Mandibular fractures: a comparative analysis between young and adult patients in the southeast region of Turkey.
OBJECTIVE
The purpose of this study was to review and compare the differences between mandibular fractures in young and adult patients.


METHODS
Patients treated at the Oral and Maxillofacial Department of Dicle University during a five-year period between 2000 and 2005 were retrospectively evaluated with respect to age groups, gender, etiology, localization and type of fractures, treatment methods and complications.


RESULTS
532 patients were included in the study, 370 (70%) males and 162 (30%) females, with a total of 744 mandibular fractures. The mean age of young patients was 10, with a male-female ratio of 2:1. The mean age of adult patients was 28, with a male-female ratio of 3:1. The most common causes of injury were falls (65%) in young patients and traffic accidents (38%) in adults. The most common fracture sites were the symphysis (35%) and condyle (36%) in young patients, and the symphysis in adults (36%). Mandibular fractures were generally treated by arch bar and maxillomandibular fixation in both young (67%) and adult (39%) patients, and 43% of the adult patients were treated by open reduction and internal fixation.


CONCLUSIONS
There was a similar gender, monthly and type of treatment distribution in both young and adult patients in the southeast region of Turkey. However, there were differences regarding age, etiology and fracture site. These findings between young and adult patients are broadly similar to those from other studies. Analysis of small differences may be an important factor in assessing educational and socioeconomic environments.
Atilgan
Serhat
S
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey. dtserhat@dicle.edu.tr
Erol
Behçet
B
Yaman
Ferhan
F
Yilmaz
Nezih
N
Ucan
Musa Can
MC
D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001864:Bone Wires / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D005260:Female; D005592:Fracture Fixation / Q000706:statistics & numerical data; D005593:Fracture Fixation, Internal / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D019248:Jaw Fixation Techniques / Q000706:statistics & numerical data; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries; D008337:Mandibular Fractures / Q000145:classification / Q000453:epidemiology*; D008875:Middle Aged; D012189:Retrospective Studies; D012737:Sex Factors; D013997:Time Factors; D014421:Turkey / Q000453:epidemiology; D014754:Violence / Q000706:statistics & numerical data; D055815:Young Adult