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FİZİKSEL ŞİDDETE BAĞLI MANDİBULAR TRAVMA GÖRÜLME SIKLIĞI - 126 HASTA - 7 YILLIK ARAŞTIRMA
2019
Dergi:  
Current Research in Dental Sciences
Yazar:  
Özet:

Amaç: Gazi Üniversitesi Diş Hekimliği Fakültesi’ne başvuran hastalarda meydana gelen mandibula kırıklarının etiyolojisinin, önceki çalışmalarla uyum gösterip göstermediğini ortaya koymaktır. Gereç ve Yöntem: Travma nedeniyle oluşan maksillofasiyal kırık vakaları sıklıkla karşımıza çıkan olgulardır. Maksillofasiyal travmalarda en çok kırılan kemik mandibuladır. Bu çalışmada, 2010-2017 tarihleri arasında fakültemize başvuran ve tıbbi kayıtlarına ulaşılabilen 126 mandibular kırık olgusunun verileri retrospektif olarak incelendi. Yaş, cinsiyet gibi demografik özellikler, etiyolojik faktörler, kırık yeri ve lokalizasyonu, kırık hattında diş mevcudiyeti, tedavi yöntemi, kırık türü, segmentlerde deplasman mevcudiyeti, beraberinde olan yüz yaralanmaları varlığı, komplikasyon görülme sıklığı geriye dönük olarak değerlendirildi. Bulgular: Toplam 132 hastadan 126’sının verileri bu çalışma için kullanıldı. 7 yıllık süre içerisinde 126 hastada toplam 155 adet kırık teşhis ve tedavi edildi. Erkek/Kadın oranı 2,7:1 olarak bulundu. Hastaların ortalama yaşı 32 olarak hesaplandı. En fazla görülen travma etkeni fiziksel şiddet (%38.09), en yaygın görülen lokalizasyon mandibula angulus bölgesi (%21.93) olarak belirlendi. Vakalardan 29 tanesinde çoklu kırık varlığı tespit edildi. 12 vakada (%9.52) postoperatif enfeksiyon ve 8 vakada (%6.34) rijit fiksasyon başarısızlığı gözlendi. Kırıkların %9.52’si açık redüksiyon, %41.26’sı kapalı redüksiyon ve %49.20’si açık redüksiyon ve intermaksiller fiksasyon ile tedavi edildi. Sonuç: Önceki çalışmalarla uyumlu olarak mandibula kırıklarının etiyolojisinde en önemli faktör %38,09 oranıyla fiziksel şiddet, ardından %24,60 oranı ile trafik kazaları olarak saptandı. Anahtar Kelimeler: Mandibula kırıkları, travma, etiyolojik faktörler, fiziksel şiddet PREVALENCE OF MANDIBULAR TRAUMA RESULTING FROM PHYSICAL VIOLANCE - 126 PATIENTS – A 7-YEAR INVESTIGATION ABSTRACT   Aim:  To demonstrate whether the etiology of mandibular fractures in patients referred to Gazi University Faculty of Dentistry correlates with the results obtained in previous studies. Materials and Methods: Maxillofacial fractures caused by trauma are frequently encountered cases. In maxillofacial trauma, the most fractured bone is mandible. In this study, retrospective review of the medical records of 126 mandibular fracture cases that referred between 2010-2017 are enrolled and all recorded data were examined. Demographic features such as age and sex, etiology, location of fracture, presence of teeth at fracture line, treatment method, fracture type, presence of displacement in segments, presence of accompanying facial injuries and incidence of complications were recorded and retrospectively evaluated. Results: The total number of patients was determined as 132 and the data of 126 were used for this study. A total of 155 fractures were diagnosed and treated in 126 patients over a period of 7 years. Male/Female ratio was 2,7:1. The mean age of the patients was 32. The highest etiologic factor of the trauma was interpersonal violance (38.09%). The most common fractured anatomic site was angle of mandible (21.93%). Multiple fractures were detected in 29 cases. The highest complication rate was found to be postoperative infection 9.52% in 12 cases and rigid fixation failures 6.34% in 8 cases. Fractures were treated with 9.52% open reduction, 41.26% closed reduction and %49.20 open reduction and intermaxillary fixation. Conclusion: Consistent with previous studies, the most important etiologic factor in the etiology of mandibular fractures was physical violence with 38,09%, followed by traffic accidents with 24,60%. Keywords: Mandibular fractures trauma etiologic factors bullying

Anahtar Kelimeler:

Physical Disease Trauma - 126 Patients - 7 Years of Research
2019
Yazar:  
Özet:

The purpose: to show whether the etiology of mandibula fractures occurring in patients applying to the Faculty of Dentistry of the University of Gazi is compatible with previous studies. The means and method: the cases of maxillophasial breakthrough caused by trauma are often the events that we face. The maxillophasial trauma is a broken bone mandula. In this study, the data of the 126 mandibus broken phenomenon that were applicable to our faculty between 2010 and 2017 and which can be accessed to medical records were examined retrospectively. The demographic characteristics such as age, gender, etiological factors, the broken place and location, the presence of the tooth on the broken line, the method of treatment, the broken type, the presence of movement in segments, the presence of face injury that accompanies, the frequency of complications occurring was recurring. Results: In total, data from 126 of 132 patients were used for this study. Over the course of seven years, 126 patients were diagnosed and treated with a total of 155 fractures. The male/woman ratio was 2.7:1 The average age of patients is 32. The most common trauma factor was physical violence (38.09%) and the common localization of the mandibula angulus area (21.93%). 29 of the cases were detected multiple fractures. In 12 cases (% 9). 52) postoperative infection and in 8 cases (6.34) a failure of fixation of rhinitis was observed. 9.52 percent of the crashes were treated with open reduction, 41.26 percent with closed reduction and 49.20 percent with open reduction and intermaxiller fixation. According to previous studies, the important factor in the etiology of mandibula fractures was physical violence with a rate of 38,09%, then traffic accidents with a rate of 24,60%. Keywords: Mandibular fractures, trauma, etiological factors, physical violence PREVALENCE OF MANDIBULAR TRAUMA RESULTING FROM PHYSICAL VIOLANCE - 126 PATIENTS - A 7-Year INVESTIGATION ABSTRACT Aim: To demonstrate whether the etiology of mandibular fractures in patients referred to Gazi University Faculty of Dentistry correlates with the results obtained in previous studies. Materials and Methods: Maxillofacial fractures caused by trauma are frequently encountered cases. In maxillofacial trauma, the most fractured bone is mandible. In this study, retrospective review of the medical records of 126 mandibular fracture cases that referred between 2010-2017 are enrolled and all recorded data were examined. Demographic features such as age and sex, etiology, location of fracture, presence of teeth at fracture line, treatment method, fracture type, presence of displacement in segments, presence of accompanying facial injuries and incidence of complications were recorded and retrospectively evaluated. Results: The total number of patients was determined as 132 and the data of 126 were used for this study. A total of 155 fractures were diagnosed and treated in 126 patients over a period of 7 years. The Male/Female ratio was 2.7:1. The average age of the patients was 32. The highest etiological factor of the trauma was interpersonal violence (38.09%). The most common fractured anatomic site was angle of mandible (21.93%). Multiple fractures were detected in 29 cases. The highest complication rate was found to be postoperative infection 9.52% in 12 cases and rigid fixation failures 6.34% in 8 cases. Fractures were treated with 9.52% open reduction, 41.26% closed reduction and 49.20% open reduction and intermaxillary fixation. Conclusion: Consistent with previous studies, the most important etiological factor in the etiology of mandibular fractures was physical violence with 38,09%, followed by traffic accidents with 24,60%. Keywords: Mandibular fractures; trauma; etiologic factors; bullying

Anahtar Kelimeler:

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2019
Yazar:  
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Current Research in Dental Sciences

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Current Research in Dental Sciences