TITLE:
Mandibular Fractures at Sylvanus Olympio Teaching Hospital: About 153 Cases
AUTHORS:
Haréfétéguéna Bissa, Saliou Adam, Winga Foma, Palokina Agoda, Essobozou Plaodèzina Pegbessou, Essolam Tagba, Bathokédéou Amana, Eyawèlhon Kpemissi
KEYWORDS:
Mandible, Fracture, Epidemiology, Treatment, Togo
JOURNAL NAME:
Open Journal of Stomatology,
Vol.7 No.12,
December
4,
2017
ABSTRACT: 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.