Pattern of Mandibular Fractures Presenting in Maxillofacial Department of Tertiary Care Hospital.

Abstract

Objective: This study will be conducted to evaluate the pattern of mandibular fractures presenting in maxillofacial department of tertiary care hospital.

Methodology: The study was conducted in the Department of Oral and Maxillofacial Surgery at Jinnah Postgraduate Medical Centre, Karachi, over a period of six months from December 2023 to June 2024, after the synopsis was approved. A validated questionnaire was used to collect demographic data, including age, gender, and residential status, as well as details regarding the etiology of the fracture (e.g., road traffic accidents, falls, assaults, sports injuries) and fracture characteristics (location, type, and complexity).

Results:  Unilateral fractures 55.5% were more common than bilateral fractures 44.5%, with the angle 32.0% and body 26.5% being the most frequent fracture sites.  Gender analysis showed no significant differences in fracture type (unilateral fractures: 53.5% in males vs. 60.7% in females, p=0.355) or fracture location (p=0.602), though males had a higher incidence of para-symphysis fractures 7.6% vs. 1.8%. Similarly, age stratification (18–40 years vs. 41–60 years) revealed no significant associations with fracture type or location.

Conclusion: Mandibular fractures are a fairly common injury in severe trauma, primarily affecting young males. The most frequent sites of fracture are the mandibular angle, followed by the body and the condyle, while symphyseal, parasymphyseal and ramus fractures are relatively rare.