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Mandibular Fractures at Sylvanus Olympio Teaching Hospital: About 153 Cases

机译:Sylvanus Olympio教学医院下颌骨折:大约153例

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Introduction: Mandibular fractures have epidemiological and therapeutic characteristics that vary from one region to another. The aim of our work was to report the particularities of this pathology in Lomé. Material and Methods: We analyzed retrospectively the records of 153 patients admitted for mandibular fractures in the ENT and Head and Neck and Maxillofacial Surgery Department of the Sylvanus Olympio Teaching Hospital in Lomé, between 2010 and 2015. Age, sex, etiology, topography and the therapeutic modalities were the parameters of study. Results: The prevalence of mandibular fractures was 15% with a sex ratio of 9.2. The average age was 33.5 +/- 11.4 years with extremes of 7 years and 67 years. The etiology was marked by the predominance of road accidents (RA) in 63.3% followed by accidents at work in 14.4% and 80.4% motorcyclists involved. Unifocal fractures were found in 68.6% and the parasymphyseal region was the most affected (47%) followed by the corpus (17.7%). The osteosyntheses were performed in 71.9% and intermaxillary fixation in 13.7%. The sequelae were noted in 12 patients (tooth loss, paresthesia in the lower dental nerve area). Discussion: Our results are superimposable with publications in developing countries. Mandibular fractures remain as the prerogative of young men of the 2nd and 3rd decades. However, treatment using modern methods (screw plate osteosynthesis) is still dependent on socioeconomic status.
机译:介绍:下颌骨折具有流行病学和治疗特性,其从一个区域变化到另一个区域。我们的作品的目的是在Lomé举行这种病理学的特殊性。 材料和方法:我们回顾性分析了2010年和2015年在Lomé的Sylvanus Olympio教学医院中胚胎和颈部和颈部和颌面外科医院的下颌骨骨折的153名患者的记录。年龄,性,病因,地形和治疗方式是研究的参数。 结果:下颌骨折的患病率为15%,性别比例为9.2。平均年龄为33.5 +/- 11.4岁,极端为7年和67岁。在63.3%的道路事故(RA)的主要职位之后,该事故的主要职位是在14.4%和80.4%的摩托车手涉及的情况下进行的。在68.6%中发现小焦骨折,副映射区域受影响最大(47%),然后是语料库(17.7%)。骨质酸酯在71.9%和跨颌骨固定中进行13.7%。在12名患者(牙齿损失,下牙齿神经区域中的牙齿丧失)中注意到后遗症。 讨论:我们的结果在发展中国家的出版物叠加。下颌骨骨折仍然是第二十年和第3世纪的年轻人的特权。然而,使用现代方法(螺旋板骨质合成)的处理仍然依赖于社会经济地位。

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