Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017

Bonitz, Lars; Wruck, Vivienne; Peretti, Elena; Abel, Dietmar; Haßfeld, Stefan; Bicsák, Ákos

doi:10.1038/s41598-021-97858-4

Cited by 9 publications

(2 citation statements)

References 40 publications

(41 reference statements)

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“…This finding is in accordance with many studies report the prevalence of cranio-maxillofacial trauma is high among male populations compare with female groups. [24][25][26] This could be attributed to the fact that male's heavy/dangerous working conditions, their crime profile, driving behaviour in traffic and deficit of male about observance of traffic rules.…”

Section: Discussionmentioning

confidence: 99%

Significance of Dental Archiving in Forensic Sciences: A Retrospective Study

GÜRHAN¹,

Şener²,

ALPÖZ³

et al. 2022

Turkiye Klinikleri J Dental Sci

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To retrospectively evaluate the forensic dental records of patients referred to our faculty and offer a standard dental record form. Material and Methods: All forensic odontology cases referred to the our faculty between 2011 and 2019 were evaluated. In addition to demographic findings such as age and gender, the reasons for referral (file types) and dental examination findings were recorded. Differences between the forensic file types according to years were obtained. Data were analyzed using descriptive statistics and frequency distributions. Results: Of 127 dental forensic files evaluated, 54% of the files were trauma, 33% were malpractice and 13% were determination of age. When referral reasons are examined according to gender, it was shown that the number of males was much higher than females in trauma cases while number of females is high in others file types. Analyzing the files according to years showed that the cases before the year 2011 were disorganized and forensic files in 2012-2014 were missing. The malpractice cases were increased while trauma cases were decreased over the years. Conclusion: Trauma cases were the most common reason for referral to forensic cases. However, it was observed that the forensic reports evaluated did not include parameters for the evaluation of injury crimes in terms of forensic medicine. Inadequate forensic dental records also prove the importance of archiving dental files in forensic cases. With the proposal of dental report form presented, it will be possible to standardize and improve the quality of the forensic records.

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Section: Discussionmentioning

confidence: 99%

Significance of Dental Archiving in Forensic Sciences: A Retrospective Study

GÜRHAN¹,

Şener²,

ALPÖZ³

et al. 2022

Turkiye Klinikleri J Dental Sci

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show abstract

“…Malocclusion, scar contracture, diplopia, malunion, wound dehiscence, and infection are well-documented complications in facial trauma [10]. A recent meta-analysis revealed that mandibular fracture infections (66.7%), followed by excessive scarring (20.7%), wound dehiscence (13.8%), and insufficient reposition (13.8%) were the most common types of complications in facial fracture patients [11].…”

Section: Introductionmentioning

confidence: 99%

Complications and complaints in craniofacial fractures – Finnish national data for 20 years

Luotamo,

Snäll,

Toivari

2024

AOS

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Objective: Research on reasons for malpractice claims in oral and maxillofacial surgery is scarce. The aim of this study was to investigate the causes and prevalence of permanent harm among craniofacial fracture related malpractice claims. Materials and methods: A retrospective register study was designed and implemented. All patients with a complaint and a diagnosis of facial or cranial fracture were included. The main outcome was the presence of permanent harm, and the predictor variable was the cause of complaint. Chi-square test was used for estimation of statistical significance. Results: Delay in correct diagnosis was the leading cause of malpractice claims (63.2%), and permanent harm was found in 23.1% of the population. 82.4% of injuries were facial fractures in total population. 65.3% (n = 98) of facial trauma were related with delayed diagnostics (p < 0.001). Permanent harm was more frequent in patients with delayed diagnosis (71.4%) than those without (60.7%, p = 0.299). Conclusions: Claims of craniofacial trauma are related with under-diagnostics, and un-diagnosed facial fracture can lead to a high rate of permanent harm. Systematic clinical evaluation and facial trauma specialist consultation is recommended to set early correct diagnosis for and improve treatment of craniofacial trauma patients.

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Impact of the COVID-19 pandemic on maxillofacial trauma surgery in Germany - implications from the national DRG database

Meisgeier,

Pienkohs,

Moosdorf

et al. 2024

Oral Maxillofac Surg

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Purpose The COVID-19 pandemic has affected the personal and social lives of millions of people and also impacted the etiological factors of midfacial trauma such as falls, interpersonal violence or traffic accidents. The aim of this study was to analyze the influence of the COVID-19 pandemic on maxillofacial trauma surgery in the German healthcare system. Methods Nationwide data regarding the national diagnosis-related-group (DRG) inpatient billing system used in all German hospitals was received from the German Federal Statistical Office. Various trauma-associated procedures of the Operation and Procedure Classification System (OPS), a German modification of the International Classification of Medical Procedures (ICPM), were statistically associated with different epidemiological factors between 2012 and 2021. Results A statistically significant decrease (p < 0.05) in surgeries regarding maxillofacial fractures was registered during the years 2020 and 2021. Young male patients had the largest decline in maxillofacial trauma surgeries during this period (p < 0.05). In contrast. elderly patients 80 years and older showed a dramatic increase in the frequency of fractures in both the midface and the mandible (p < 0.05). Conclusions During the COVID 19 pandemic there has been a shift in the number, composition and etiology of maxillofacial fracture surgeries. Measures of social distancing and personal risk avoidance had a societal positive effect on the frequency of facial injuries. This stands in contrast to the drastic increase in fractures of elderly people who should be protected primarily by the measures taken. These results can help to understand these influences better in future pandemics. Trial registration German Clinical Trials Register No: DRKS00032778.

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Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017

Cited by 9 publications

References 40 publications

Significance of Dental Archiving in Forensic Sciences: A Retrospective Study

Significance of Dental Archiving in Forensic Sciences: A Retrospective Study

Complications and complaints in craniofacial fractures – Finnish national data for 20 years

Impact of the COVID-19 pandemic on maxillofacial trauma surgery in Germany - implications from the national DRG database

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