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CLINICAL FEATURES, COMPUTER TOMOGRAPHY IN PATIENTS WITH MANDIBULAR FRACTURES AT VIET DUC UNIVERSITY HOSPITAL IN 2018-2023
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Abstract
Objectives: To describe clinical features, CT-scanner of patients with mandibular fractures at the Department of Maxillofacial Surgery, Plastic, and Aesthetics, Viet Duc University Hospital in 2018-2023. Subjects and methods: A cross-sectional descriptive study of patients with mandibular fractures were diagnosed and treated at the Department of Maxillofacial Surgery, Plastic, and Aesthetics, Viet Duc University Hospital from 01/2018-01/2023. We collected the medical record and the data was analysed by SPSS software. Result: The sample included a total of 505 subjects and the average age of all subjects was 31,83, the range of age was from 18 to 73 years old, and the male-to-female ratio of 5,82; the major reason for mandibular fractures is motor vehicle accidents with 92,48%. Clinical features: bruising and swelling of trauma region (97,62%), sharp pain at the fracture site (98,61%), malposition of fractures across dental arch (97,23%) that all of them are the most common signs, followed by malocclusion (90,5%) and trismus (75,84%). The classification of mandibular fractures by injury regions identified by the CT-scanner: symphysis fracture (66,14%), body fracture and angle fracture (more than 25%), coronoid (0,99%), the patient may have one or some fractures at the mandible. The associated facial injuries included: maxillary fractures (49,4%) and zygoma fractures (31,2%) were the most common and the rare injuries are facial nerve injury and ophthalmology trauma. Organ trauma was also considered as that brain injury was the highest rate (30,6%), limb injury (14,8%) but chest trauma, abdominal trauma, and cervical injury were significantly lower in proportion. Conclusion: Mandibular fractures are mainly seen in men aged 18 to 73, the most common cause is motor vehicle accidents, accounting for 92,48%. The clinical characteristics are not completely homogenous, but the diagnosis is exactly by CT-scanner. The concomitant injuries of the maxillofacial region encountered in these patients may be fractures of the maxilla (49,11%), zygoma (31,29%), ophthalmology trauma(2,18%), and facial nerve injury (0,4%). Some other organ trauma associated with mandibular fractures can include brain (30,3%), extremities, chest, abdomen, and cervical trauma.
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Keywords
mandibular fractures, Viet Duc University Hospital
References
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