Análisis retrospectivo de 75 fracturas mandibulares consecutivas en el Hospital Central Militar.

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Title:	Análisis retrospectivo de 75 fracturas mandibulares consecutivas en el Hospital Central Militar.
Alternate Title:	Retrospective analysis of 75 consecutive mandibular fractures in the Hospital Central Militar.
Authors:	Ochoa-Pell, Jorge Alberto¹ jordiochoa@hotmail.com
Source:	Revista de Sanidad Militar. jul/ago2008, Vol. 62 Issue 4, p166-173. 8p. 1 Color Photograph, 1 Black and White Photograph, 3 Charts, 6 Graphs.
Subjects:	MANDIBLE abnormalities, FACIAL abnormalities, DEMOGRAPHY, PLASTIC surgery, SURGICAL complications, ANALGESIA
Abstract (English):	Introduction. Mandible fractures are a common site of fracture in the facial skeleton. Data regarding incidence and demography are consistent but treatment results are variable. There are several specialties in charge of the treatment of mandible fractures. Studies that evaluate the effectiveness to provide treatment of each one of these, are not sufficient. Methods. The medical records of 50 patients operated for mandible fractures, at Central Military Hospital, Mexico City, over 4- year period, between January 2003 and December 2006 were reviewed. Demographic data and incidence of mandible fractures were obtained. Comparative analysis between the specialties of plastic surgery, maxilofacial surgery and otorrinolaryngology were made for the variables of: number of days of hospital stay, complications and analgesic time requirements. Results. Seventy-five mandible fractures were found within the 50 patients reviewed. 90% of the patients were male, 10% left were female. The majority of them were in the group of age between the 21 and 30 years. The main cause of injury was found to be automobile accidents. The most common site of fracture was the parasymphisiary region in 40% of the cases; 68% of the patients had more than one fracture in the mandible. 22% of the patients had non-mandibular face fractures. Most of the patients received treatment by the specialty of otorrinolaryngology (54%), followed by maxilofacial surgery (32%) and plastic surgery (14%). 48% of the patients required the evaluation of other specialties for the treatment of the associated trauma. We found statistically significant differences as far as the days of hospital stay, when the specialties of plastic surgery and maxilofacial surgery were compared with ORL. We did not find any significant difference as far as the analgesic requirements and complications. Mortality in our study was of 0%. Conclusions. Data found regarding demography and incidence in our study is similar to the reported ones in the rest of litera ture. In spite of a significant greater number of patients treated by the specialty of otorrinolaryngology, the results are similar to the ones obtained by the specialties of plastic surgery and the maxilofacial surgery. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. Las fracturas mandibulares son un sitio común de fractura en el esqueleto facial. La incidencia y datos demográficos son variables, así como los resultados en el tratamiento. Son varias las especialidades encargadas del tratamiento de las fracturas mandibulares. No hay estudios suficientes sobre la efectividad de cada una de éstas para proporcionar el tratamiento a pacientes con fracturas mandibulares. Métodos. Se revisaron en forma retrospectiva los expedientes clínicos de los pacientes operados en el Hospital Central Militar, operados de fracturas mandibulares en un periodo de cuatro años, entre enero 2003 y diciembre 2006. Se obtuvieron datos demográficos y de incidencia de fracturas faciales. Se realizaron estudios comparativos entre las especialidades de cirugía plástica, cirugía maxilofacial y otorrinolaringología en cuanto a las variables de número de días de estancia hospitalaria, complicaciones postoperatorias y tiempo de requerimiento de analgésicos. Resultados. Se revisaron los expedientes clínicos de 50 pacientes, con 75 fracturas mandibulares. El 90% de los pacientes pertenecieron al sexo masculino, la mayoría en el grupo de edad entre los 21 y 30 años. La etiología más común fueron los accidentes automovilísticos. El sitio más común de fractura fue en la región parasinfisiaria 40%; el 68% de los pacientes tuvieron más de una fractura en la región mandibular. El 22% de los pacientes tuvieron fracturas faciales no mandibulares. La mayor parte de los pacientes fueron atendidos por la especialidad de otorrinolaringología (54%) seguidos de cirugía maxilofacial (32%) y cirugía plástica (14%). El 48% de los pacientes requirió de la evaluación de otras especialidades para el tratamiento del trauma sistémico asociado. Sólo encontramos diferencias estadísticamente significativas en cuanto a los días de estancia hospitalaria, cuando se compararon las especialidades de cirugía plástica y cirugía maxilofacial con ORL. No encontramos diferencias en cuanto a las complicaciones y requerimientos analgésicos. La mortalidad en nuestro estudio fue de 0%. Conclusiones. Los datos demográficos encontrados en nuestro estudio son similares a los reportados en el resto de la literatura. A pesar de un número significativamente mayor de pacientes atendidos por la especialidad de otorrinolaringología, los resultados son similares a los obtenidos por las especialidades de cirugía plástica y cirugía maxilofacial. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction. Mandible fractures are a common site of fracture in the facial skeleton. Data regarding incidence and demography are consistent but treatment results are variable. There are several specialties in charge of the treatment of mandible fractures. Studies that evaluate the effectiveness to provide treatment of each one of these, are not sufficient. Methods. The medical records of 50 patients operated for mandible fractures, at Central Military Hospital, Mexico City, over 4- year period, between January 2003 and December 2006 were reviewed. Demographic data and incidence of mandible fractures were obtained. Comparative analysis between the specialties of plastic surgery, maxilofacial surgery and otorrinolaryngology were made for the variables of: number of days of hospital stay, complications and analgesic time requirements. Results. Seventy-five mandible fractures were found within the 50 patients reviewed. 90% of the patients were male, 10% left were female. The majority of them were in the group of age between the 21 and 30 years. The main cause of injury was found to be automobile accidents. The most common site of fracture was the parasymphisiary region in 40% of the cases; 68% of the patients had more than one fracture in the mandible. 22% of the patients had non-mandibular face fractures. Most of the patients received treatment by the specialty of otorrinolaryngology (54%), followed by maxilofacial surgery (32%) and plastic surgery (14%). 48% of the patients required the evaluation of other specialties for the treatment of the associated trauma. We found statistically significant differences as far as the days of hospital stay, when the specialties of plastic surgery and maxilofacial surgery were compared with ORL. We did not find any significant difference as far as the analgesic requirements and complications. Mortality in our study was of 0%. Conclusions. Data found regarding demography and incidence in our study is similar to the reported ones in the rest of litera ture. In spite of a significant greater number of patients treated by the specialty of otorrinolaryngology, the results are similar to the ones obtained by the specialties of plastic surgery and the maxilofacial surgery. [ABSTRACT FROM AUTHOR]
ISSN:	0301696X