Current Trend in the Treatment of Mandibular Fracture in Central India

Abstract

Introduction: Maxillofacial trauma being one of the most commonly & frequently addressed disease condition in any trauma centre. Hence, providing a vast scope for timely research and audit for betterment of treatment being provided and also precautions to be implemented for such settings and locations.Methods: Retrospectively 3 year medical records of mandibular fracture cases from 12 selected fracture treatment centers of central India were collected and analyzed. In all, 797 patients of mandibular fracture were reported, which had 1165 fracture i.e. approximately 1.5 fractures in every patient.Results:Parasymphysis region was the most common fracture site (33.3%), followed by body and condyle (21.3% & 21.1% respectively). Majority of the cases were managed by open reduction and internal fixation (ORIF) which accounted for 52.6% of total cases, cortical miniplates were used in majority of these cases. Closed reduction modalities were used in 15.8% of cases, in this arch bar was the most preferred modality for Inter-maxillary Fixation (IMF). 10.2% of the cases did not undergo any treatment, or palliative treatment was advised. Supplemental post operative IMF were given in 21.4% of the cases.Conclusion: In the present study, inclination for ORIF as treatment modality emerged which was in accordance with the majority of similar studies. Also escalating usage of post-operative supplementary IMF emerged after ORIF. Former finding highlighted the fact that surgical procedure is the most preferred option among surgeons, or the mandibular fracture cases been treated were indicated for ORIF. But the latter finding indicated 3 possibilities, first a large number of cases were displaced or comminuted fractures, second a large number of condyle fracture or concomitant condyle fracture cases, and third the lessened effectiveness of ORIF treatment to render functional rehabilitation at the earliest, post operatively.