Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

ETIOLOGY AND PATTERNS OF MANDIBULAR FRACTURES

하악골 골절의 원인과 양상에 관한 연구

  • Chung, Il-Hyuk (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Han, Ki-Deok (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Suh, Je-Duck (Department of Dentistry/Oral-Maxillofacial Surgery, Seoul National University Boramae Hospital) ;
  • Hwang, Kyung-Gyun (Department of Dentistry/Oral-Maxillofacial Surgery, College of Medicine, Hanyang University)
  • 정일혁 (서울대학교 보라매병원 치과/구강악안면외과) ;
  • 한기덕 (서울대학교 보라매병원 치과/구강악안면외과) ;
  • 서제덕 (서울대학교 보라매병원 치과/구강악안면외과) ;
  • 황경균 (한양대학교 의과대학 치과학교실)
  • Published : 2005.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study investigated the mandibular fractures that were treated at the Seoul National University Boramae Hospital in order to analyze the characteristics of mandibular fractures and the relationship between the causes and injury patterns. A total of 141 patients with mandibular fractures who were treated between 1996 and 2004 were analyzed retrospectively. The male to female ratio in the patient group was 5.13:1, and the mean age was 33.7 years. The most common etiologic factor was assaults (45.4%), and which was followed by activities associated with daily-life (40.4%) includeding falls, stumbling, collisions, and traffic accidents (11.3%). Single fracture sites were present in 75 patients (53.2%), two or more fracture sites were observed in other patients, and a total of 211 fracture sites were observed. The mandibular angle fractures (46.7%) was the most common in case of single fractures, and symphysis and angle fractures (45.4%) was most common in multiple fractures. Through out overall fracture sites, the most common fracture site was the symphysis (41.2%), followed by the angle (32.2%) and condyle (18.5%). Among assault and falls-related injuries, the common involving sites were the symphysis, and followed by the body and condyle. In case of traffic accidents, the symphysis fracture was the most common, and which was followed by the condyle and angle fractures. This study documented the characteristics of the mandibular fractures. The results demonstrate that preventive measures according to these characteristics will need to be implemented in order to minimize the risk of maxillofacial injuries.

저자 등은 1996년 1월부터 2004년 12월까지 서울대학교 보라매병원 구강악안면외과에서 치료받은 141명의 하악골 골절 환자의 임상적 연구를 통하여 다음을 알 수 있었다. 1. 전체 환자에서 남,녀 성별 발생빈도는 5.13대 1로 남자에서 호발 하였으며, 연령대별로는 20대에서 가장 빈발하였고 (30.5%), 그 다음 30대, 40대 (22.7%) 순이었다. 2. 하악골 골절의 원인으로 폭행 (45.4%), 낙상, 추락 및 충돌 (40.4%), 교통사고 (11.3%) 순이었다. 3. 골절부의 위치는 하악 정중부 (41.2%), 우각부(32.2%), 과두부 골절(18.5%)의 순으로 나타났으며, 단일 골절의 경우 하악 우각부 골절이 (46.7%)로 가장 많았고, 두 군데 이상의 골절의 하악 정중부 및 우각부 동시 골절이 가장 많았다 (45.5%). 4. 교통사고로 인한 하악 골절은 정중부, 과두부, 우각부 골절의 순으로 발생 빈도를 보였고, 폭력과 낙상, 추락 및 충돌 등으로 인한 골절의 경우 정중부, 우각부, 과두부 골절 순으로 발생빈도를 보였다.

Keywords

References

  1. Telfer MR, Jones GM, Shepherd JP : Trends in the aetiology of maxillofacial fractures in the United Kingdom (1977-1987). Br J Oral Maxillofac Surg 29 : 250, 1991 https://doi.org/10.1016/0266-4356(91)90192-8
  2. Haug RH, Prather J, Indresano T : An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 48 : 926, 1990 https://doi.org/10.1016/0278-2391(90)90004-L
  3. Van Beek GJ, Merkx CA : Changes in the pattern of fractures of the maxillofacial skeleton. Int J Oral Maxillofac Surg 28 : 424, 1999 https://doi.org/10.1016/S0901-5027(99)80055-1
  4. Gassner R, Tuli T, Ha¨chl O, Rudisch A, Uimer H : Cranio-maxillofacial trauma: 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg 31 : 51, 2003 https://doi.org/10.1016/S1010-5182(02)00168-3
  5. Ida S, Kogo M, Suguira T, Mima T, Matsuya T : Retrospective analysis of 1502 patients with facial fractures. Int J Oral Maxillofac Surg 30 : 286, 2001 https://doi.org/10.1054/ijom.2001.0056
  6. Adekey EO : Fractures of the zygomatic compelx in Nigerian patients. J Oral Surg 38 : 596, 1980
  7. Ugboko VI, Odusanya SA, Fagade OO : Maxiollofacial fractures in a semi-urban Nigerian teaching hospital. A review of 442 cases. Int J Oral Maxiollofac Surg 28 : 424, 1999 https://doi.org/10.1016/S0901-5027(99)80055-1
  8. Van Hoof RF, Merkx CA, Stekelenburg EC : The different patterns of fractures of the facial skeleton in four European countries. Int J Oral Surg 6 : 3, 1977 https://doi.org/10.1016/S0300-9785(77)80066-5
  9. Ellis E. El-Attar A, Moos KF : An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg 43 : 417, 1985 https://doi.org/10.1016/S0278-2391(85)80049-5
  10. Ellis E. Moos KF, El-Attar A : A ten year analysis of mandibular fractures. An analysis of 2137 cases. Oral Surg 59 : 120, 1985 https://doi.org/10.1016/0030-4220(85)90002-7
  11. Brook IM, Wood N. Aetiology and incidence of facial fractures in adults. Int J Oral Maxillofac Surg 12 : 293, 1983
  12. Busuito MJ, Smith DR Jr, Robson MC : Mandibular fractures in urban trauma center. J Trauma 26 : 826, 1986 https://doi.org/10.1097/00005373-198609000-00008
  13. Scherer M, Sulliven WG, Smith DJ, Philips LG, Robson MC : Analysis of 1423 facial fractures in 788 patients at an urban trauma center. J Trauma 29 : 388, 1989 https://doi.org/10.1097/00005373-198903000-00020
  14. Starkhammer H, Olofsson J : Facial fractures; a review of 922 cases with special reference to incidence and aetiology. Clin Otolaryngol 7 : 405, 1982 https://doi.org/10.1111/j.1365-2273.1982.tb01404.x
  15. Anderson L, Hultin M, Nordenram A, Ramstrom G : Jaw fractures in the county of Stockholm (1978-1980) (1) General survey. Int J Oral Maxillofac Surg 13 : 194, 1984
  16. Voss R : The etiology of jaw fractures in Norwegian patients. J Maxillofac Surg 10 : 146, 1982 https://doi.org/10.1016/S0301-0503(82)80031-3
  17. Olson RA, Fonseca RJ, Zeiter DL, Osbon DB : Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg 40 : 23, 1982 https://doi.org/10.1016/S0278-2391(82)80011-6
  18. Lindquist C, Sorsa S, Hyprkas T, Santavirta S : Maxillofacial fractures sustained in bicycle accidents. Int J Oral Maxillofac Surg 15 : 12, 1986 https://doi.org/10.1016/S0300-9785(86)80005-9
  19. Jang HS, You JY, Kim YK, Yang BE : A clinical study on mandibular fracture. Kor J Plast Reconstr Surg 19 : 181, 1997