Pattern of mandibular fractures resulting from fall

Fall is the third commonest cause of mandibular fracture throughout the world while in Pakistan and India it is considered to be the second most common cause. Mandible fracture resulting from fall is of great concern particularly in children because it has been found that in children majority of cases of joint fracture has resulted from fall, and found to have temporomandibular joint [TMJ] ankylosis. The purpose of this study was to evaluate the pattern of mandibular fractures resulting from fall. This will help in the prevention of subsequent complications particularly in children like TMJ ankylosis and aesthetic problems. This is a descriptive [cross sectional] study which was carried out on 60 patients presenting with mandibular fractures resulting from fall to the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa Province of Pakistan from 4th April 2009 to 3rd October 2009. Each patient was thoroughly examined both clinically and radiologically for the site of mandible fracture. The age, gender and site distribution of patients were determined. Majority of the fall injury patients presenting with mandibular fractures were in the 1st decade of life followed by 2nd and 6th decade. In the first three decades of life, males were predominantly involved while the 5th and 6th decade was dominated by female patients with overall male preponderance. The most common pattern of mandibular fracture resulting from fall was combination bony trauma [i.e., more than one mandibular fracture site] and the para-symphysis and condyle were the most frequent mandibular fracture sites both in combination and isolation

Loss of consciousness in mandibular fractures an audit of 254 patients

The purpose of this study was to seek association between mandibular fractures and loss of consciousness [LOG]. The present study is a retrospective chart review of 254 patients of fracture mandible at the Department of Oral and Maxillofacial surgery, Khyber College of Dentistry, Peshawar, Khyber Pukhtoonkhwa Province of Pakistan from July 2009 to July 2010. The demographic data, LOC, mechanism of injury, site of fracture and number of fractures per mandible were collected for each patient. The frequency of LOC due to mandibular fractures in this study was 25.9%. The male to female ratio was 4.6:1. The mean age of the patients was 20.3 SD [+14.68]. Age ranged from 2 years to 65 years in the group with LOC and from one year to 80 years in the group without LOC. The highest incidence of patients with LOC was found in 3[rd] decade of life [33.3%] while the highest incidence of patients in non LOCgroup was in 1[st] decade of life [33.5%]. The most common cause of mandible fracture in patients with LOC was RTA [57.6%] followed by fall [37.9%] while in nonLOC group was fall [46.8%] followed by RTA [41.5%]. The most common site fractured in both groups was mandibular para-symphysis, accounting for 37% in LOC group and 38.9% in non LOC group. In the LOC group, the predominant fracture pattern seen was non displaced fractures [51.5%], while in the non LOC group, displaced fractures were predominant [52.1%]. Loss of Consciousness was more common when, there was a single mandibular fracture [54.5%], while in the non LOC group [51.6%] sustained double fractures. This observation is statistically non-significant with p- value [.18]

Cancrum oris - a descriptive case series on 13 patients

To evaluate the age, gender, site distribution and associated systemic debelitating conditions [if any] of the patients with Cancrum Oris. A. descriptive retrospective study was undertaken in the Oral and Maxillofacial Surgery unit of Khyber College of Dentistry from January 2005 to January 2010. Information regarding the variables of the study i.e., age, gender, site distribution and associated systemic debilitating conditions, was collected from the ward charts during the study period. A. total of 13 patients reported to the unit during the study period, 8 males and 5 females with male to female ratio of 1.6:1. The age range of the patient was from 9 to 70years with the mean age of 37.69 SD + 22.65. The first and the third decade of life was the most common age group affected with Cancrum Oris i.e., 23.07% each, with another peak in the sixth decade of life i.e., 23.07%. bilateral anterior maxilla was affected in 30.76% cases. Uncontrolled diabetes was the common associated systemic debilitating condition i.e., 72%. All of the patients were from low socio-economic class. Cancrum oris is a disease of low-socioeconomic group. In our series of patients the most common associated debilitating systemic condition was diabetes melitis with a bimodal age distribution