Patterns Associated with Adult Mandibular Fractures in Southern Taiwan-A Cross-Sectional Retrospective Study

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2017 Jul 25

PMID 28737727

Citations 11

Authors

Ko-Chien Lin

Shu-Hui Peng

Pao-Jen Kuo

Yi-Chun Chen

Cheng-Shyuan Rau

Ching-Hua Hsieh

Affiliations

Soon will be listed here.

Abstract

This study aimed to determine the patterns associated with adult mandibular fractures from a Level-I trauma center in southern Taiwan. The data of adult trauma patients admitted between 1 January 2009 and 31 December 2014 were retrieved from the Trauma Registry System and retrospectively reviewed. Fracture site and cause of injury were categorized into groups for comparison, and corresponding odds ratios (ORs) and 95% confidence intervals (CIs) were obtained by multivariate logistic regression. Motorcycle accidents were the most common cause of mandibular fractures (76.3%), followed by falls (10.9%), motor vehicle accidents (4.8%), and being struck by/against objects (4.5%). Of the 503 cases of mandibular fractures, the condylar neck and head were the most common sites (32.0%), followed by the parasymphysis (21.7%), symphysis (19.5%), angle and ramus (17.5%), and body (9.3%). The location of mandibular fractures in patients who had motorcycle accidents was similar to that in all patients. Motor vehicle accidents resulted in a significantly higher number of body fractures (OR 3.3, 95% CI 1.24-8.76, = 0.017) and struck injury in a significantly higher number of angle and ramus fractures (OR 3.9, 95% CI 1.48-10.26, = 0.006) compared to motorcycle accidents. The helmet-wearing status and body weight were not associated with the location of mandibular fractures in motorcycle accidents. Our study revealed that the anatomic fracture sites of mandible were specifically related to different etiologies. In southern Taiwan, motorcycle accidents accounted for the major cause of mandibular fractures and were associated with the condylar neck and head as the most frequent fracture sites. In contrast, motor vehicle accidents and struck injuries tended to cause more body fracture as well as angle and ramus fracture compared to motorcycle accidents. Furthermore, the status of helmet-wearing and body weight were not associated with the location of mandible fractures caused by motorcycle accidents.

Citing Articles

A Retrospective Evaluation of Mandibular Fracture in Kabul, Afghanistan.

Ahmadi S, Fayaz Y, Miri S, Wikins W, Nazari F, Karimi A Clin Cosmet Investig Dent. 2024; 16:413-418.

PMID: 39429437 PMC: 11491063. DOI: 10.2147/CCIDE.S487658.

Bilateral mandible fractures in the paediatric patient in a case of peer-to-peer violence: a case report and literature review.

Dal Santo K Aust Dent J. 2024; 69(4):320-325.

PMID: 38847228 PMC: 11845840. DOI: 10.1111/adj.13025.

Can the Mechanism of Injury Impact the Location of a Mandibular Fracture? A Systematic Review.

Hesham A, Geiger J, Alshamrani Y, Sawatari Y J Maxillofac Oral Surg. 2024; 23(2):363-370.

PMID: 38601229 PMC: 11001800. DOI: 10.1007/s12663-022-01750-1.

Temporomandibular joint degenerative changes following mandibular fracture: a computed tomography-based study on the role of condylar involvement.

Su C, Su A, Chang C, Lin A, Yeh C Oral Radiol. 2024; 40(3):385-393.

PMID: 38421497 DOI: 10.1007/s11282-024-00742-w.

A 10-year retrospective study on mandibular fractures in Northern Taiwan.

Fang C, Tsai H, Yong C, Ohiro Y, Chang Y, Teng N J Dent Sci. 2023; 18(3):1330-1337.

PMID: 37404622 PMC: 10316488. DOI: 10.1016/j.jds.2023.04.010.

References

Chuang J, Rau C, Kuo P, Chen Y, Hsu S, Hsieh H . Traumatic injuries among adult obese patients in southern Taiwan: a cross-sectional study based on a trauma registry system. BMC Public Health. 2016; 16:275. PMC: 4797357. DOI: 10.1186/s12889-016-2950-z. View

Zhou H, Hu T, Liu Q, Ongodia D, Li Z . Does trauma etiology affect the pattern of mandibular fracture?. J Craniofac Surg. 2012; 23(5):e494-7. DOI: 10.1097/SCS.0b013e3182646525. View

Lam C, Lin M, Chu S, Tsai S, Bai C, Chiu W . The effect of various types of motorcycle helmets on cervical spine injury in head injury patients: a multicenter study in Taiwan. Biomed Res Int. 2015; 2015:487985. PMC: 4330949. DOI: 10.1155/2015/487985. View

Al Ahmed H, Jaber M, Abu Fanas S, Karas M . The pattern of maxillofacial fractures in Sharjah, United Arab Emirates: a review of 230 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98(2):166-70. DOI: 10.1016/j.tripleo.2004.01.020. View

Vaca F . National Highway Traffic Safety Administration (NHTSA) notes. Evaluation of the repeal of the all-rider motorcycle helmet law in Florida. Ann Emerg Med. 2006; 47(2):203. DOI: 10.1016/j.annemergmed.2005.12.007. View

Muller A . Florida's motorcycle helmet law repeal and fatality rates. Am J Public Health. 2004; 94(4):556-8. PMC: 1448295. DOI: 10.2105/ajph.94.4.556. View

Liu H, Rau C, Wu S, Chen Y, Hsu S, Hsieh H . Obese motorcycle riders have a different injury pattern and longer hospital length of stay than the normal-weight patients. Scand J Trauma Resusc Emerg Med. 2016; 24:50. PMC: 4832546. DOI: 10.1186/s13049-016-0241-4. View

Hsieh C, Liu H, Hsu S, Hsieh H, Chen Y . Motorcycle-related hospitalizations of the elderly. Biomed J. 2017; 40(2):121-128. PMC: 6138602. DOI: 10.1016/j.bj.2016.10.006. View

Czerwinski M, Parker W, Chehade A, Williams H . Identification of mandibular fracture epidemiology in Canada: Enhancing injury prevention and patient evaluation. Can J Plast Surg. 2009; 16(1):36-40. PMC: 2690628. DOI: 10.1177/229255030801600107. View

10.

Sobin L, Kopp R, Walsh R, Kellman R, Harris T . Incidence of Concussion in Patients With Isolated Mandible Fractures. JAMA Facial Plast Surg. 2015; 18(1):15-8. DOI: 10.1001/jamafacial.2015.1339. View

11.

Salentijn E, Peerdeman S, Boffano P, van den Bergh B, Forouzanfar T . A ten-year analysis of the traumatic maxillofacial and brain injury patient in Amsterdam: incidence and aetiology. J Craniomaxillofac Surg. 2014; 42(6):705-10. DOI: 10.1016/j.jcms.2013.12.008. View

12.

Hsieh C, Hsu S, Hsieh H, Chen Y . Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center. Biomed J. 2017; 40(2):113-120. PMC: 6138601. DOI: 10.1016/j.bj.2016.10.005. View

13.

Fridrich K, Olson R . Changing trends with mandibular fractures: a review of 1,067 cases. J Oral Maxillofac Surg. 1992; 50(6):586-9. DOI: 10.1016/0278-2391(92)90438-6. View

14.

Olson R, Fonseca R, Zeitler D, Osbon D . Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg. 1982; 40(1):23-8. DOI: 10.1016/s0278-2391(82)80011-6. View

15.

Liang C, Liu H, Rau C, Hsu S, Hsieh H, Hsieh C . Motorcycle-related hospitalization of adolescents in a Level I trauma center in southern Taiwan: a cross-sectional study. BMC Pediatr. 2015; 15:105. PMC: 4551731. DOI: 10.1186/s12887-015-0419-3. View

16.

Morris C, Bebeau N, Brockhoff H, Tandon R, Tiwana P . Mandibular fractures: an analysis of the epidemiology and patterns of injury in 4,143 fractures. J Oral Maxillofac Surg. 2015; 73(5):951.e1-951.e12. DOI: 10.1016/j.joms.2015.01.001. View

17.

Pontes H, Pontes F, Lameira A, Salim R, Carvalho P, Guimaraes D . Report of four cases of ameloblastic fibro-odontoma in mandible and discussion of the literature about the treatment. J Craniomaxillofac Surg. 2011; 40(2):e59-63. DOI: 10.1016/j.jcms.2011.03.020. View

18.

Czerwinski M, Parker W, Williams H . Algorithm for head computed tomography imaging in patients with mandible fractures. J Oral Maxillofac Surg. 2008; 66(10):2093-7. DOI: 10.1016/j.joms.2008.04.011. View

19.

King R, Scianna J, Petruzzelli G . Mandible fracture patterns: a suburban trauma center experience. Am J Otolaryngol. 2004; 25(5):301-7. DOI: 10.1016/j.amjoto.2004.03.001. View

20.

Ogundare B, Bonnick A, Bayley N . Pattern of mandibular fractures in an urban major trauma center. J Oral Maxillofac Surg. 2003; 61(6):713-8. DOI: 10.1053/joms.2003.50118. View