Spectrum of Mandibular Fractures in a Tertiary Care Hospital of Karachi


  • Sana Iqbal Oral and Maxillofacial Surgery Department, Abbasi Shaheed Hospital, Karachi, Pakistan
  • Ayesha Aslam Oral and Maxillofacial Surgery Department, Abbasi Shaheed Hospital, Karachi, Pakistan
  • Sufyan Ahmed Oral and Maxillofacial Surgery Department, Abbasi Shaheed Hospital, Karachi, Pakistan
  • Nabeel Khan Department of Oral Biology, Karachi Medical and Dental College, Karachi, Pakistan
  • Mehwash Kashif Department of Oral Pathology, Karachi Medical and Dental College, Karachi, Pakistan.
  • Syeda Musira Kazmi Oral and Maxillofacial Surgery Department, Abbasi Shaheed Hospital, Karachi, Pakistan




tertiary care hospital, mandibular fractures, etiology, pattern


Objective: To evaluate the frequency, pattern, and etiology of mandibular fractures at a tertiary care hospital, in Karachi

Study Design: Retrospective, cross-sectional study.

Setting: Abbasi Shaheed Hospital, Karachi, Pakistan

Methodology: The study was initiated in Outpatient Maxillofacial Surgery Department of Abbasi Shaheed Hospital Karachi. The duration of the study was 5 years and six months. Data of mandibular trauma was evaluated. In this retrospective, cross-sectional study the patients were recruited through convenience sampling and the inclusion criteria was patients from both genders suffered from mandibular trauma of mandibular region. Patients who suffered from the trauma of face other than mandible were excluded. The sample size of the study was 464.  A questionnaire was designed to enquire into the demographic details like age, sex, etiology, and site of fracture. The data was analyzed on SPSS version 17.0.

Results: The majority of patients were males i.e. 384 (82.8%) while 80 (17.2%) were females. The most common type of fracture was combination fractures followed by parasymphysis i.e. 142 (30.6%) and 79 (17%) respectively. Road traffic accident was the major cause of trauma i.e. 332 (71.6%) followed by fall 96 (20.7%). Cross tabulation was done between different variables. Association of gender with etiology and type of fracture revealed non-significant p-value while the association of age with etiology revealed significant p-value. The highest number of mandibular fracture cases due to RTA were reported in the year 2019.

Conclusion: It has been concluded that the frequency of mandibular trauma is quite high with male dominance. The most susceptible site of trauma is the combination and parasymphseal region and the most common etiology were road traffic accidents.


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1. Allan B.P., Dally C.G. Fractures of the mandibular condyle. A 35-year retrospective study. Int J Oral Maxillofac Surg. 1990;19:268–271. https://doi.org/10.1016/S0901-5027(05)80417-5
2. King RE, Scianna JM, Petruzzelli GJ. Mandible fracture patterns: a suburban trauma center experience. American journal of otolaryngology. 2004;25(5):301-7. https://doi.org/10.1016/j.amjoto.2004.03.001
3. Rix L, Stevenson ARL, Punnia-Moorthy A. An analysis of 80 cases of mandibular fractures treated with miniplates osteosynthesis. Int J Oral Maxillofac Surg 1991; 20:337-41. 7. https://doi.org/10.1016/S0901-5027(05)80261-9
4. Renton TF, Wiesenfeld D. Mandibular fracture osteosynthesis: a comparison of three techniques. British journal of oral and maxillofacial surgery. 1996;34(2):166-73. https://doi.org/10.1016/S0266-4356(96)90372-1
5. Gazar MY. Incidence of mandibular fracture in maxillofacial trauma (a retrospective study). Medical Journal of Babylon. 2007;4(3-4):263-7.
6. Shah AA, Akhtar MU. Unusual mandibular fractures of very young children and their management at tertiary dental care centers. Pak Oral Dent J. 2005; 25: 135-38.
7. Banks P. Killey’s fracture of the mandible. 4th ed. London: Wright; 1991: 01-133.
8. Shaheen A, Kumar S, Rehman H, Aslam MA, Haider SM. Analysis of maxillofacial injuries spread over a year period in the Karachi sample. Pak Oral Dent J. 2014;34(1):50-3.
9. Haq EU, Liaquat A, Aftab A, Mehmood HS. Etiology pattern and management of maxillofacial fractures in patients seen at mayo hospital Lahore-Pakistan. Pak Oral Dent J. 2014;34(3):417-21.
10. Katpar S, Khan M, Shah SA, Rajput F, Channar K. Maxillofacial trauma spectrum at civil hospital Karachi: a report from the largest tertiary care public sector teaching hospital in Sindh province. J Kyber C Dent. 2015;5(2):7-11.
11. Kumar M, Shah SF, Panjabi SK, Abdullah S, Shams S. Mandibular fracture management. Professional Med J. 2019;26(04):615-9. https://doi.org/10.29309/TPMJ/2019.26.04.3363
12. Sajid MA, Mehmood S, Latif K, Warraich RA. The pattern of presentation of mandibular condylar fractures in relation to known risk factors. Pak Oral Dent J. 2016;36(1):13-8.
13. Mehmood SK, Kashif M, Katpar S. Spectrum of mandibular fractures presented at Abbasi Shaheed Hospital. Annals of ASH KMDC. 2012;17(2):34- 39.
14. Teshome A, Andualem G, Tsegie R, Seifu S. Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia. BMC Res Notes. 2017;10(1):373. https://doi.org/10.1186/s13104-017-2670-1
15. Lin KC, Peng SH, Kuo PJ, Chen YC, Rau CS, Hsieh CH. Patterns Associated with Adult Mandibular Fractures in Southern Taiwan—A Cross-Sectional Retrospective Study. Int J Environ Res Public Health. 2017;14(7):821. https://doi.org/10.3390/ijerph14070821
16. Amarista Rojas FJ, Bordoy Soto MA, Cachazo M, Dopazo JR, Vélez H. The epidemiology of mandibular fractures in Caracas, Venezuela: Incidence and its combination patterns. Dent Traumatol. 2017;33(6):427-32. https://doi.org/10.1111/edt.12370
17. Peltola EM, Koivikko MP, Koskinen SK. The spectrum of facial fractures in motor vehicle accidents: an MDCT study of 374 patients. Emerg Radiol. 2014;21(2):165-71. https://doi.org/10.1007/s10140-013-1173-1
18. Montovani JC, de Campos LM, Gomes MA, de Moraes VR, Ferreira FD, Nogueira EA. Etiology and incidence of facial fractures in children and adults. Rev Bras Otorrinolaringol. 2006;72(2):235-41. https://doi.org/10.1016/S1808-8694(15)30061-6
19. Abosadegh MM, Rahman SA, Saddki N. Association of traumatic head injuries and maxillofacial fractures: A retrospective study. Dent Traumatol. 2017;33(5):369-74. https://doi.org/10.1111/edt.12349
20. Namis SM, Al-Iryani GM, Makarami AM, Ali FM, Hakami E, Almasrahi MY. The etiology and patterns of maxillofacial trauma in Jazan Province, Saudi Arabia. Afr J Trauma 2017;6:32-6. https://doi.org/10.4103/ajt.ajt_19_17


2020-04-03 — Updated on 2020-09-05


How to Cite

Iqbal, S., Aslam, A., Ahmed, S., Khan, N., Kashif, M., & Kazmi, S. M. (2020). Spectrum of Mandibular Fractures in a Tertiary Care Hospital of Karachi. The International Journal of Frontier Sciences, 4(2). https://doi.org/10.37978/tijfs.v4i2.83 (Original work published April 3, 2020)