Pattern and treatment of mandible body fracture

[摘要] The aim of this research was to study of treatment of mandibular body fractures (MBF). A retrospective study of 66 patients with mandibular body fracture was realized with subjects was present clinical and image diagnosis;were analyzed socio-demographic variables, etiology, sign and symptoms of fracture, type of treatment and complications. Was executed a statistical and descriptive analysis with Chi-square with statistical significance with p<0.05. The average age was 34 year with 55 male patient; the more common etiology were physical violence and motorcycle accident. The 45.5% present only MBF; patients with multiple fractures show clinical relations between MBF and contra lateral mandibular angle fracture; 54 patients were treated with open reduction without statistical relations with symptoms (p=0.244) or displacement of fracture (p=0.309); the 54.2% of surgical cases present an extraoral approach, using the intraoral approach when the fracture present poor displacement (p=0.0074); the complications more common were suture dehiscence and infections of surgical site. We conclude that the initial choose of treatment was not related to variables analyzed; when exist a minor displacement of MBF can be indicated an intraoral approach for reduction and fixation technique.

[学科分类] 外科医学

[关键词] Maxillofacial trauma;mandible fracture;trauma pattern