Abstract
Introduction
Mandibular fractures are one of the most commonly encountered injuries in trauma clinics. Although several widely accepted classification systems exist, these are mostly region specific, differ in the classification criteria used, and are sometimes only correlated with specific treatment modalities, thereby making it impossible to uniformly and comprehensively document facial fracture patterns. In this study, we developed a modified scoring system for mandibular fractures and analyzed the relationship between scoring of fractures that were treated and the incidence of complications after surgical treatment.
Materials and methods
To evaluate the suitability of the proposed scoring system, a prospective study on a series of 116 patients was performed. All the fractures were classified using the proposed scoring system. The scoring was based on clinical and radiological evaluation of each fracture. Patients were followed up postoperatively for presence of complications.
Results
A good correlation between the proposed scoring system and the incidence of complications was detected.
Discussion
This scoring system for mandibular fractures facilitates an objective and standardized assessment of the degree of severity of a fracture, thereby allowing for systematic evaluation of facial fracture outcomes, including assessment of complications. However, it is our understanding that a multicenter study should be performed before the effectiveness of the proposed classification can be clearly stated.
Similar content being viewed by others
References
Tanaka N, Tomitsuka K, Shionoya K, Kimijima Y, Tashiro T, Amagasa T (1994) Aetiology of maxillofacial fracture. Br J Oral Maxillofac Surg 32:19–23
Allan BP, Daly CG (1990) Fractures of the mandible. A 35-year retrospective study. Int J Oral Maxillofac Surg 19:268–271
Ellis E, Moos KF, El-Attar A (1985) Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol 59:120–129
Brasileiro BF, Passeri LA (2006) Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:28–34
Joss U, Meyer U, Tkrotz T, Weingart D (1999) Use of a mandibular fracture score to predict the development of complications. J Oral Maxillofac Surg 57:2–5
Mathog RH, Toma V, Clayman L, Wolf S (2000) Nonunion of the mandible: an analysis of contributing factors. J Oral Maxillofac Surg 58:746–752
Passeri LA, Ellis E, Sinn DP (1993) Relationship of substance abuse to complications with mandibular fractures. J Oral Maxillofac Surg 51:22–25
Biller JA, Pletcher SD, Goldberg AN, Murr AH (2005) Complications and the time of repair of mandible fractures. Laryngoscope 115:769–772
Moreno JC, Fernández A, Ortiz JA, Montalvo JJ (2000) Complication rates associated with different treatments for mandibular fractures. J Oral Maxillofac Surg 58:273–280
Shetty V, Atchison K, Belin TR, Wang J (2001) Clinician variability in characterizing mandible fractures. J Oral Maxillofac Surg 59:254–261
Adi M (1990) An analysis of mandibular fractures in Dundee, Scotland (1977–1985). Brit J Oral Maxillofac Surg 28:194–199
Moreno JC (2000) Complication rates associated with different treatments for mandibular fractures. J Oral Maxillofac Surg 58:273–280
Rix L, Stevenson AR, Punnia-Moorthy A (1991) An analysis of 80 cases of mandibular fractures treated with miniplate osteosynthesis. Int J Oral Maxillofac Surg 20:337–341
Gabrielli MAC (2003) Fixation of mandibular fractures with 2.0 miniplates: review of 191 cases. J Oral Maxillofac Surg 61:430–436
Martini MZ, Takahashi A (2006) Epidemiology of mandibular fractures treated in a Brazilian level I trauma public hospital in the city of São Paulo, Brazil. Braz Dent J 17:243–248
Spina AM, Marciani RD (2000) Mandibular fractures. In: Fonseca RJ (ed) Oral and maxillofacial surgery, vol 3, 1st edn. Saunders, Pennsylvania
Heslop IH, Cawood JI, Stoelinga PJW et al (1994) Mandibular fractures: treatment by open reduction and direct skeletal fixation. In: Williams JL (ed) Rowe and Williams’ maxillofacial injuries, vol 1, 2nd edn. Churchill Livingstone, Edinburgh, p 360
Iida S, Hassfeld S, Reuther T, Nomura K, Muhling J (2005) Relationship between the risk of mandibular angle fractures and the status of incompletely erupted mandibular third molars. J Craniomaxillofac Surg 33:158–163
Iizuka T, Lindqvist C (1992) Rigid internal fixation of mandibular fractures. An analysis of 270 fractures using AO/ASIF method. Int J Oral Maxillofac Surg 21:65–69
Kamboozia AH, Punnia-Moorthy A (1993) The fate of teeth in mandibular fracture lines: a clinical and radiographic follow-up study. Int J Oral Maxillofac Surg 22:97–101
Iizuka T, Lindqvist C (1991) Sensory disturbances associated with rigid internal fixation of mandibular fractures. J Oral Maxillofac Surg 49:1264–1268
Malanchuk VO, Kopchak AV (2007) Risk factors for development of infection in patients with mandibular fractures located in the tooth-bearing area. J Craniomaxillofac Surg 35:57–62
Nakamura S, Takenoshita Y, Oka M (1994) Complications of miniplate osteosynthesis for mandibular fractures. J Oral Maxillofac Surg 52:233–238, discussion 238–9
Tuovinen V, Norholt SE, Sindet-Pedersen S, Jensen J (1994) A retrospective analysis of 279 patients with isolated mandibular fractures treated with titanium miniplates. J Oral Maxillofac Surg 52:931–935, discussion 935–6
Marchena JM, Padwa BL, Kaban LB (1998) Sensory abnormalities associated with mandibular fractures: incidence and natural history. J Oral Maxillofac Surg 56:822–825, discussion 825–6
Kumar S, Gupta R (2006) Simultaneous bilateral facial palsy as a result of isolated mandibular fractures. Int J Oral Maxillofac Surg 35:1156–1159
Sandstedt P, Sorenson S (1995) Neurosensory distrubances of trigeminal nerve: a long term follow-up of traumatic injuries. J Oral Maxillofac Surg 53:498–505
Furr AM, Schweinfurth JM, May WL (2006) Factors associated with long term complications after repair of mandibular fractures. Laryngoscope 116:427–430
Maloney PL, Welch TB, Doku HC (1991) Early mobilization of mandibular fractures: a retrospective study. J Oral Maxillofac Surg 49:698–702, discussion 702–3
Paglia DN, Mehta SK, Kristen Mason BS, et al (2010) Diabetes affects fracture healing at cellular level. Lower extremity review Publishing web. At: http://www.lowerextremityreview.com/article/diabetes-affects-fracture-healing-at-cellular-level. Accessed 2 July 2011
Graves DT, Alblowi J, Paglia DN, Connor JP, Lin S (2011) Impact of diabetes on fracture healing. J Exp Clin Med 3:3–8. doi:10.1016/j.jecm.2010.12.006
Diamond T, Stiel D, Lunzer M, Wilkinson M, Roche J, Posen S (1990) Osteoporosis and skeletal fractures in chronic liver disease. Gut 31:82–87
Reimers EG et al (2011) Vitamin D and nutritional status are related to bone fractures in alcoholics. Alcohol Alcohol 46:148–155
West SL, Lok CE, Jamal SA (2010) Fracture Risk Assessment in Chronic Kidney Disease, Prospective Testing Under Real World Environments (FRACTURE): a prospective study. BMC Nephrol 11:17
Perrott DH (1998) Use of a mandibular score to predict the development of complications. J Oral Maxillofac Surg 57:2–5, discussion 5–7
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shankar, D.P., Manodh, P., Devadoss, P. et al. Mandibular fracture scoring system: for prediction of complications. Oral Maxillofac Surg 16, 355–360 (2012). https://doi.org/10.1007/s10006-012-0326-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-012-0326-9