Incidence and management of mandibular fractures in a low-resource health facility in Ghana
Frimpong Paul, Nguyen Truc Thi Hoang, Sodnom-Ish Buyanbileg, Nimatu Edinam Salia, Dampare Nana Yaa Asantewaa, Rockson Roberta, Awuah Samuel Baffour, Amponsah Emmanuel Kofi, Newton Cardinal, 김성민,
소속 상세정보
( Frimpong Paul ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Nguyen Truc Thi Hoang ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Sodnom-Ish Buyanbileg ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Nimatu Edinam Salia ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Dampare Nana Yaa Asantewaa ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Rockson Roberta ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Awuah Samuel Baffour ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Amponsah Emmanuel Kofi ) - Oral and Maxillofacial Microvascular Reconstruction LAB
( Newton Cardinal ) - Brong Ahafo Regional Hospital Department of Restorative Dentistry
김성민 ( Kim Soung-Min ) - Oral and Maxillofacial Microvascular Reconstruction LAB
Abstract
Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for managing mandibular fractures in low-resource health facilities in low-income countries like Ghana.
Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries.
Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the leading cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and industrial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) occurred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation.
Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, especially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.
키워드
Mandibular fracture; Closed fracture reduction; Motor vehicular accident; Poor lightening
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