This study was conducted in the Department of Oral and Maxillofacial Surgery
This study was conducted in the Department of Oral and Maxillofacial Surgery, Lahore Medical Security Master protects your privacy Dental College / Ghurki Trust Teaching Hospital, Lahore from March 2014 to July 2017.
The patients attending the Accident and Emergency Department as well as Outpatient Section/Department of Oral and Maxillofacial Surgery at Lahore Medical & Dental College / Ghurki Trust Teaching Hospital, Lahore were thoroughly assessed.
All the consecutive patients of any age and either gender having clinical and radiological evidence of mandibular fracture were included in the current study. Medically compromised, previously maltreated and untreated patients were excluded.
The patients were assessed with thorough history and clinical examination and information obtained was filled up in the patient’s departmental records. Specific radiographs such as OPG (orthopentomogram) and PA (postero anterior) mandible were obtained to confirm the bony fractures. CTscan and intra-oral radiographs (periapical/occlusal) were prescribed if needed. Classification of fractures was done using standard nomenclature. An appropriated treatment plan was devised and executed after obtaining written informed consent of the patient. The pattern and management of mandibular fractures were compiled according to age, gender, etiology, anatomic site, relative frequency and methods of fixation.
Open reduction and internal fixation (ORIF) under GA (general anesthesia) was the preferred method of treatment for the mandibular fractures whenever possible (Fig 1;2). However, closed reduction and indirect fixation techniques were also used for mandibular fractures, with patients under local anesthesia (LA). IMF (intermaxillary fixation) with eyelet wiring was performed for patients who were unable to undergo GA, having financial issues and favourable mandibular fractures without significant displacement. While IMF (arch bar with elastics) was preferably used for condylar fractures. The patients below 12 years (in primary/mixed dentition) were treated under GA because of their uncooperative behavior. Splint fixation under GA was the method of choice for pediatric patients along with edentulous patients with atrophic mandible. A follow up of six weeks was done for all the patients.
The data collected from departmental records was analyzed using SPSS version 20. The qualitative variables like gender, etiology, pattern, anatomic site and treatment modalities were presented as frequency and percentages. While quantitative variable like age was presented by mean and standard deviation. A value of p