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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Elsevier
2022-09-01
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Series: | Heliyon |
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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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format | Article |
id | doaj.art-2c178b3aa239476db9603785e026d41b |
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issn | 2405-8440 |
language | English |
last_indexed | 2024-04-12T17:16:36Z |
publishDate | 2022-09-01 |
publisher | Elsevier |
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series | Heliyon |
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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