MAXILLOFACIAL SURGERY

 

Prospective audit of mandibular fractures at the Charlotte Maxeke Johannesburg Academic Hospital

 

 

J. Desai^I; J. F. Lownie^II; P. Cleaton-Jones^III

^IB.D.S., M.Dent. (m.F.O.S.), F.C.M.F.O.S. (s.A.); Division of Maxillofacial and Oral Surgery, University of the Witwatersrand, Johannesburg
^IIM.Dent. (m.F.O.S.), Ph.D., F.C.M.F.O.S. (s.A.) (deceased); Division of Maxillofacial and Oral Surgery, University of the Witwatersrand, Johannesburg
^IIIM.B. B.Ch., D.Sc. (dent.), F.C.D. (s.A.); Division of Maxillofacial and Oral Surgery, and Division of Experimental Odontology, University of the Witwatersrand, Johannesburg

 

 

---

ABSTRACT

OBJECTIVE: This study was a prospective cross-sectional clinical audit of patients with mandibular fractures at the Charlotte Maxeke Johannesburg Academic Hospital.
Methods. Between 1 March and 31 August 2004, patients with mandibular fractures seen by one clinician had their details recorded.
RESULTS: The female:male ratio of the study sample of 133 patients was 1:6. Seventy-seven per cent were aged 20 - 39 years. Most fractures (86%) were the result of interpersonal violence, and 65% were alcohol-associated. Open reduction (75%) was the most common treatment.
CONCLUSION: This study had the highest interpersonal violence and open reduction rates of all the studies reviewed.

---

 

“Full text available only in PDF format”

 

REFERENCES

1. Fonseca RJ, Marciani RD, Hendler BH. Oral and Maxillofacial Surgery. Philadelphia: WB Saunders, 2000: 85-132.         [ Links ]

2. Mukerji R, Mukerji G, McGurk M. Mandibular fractures: historical perspective. Br J Oral Maxillofac Surg 2006; 44: 222-228.         [ Links ]

3. Clinical Audit Support Centre. What is clinical audit? http://www.clinicalauditsupport.com/what_is_clinical_audit.html (accessed 6 March 2009).         [ Links ]

4. Snijman PC. Fractures of the Bantu facial skeleton: a statistical analysis. J Dent Ass S Afr 1963: 18: 555-567.         [ Links ]

5. Smith I. Facial fractures. S Afr J Surg 1973; 11: 187-195.         [ Links ]

6. Melmed EP, Koonin AJ. Fractures of the mandible. Plast Reconstr Surg 1975; 56: 323-327.         [ Links ]

7. Rosenberg I, Smith I. A survey of fractures of the mandible. J Dent Ass S Afr 1976; 31: 567.         [ Links ]

8. Duvenage JG. Epidemiology of maxillofacial and oral trauma in South Africa. J Dent Ass S Afr 1979; 33: 691-693.         [ Links ]

9. Beaumont E, Lownie JF, Cleaton-Jones PE, Newton NPD. An analysis of fractures of the facial skeleton in three population groups in the Johannesburg urban area. J Dent Ass S Afr 1985; 40: 633-638.         [ Links ]

10. Bamjee Y, Lownie JF, Cleaton-Jones PE, Lownie MA. Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral Maxillofac Surg 1996; 43: 298-302.         [ Links ]

11. Roode GJ, van Wyk PJ, Botha SJ. Mandibular fractures: an epidemiological survey at the Oral and Dental Hospital, Pretoria. J Dent Ass S Afr 2007; 62: 270-274.         [ Links ]

12. Olson RA, Fonseca RJ, Zeitler DL, Osbon DB. Fractures of the mandible; a review of 580 cases. J Oral Maxillofac Surg 1982; 40: 23-28.         [ Links ]

13. Busuito MJ, Smith DJ, Robson MC. Mandibular fractures in an urban trauma centre. J Trauma 1986; 26: 826-829.         [ Links ]

14. Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990; 48: 926-932.         [ Links ]

15. Adi M, Ogden GR, Chisholm DM. An analysis of mandibular fractures in Dundee, Scotland (1977 to 1985). Br J Oral Maxillofac Surg 1990; 28: 194-199.         [ Links ]

16. Mwaniki DL, Guthua SW. Occurrence and characteristics of mandibular fractures in Nairobi, Kenya. Br J Oral Maxillofac Surg 1990; 28: 200-202.         [ Links ]

17. Dimitroulis G, Eyre J. A 7-year review of maxillofacial trauma in a central London hospital. Br Dent J 1991; 178: 300-302.         [ Links ]

18. Ugboko VI, Odudanya SA, Fagade OO. Maxillofacial fractures in a semiurban Nigerian teaching hospital. Int J Oral Maxillofac Surg 1998; 27: 286-289.         [ Links ]

19. Oji C. Jaw fractures in Enugu, Nigeria, 1985-95. Br J Oral Maxillofac Surg 1999; 37: 106-109.         [ Links ]

20. Sojat AJ, Meisami T, Sándor GKB, Clokie CML. V. The epidemiology of mandibular fractures treated at the Toronto General Hospital: a review of 246 cases. J Can Dent Assoc 2001; 67: 640-644.         [ Links ]

21. Ferreira PD, Amarante JM, Silva PD, et al. Retrospective study of 1251 maxillofacial fractures in children and adolescents. Plast Reconstr Surg 2005; 115: 1500-1508.         [ Links ]

22. Sakr K, Farag IA, Zeitoun IM. Review of 509 mandibular fractures treated at the University Hospital, Alexandria, Egypt. Br J Oral Maxillofac Surg 2006; 44: 107-111.         [ Links ]

23. Subhashraj K, Nandakumar N, Ravindran C. Review of maxillofacial injuries in Chennai, India: a study of 2748 cases. Br J Oral Maxillofac Surg 2007; 45: 637-639.         [ Links ]

24. Adeyemo WL, Iwegbu IO, Bello SA, et al. Management of mandibular fractures in a developing country: a review of 314 cases from two urban centres in Nigeria. World J Surg 2008; 32: 2631-2635.         [ Links ]