A Single Center Experience: A Retrospective Study Over 10-Years Period on Mandible Fractures.

IF 3.4 2区 工程技术 Q1 ENGINEERING, MECHANICAL Journal of Fluids and Structures Pub Date : 2024-09-01 Epub Date: 2023-05-18 DOI:10.1177/19433875231176338
Gabriele Monarchi, Riccardo Girotto, Mariagrazia Paglianiti, Paolo Balercia
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Abstract

Study design: The purpose of this study was to do a retrospective analysis about patients with mandibular fracture who were treated at the department of Maxillofacial Surgery, Regional University Hospital of Ancona, Italy, between 2011 and 2021.

Objective: In this study we evaluated clinical and epidemiological findings of mandible fractures focusing on the association between surgical timing, type of surgical approach and mid- and long-term outcomes.

Methods: Patients were evaluated based on various parameters including age, sex, etiology, symptoms, comorbidity, clinical findings, mandible fracture type, other facial fractures, treatment, waiting time before the operation, complications and sequelae. In the period described, we recorded 1023 mandibular fractures. 93% of patients underwent surgery under general anesthesia, almost exclusively patients undergoing an open approach to internal fixation.

Results: Of the patients, 684 were male (66.86%) and 339 were female (33.13%). The average age of the patients was 42, 38 years (range, 7-94 years). The leading cause of these fractures was traffic accidents (27.3%) and mandibular parasymphysis fractures were the most frequent (34.1%). The most common clinical signs and symptoms were malocclusion, difficulty in chewing, limitation of the buccal opening, hypoesthesia extending through the territory of the inferior alveolar nerve, difficulty in protrusion movements and mandibular lateralization.

Conclusions: The continuous research in epidemiology, etiology, materials, and techniques will further refine the treatments of mandible fractures, which are nowadays more and more customized according to the type of trauma.

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单个中心的经验:下颌骨骨折 10 年回顾性研究
研究设计:本研究旨在对2011年至2021年间在意大利安科纳地区大学医院颌面外科接受治疗的下颌骨骨折患者进行回顾性分析:在这项研究中,我们评估了下颌骨骨折的临床和流行病学调查结果,重点研究了手术时机、手术方式类型和中长期疗效之间的关联:根据患者的年龄、性别、病因、症状、合并症、临床表现、下颌骨骨折类型、其他面部骨折、治疗、手术前等待时间、并发症和后遗症等各种参数对患者进行评估。在所述期间,我们记录了 1023 例下颌骨骨折。93%的患者在全身麻醉下接受了手术,几乎所有患者都接受了开放式内固定手术:患者中,男性 684 人(66.86%),女性 339 人(33.13%)。患者平均年龄为 42.38 岁(7-94 岁不等)。造成这些骨折的主要原因是交通事故(27.3%),下颌骨副干骨折最为常见(34.1%)。最常见的临床症状和体征是错牙合畸形、咀嚼困难、颊部开口受限、下牙槽神经区域感觉减退、前突运动困难和下颌侧移:结论:对流行病学、病因学、材料和技术的不断研究将进一步完善下颌骨骨折的治疗方法,如今,下颌骨骨折的治疗方法越来越多地根据创伤类型进行定制。
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来源期刊
Journal of Fluids and Structures
Journal of Fluids and Structures 工程技术-工程:机械
CiteScore
6.90
自引率
8.30%
发文量
173
审稿时长
65 days
期刊介绍: The Journal of Fluids and Structures serves as a focal point and a forum for the exchange of ideas, for the many kinds of specialists and practitioners concerned with fluid–structure interactions and the dynamics of systems related thereto, in any field. One of its aims is to foster the cross–fertilization of ideas, methods and techniques in the various disciplines involved. The journal publishes papers that present original and significant contributions on all aspects of the mechanical interactions between fluids and solids, regardless of scale.
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