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Mandibular Fractures at Sylvanus Olympio Teaching Hospital: About 153 Cases

Open Journal of Stomatology 2017年第12期7卷 501-510页

作者： Haréfétéguéna Bissa Saliou Adam Winga Foma Palokina Agoda Essobozou Plaodèzina Pegbessou essolam tagba Bathokédéou Amana Eyawèlhon Kpemissi Department of Stomatology Otorhinolaryngology Maxillofacial and Head and Neck Surgery Health Sciences Faculty University of Lomé Lomé Togo

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.

关键词： Mandible Fracture Epidemiology Treatment Togo

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Maxillofacial Trauma at LOMÉ(TOGO): About 501 Cases

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Open Journal of Stomatology 2017年第12期7卷 511-518页

作者： Haréfétéguéna Bissa Essobozou Plaodèzina Pegbessou Saliou Adam Winga Foma tagba essolam Essobizou Amana Bathokédéou Amana Eyawèlhon Kpemissi ENT and Cervicofacial and Maxillofacial Surgery Unit Sylvanus Olympio Teaching Hospital of Lomé Lomé Togo

Objective: We conducted a retrospective study to determine the epidemiological profile and describe the diagnostic aspects of maxillofacial trauma. Methods: It was a retrospective descriptive study over 20 years (January 1995-December 2014) in Oral and Maxillofacial Surgery Department of the Sylvanus Olympio Teaching Hospital in Lomé. All the hospitalized patients for facial trauma were included. Results: 501 cases of facial trauma were retained with an annual incidence of 25 cases. The average age was 33 years and the most represented age groups are those of 20 to 29 years (35.53%) and 30 to 39 years (30.14%);and the sex ratio was 9. Traffic roads accidents represented the main circumstance (89.81%) and the motorcycle was the most involved (80.34%). Patients were admitted in the first week (75.65%) with 35.93% on the first day. The maxillofacial CT-Scan was the most requested radiological examination (33.75%). Bone lesions were: mandible (31%), zygomatic (23.26%) and maxillary (18.99%). Dental lesions were found in 68 cases. Extra-facial lesions were found in 44 cases. The patients were treated in the first week (62.48%) and in the first day after admission (20.76%). Conclusions: Maxillofacial trauma is increasing, mainly in young adults due to road traffic accidents.

关键词： Maxillofacial Trauma Fractures Clinical Study Lomé

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