal
    • 1
  1. 1.Oral and Maxillofacial DepartmentMiguel Servet University HospitalZaragozaSpain
  2. 2.Faculty of MedicinaZaragoza UniversityZaragozaSpain
  3. 3.Oral and Maxillofacial DepartmentCan Misses HospitalEivissaSpain

Personalised recommendations