Correlation of radiomorphometric indices of the mandible and mandibular angle fractures

This study assessed the correlation of radiomorphometric indices of the mandible and mandibular angle fractures (MAFs) in an Iranian population. This retrospective study was conducted on 3D computed tomography (CT) scans of 118 patients between 18 to 60 years. The images were divided into two groups...

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Main Authors: Aida Karagah, Reza Tabrizi, Fatemeh Pourahmadali, Ahad Alizadeh, Maryam Tofangchiha, Romeo Patini
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022018370
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author Aida Karagah
Reza Tabrizi
Fatemeh Pourahmadali
Ahad Alizadeh
Maryam Tofangchiha
Romeo Patini
author_facet Aida Karagah
Reza Tabrizi
Fatemeh Pourahmadali
Ahad Alizadeh
Maryam Tofangchiha
Romeo Patini
author_sort Aida Karagah
collection DOAJ
description This study assessed the correlation of radiomorphometric indices of the mandible and mandibular angle fractures (MAFs) in an Iranian population. This retrospective study was conducted on 3D computed tomography (CT) scans of 118 patients between 18 to 60 years. The images were divided into two groups with MAFs and other types of mandibular fractures (non-MAF). The gonial angle, ramus height, condylar neck width, minimum ramus width, and mandibular length were all measured using MARCO PACS software. Age, gender, and presence and eruption status of third molar at the fracture side were all recorded. The correlation between these parameters and MAF was analyzed using R software (alpha = 0.05). Of all patients, 41 samples had MAF. The two groups were not significantly different regarding the mean age and gender (P > 0.05). The mean size of gonial angle and ramus height in the MAF group were significantly larger, and smaller than the corresponding values in the non-MAF group, respectively (P < 0.001). The median minimum ramus width in the MAF group was significantly smaller than that in the non-MAF group (P = 0.001). Patients with a large gonial angle had 6.6 times higher odds of MAF compared with other fracture types (P = 0.046). Condylar neck width, mandibular length, and erupted third molars had no significant correlation with type of fracture. Presence of impacted third molar increased the odds of MAF by 5.55 times.Patients with a large gonial angle, short ramus height, minimum ramus width, and impacted third molar are more susceptible to MAF. Surgeons can use these indices to predict the risk of MAF in trauma patients with such facial characteristics, and make a diagnosis by radiographic modalities.
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spelling doaj.art-2c178b3aa239476db9603785e026d41b2022-12-22T03:23:37ZengElsevierHeliyon2405-84402022-09-0189e10549Correlation of radiomorphometric indices of the mandible and mandibular angle fracturesAida Karagah0Reza Tabrizi1Fatemeh Pourahmadali2Ahad Alizadeh3Maryam Tofangchiha4Romeo Patini5Department of Oral and Maxillofacial Surgery, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranStudent Research Committee, Qazvin University of Medical Sciences, Qazvin, IranMedical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Oral and Maxillofacial Radiology, Qazvin University of Medical Sciences, Qazvin, Iran; Corresponding author.Department of Head, Neck and Sense Organs, School of Dentistry, Catholic University of Sacred Heart, Rome, ItalyThis study assessed the correlation of radiomorphometric indices of the mandible and mandibular angle fractures (MAFs) in an Iranian population. This retrospective study was conducted on 3D computed tomography (CT) scans of 118 patients between 18 to 60 years. The images were divided into two groups with MAFs and other types of mandibular fractures (non-MAF). The gonial angle, ramus height, condylar neck width, minimum ramus width, and mandibular length were all measured using MARCO PACS software. Age, gender, and presence and eruption status of third molar at the fracture side were all recorded. The correlation between these parameters and MAF was analyzed using R software (alpha = 0.05). Of all patients, 41 samples had MAF. The two groups were not significantly different regarding the mean age and gender (P > 0.05). The mean size of gonial angle and ramus height in the MAF group were significantly larger, and smaller than the corresponding values in the non-MAF group, respectively (P < 0.001). The median minimum ramus width in the MAF group was significantly smaller than that in the non-MAF group (P = 0.001). Patients with a large gonial angle had 6.6 times higher odds of MAF compared with other fracture types (P = 0.046). Condylar neck width, mandibular length, and erupted third molars had no significant correlation with type of fracture. Presence of impacted third molar increased the odds of MAF by 5.55 times.Patients with a large gonial angle, short ramus height, minimum ramus width, and impacted third molar are more susceptible to MAF. Surgeons can use these indices to predict the risk of MAF in trauma patients with such facial characteristics, and make a diagnosis by radiographic modalities.http://www.sciencedirect.com/science/article/pii/S2405844022018370Mandibular fracturesComputed tomographyMandibular angleRadiomorphometric indices
spellingShingle Aida Karagah
Reza Tabrizi
Fatemeh Pourahmadali
Ahad Alizadeh
Maryam Tofangchiha
Romeo Patini
Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
Heliyon
Mandibular fractures
Computed tomography
Mandibular angle
Radiomorphometric indices
title Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
title_full Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
title_fullStr Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
title_full_unstemmed Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
title_short Correlation of radiomorphometric indices of the mandible and mandibular angle fractures
title_sort correlation of radiomorphometric indices of the mandible and mandibular angle fractures
topic Mandibular fractures
Computed tomography
Mandibular angle
Radiomorphometric indices
url http://www.sciencedirect.com/science/article/pii/S2405844022018370
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