The recent rise in road traffic accidents in Indonesia has raised concern about an increased mandible fracture, with patterns of mandible fracture and postoperative outcome that vary across the globe. This study aimed to describe mandible fracture and their postoperative outcome in patients treated by the Department of Plastic Reconstructive and Aesthetic Surgery in one of Indonesia’s largest tertiary hospitals during January 2018 to December 2020.
This was a descriptive retrospective study that evaluated 60 medical records of patients who were treated for mandible fractures. A total of 60 medical records were enrolled in this study.
The number of male patients was three times that of females (3:1). Patients were mostly aged 20-29 (45%). The symphysis/parasymphysis was most commonly fractured in 37.5% of patients. Multiple-site fractures showed slight dominance in 51.67% of patients. The most common multiple-site fracture combination was symphysis/parasymphysis and condyle, while single-site fractures were symphysis/parasymphysis. Majority of the patients (30; 50%) experienced complete recovery without any postoperative complaints, while the remaining 26 patients (43.33%) experienced postoperative complications, with malocclusion being the most common in 30% of the patients.
This study found similar but different findings in epidemiology, fracture pattern, and postoperative outcomes. The higher malocclusion rate was probably due to the implementation of the Coronavirus Disease 2019 (COVID-19) policy in the hospital during the pandemic period regarding alternatives to the standard intraoral approach to reduce exposure to health personnel.
Mandible Fracture, Outcome, COVID-19, Malocclusion, Indonesia
