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Pulmonary functions of patients with isolated mandibular fractures: a preliminary report

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2020, v.46 no.1, pp.36-40
https://doi.org/10.5125/jkaoms.2020.46.1.36
Bamidele Adetokunbo Famurewa (Obafemi Awolowo University)
Fadekemi Olufunmilayo Oginni (Obafemi Awolowo University)
Stephen Babatunde Aregbesola (Obafemi Awolowo University)
Gregory Efosa Erhabor (Obafemi Awolowo University)

Abstract

Objectives: The aim of this study was to evaluate pulmonary function in patients with mandibular fractures and to determine the pattern of pulmonary functions in these patients. Materials and Methods: This was a cross-sectional study of pulmonary functions in Nigerian non-smoking patients with isolated mandibular frac-tures managed at our health institution from December 2015 to June 2017. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow rate (PEFR), and ratio of FEV1 to FVC (FEV1/FVC) were measured for all participants using a portable spirometer just before treatment. The pulmonary indices were compared with the predicted reference values for Nigerians to determine the respiratory pattern.Results: Forty participants consisting of six females (15.0%) and thirty-four males (85.0%) with a female to male ratio of 1:5.7 were included in this study. The mean patient age was 34.5±13.1 years (range, 17-63 years). The mean FVC, FEV1, FEV1/FVC, and PEFR were 3.8±1.2 L, 3.0±1.0 L, 74.3%±13.8%, and 5.2±2.2 L/s, respectively. Comparison of data with predicted values revealed that 17 subjects (42.5%) had normal pulmonary func-tion pattern while 23 subjects (57.5%) had features suggestive of obstructive and restrictive pulmonary function patterns.Conclusion: Isolated mandibular fractures presented with abnormal pulmonary function pattern.

keywords
Pulmonary function, Mandibular fractures, Spirometry, Airway obstruction

Journal of the Korean Association of Oral and Maxillofacial Surgeons