PMID- 29390511
OWN - NLM
STAT- MEDLINE
DCOM- 20180220
LR  - 20221005
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Mandibular Fracture Patterns at a Medical Center in Central Taiwan: A 3-Year 
      Epidemiological Review.
PG  - e9333
LID - 10.1097/MD.0000000000009333 [doi]
LID - e9333
AB  - Mandibular fractures constitute a major portion of maxillofacial trauma and may 
      lead to considerable functional and aesthetic sequelae if treatment is inadequate 
      or delayed. An epidemiology study on mandibular fractures may guide the 
      preventive efforts of the Taiwan public health care system. Therefore, a 
      retrospective review was conducted at a medical center in central Taiwan to 
      evaluate the current mandibular fracture epidemiology.The medical records and 
      digitized radiographs of 198 patients who received treatment for mandibular 
      fractures during a 3-year period (from October 2010 to September 2013) at a 
      medical center in central Taiwan were reviewed to obtain demographic and injury 
      data.The average age was 29.4 years (3-82 years). Patients aged 21 to 30 years 
      sustained the most mandibular fractures (62 patients, 31.3%). The overall sex 
      distribution (male to female) ratio was 1.8. Motor-vehicle accidents (MVAs) were 
      the most common mechanism of injury (162 patients, 82%), and scooter and 
      motorcycle riders wearing partial-coverage helmets constituted the majority of 
      patients. A chart review identified 198 patients with 335 mandibular fractures; 
      113 patients (57.1%) had multiple mandibular fractures. The most common fracture 
      sites were the symphysis and parasymphysis regions (38.9%), followed by the 
      condyle (26.0%), angle (14.3%), body (14.3%), and ramus (6.6%).MVAs are the major 
      cause of mandibular fractures in central Taiwan, and patients aged <30 years 
      sustained the most mandibular fractures. Compared with previous studies, the 
      present study has a higher percentage of women with mandibular fractures. In 
      addition, inadequate mandibular protection by partial-coverage helmets may be a 
      major reason for mandibular fractures most commonly localized in the symphysis 
      and parasymphysis regions. The incidence and causes of mandibular fractures may 
      reflect the trauma patterns within the community, thus facilitating the 
      development of a preventive strategy for the socioeconomic and environmental 
      background of central Taiwan.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights 
      reserved.
FAU - Lin, Fu-Yu
AU  - Lin FY
AD  - Department of Neurology Division of Plastic and Reconstructive Surgery, 
      Department of Surgery, China Medical University Hospital, China Medical 
      University School of Medicine Division of Plastic and Reconstructive Surgery, 
      Department of Surgery, Asia University Hospital, Asia University College of 
      Medical and Health Science, Taichung, Taiwan.
FAU - Wu, Chao-I
AU  - Wu CI
FAU - Cheng, Hsu-Tang
AU  - Cheng HT
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Accidents, Traffic/statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Fractures, Multiple/epidemiology
MH  - Humans
MH  - Male
MH  - Mandibular Fractures/*epidemiology
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Sex Distribution
MH  - Taiwan/epidemiology
MH  - Young Adult
PMC - PMC5758213
COIS- The authors report no conflicts of interest.
EDAT- 2018/02/03 06:00
MHDA- 2018/02/21 06:00
PMCR- 2017/12/22
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/21 06:00 [medline]
PHST- 2017/12/22 00:00 [pmc-release]
AID - 00005792-201712220-00098 [pii]
AID - MD-D-17-05390 [pii]
AID - 10.1097/MD.0000000000009333 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9333. doi: 10.1097/MD.0000000000009333.