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논문 기본 정보

자료유형
학술저널
저자정보
Paul Frimpong (Brong Ahafo Regional Hospital Sunyani Ghana) Thi Hoang Nguyen (Seoul National University Seoul Korea) Buyanbileg Sodnom-Ish (Seoul National University Seoul Korea) Edinam Salia Nimatu (Brong Ahafo Regional Hospital Sunyani Ghana) Nana Yaa Asantewaa Dampare (Brong Ahafo Regional Hospital Sunyani Ghana) Roberta Rockson (Brong Ahafo Regional Hospital Sunyani Ghana) Samuel Baffour Awuah (Brong Ahafo Regional Hospital Sunyani Ghana) Emmanuel Kofi Amponsah (Brong Ahafo Regional Hospital Sunyani Ghana) Cardinal Newton (Brong Ahafo Regional Hospital Sunyani Ghana) Soung Min Kim (Brong Ahafo Regional Hospital Sunyani Ghana)
저널정보
대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제47권 제6호
발행연도
2021.12
수록면
432 - 437 (6page)
DOI
10.5125/jkaoms.2021.47.6.432

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초록· 키워드

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Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for man-aging mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the lead-ing cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and indus-trial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) oc-curred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, es-pecially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.

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