Quality of life following maxillofacial trauma in the elderly: a multicenter, prospective study

Boffano, Paolo; Pau, Alberto; Dosio, Camilla; Ruslin, Muhammad; Forouzanfar, Tymour; Rodríguez-Santamarta, Tanía; Vicente, Juan Carlos de; Tarle, Marko; Dediol, Emil; Pechalova, Petia; Павлов, Н. В.; Daskalov, Hristo; Doykova, Iva; Kelemith, Kadri; Tamme, Tiia; Копчак, Андрій; Yu, Romanova Anna; Corre, Pierre; Bertin, Hélios; M, Bourry; Guyonvarc'h, Pierre; Jezdić, Zoran; Konstantinović, Vitomir S.; Starch‐Jensen, Thomas; Brucoli, Matteo

doi:10.1007/s10006-021-01003-4

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…The analysis of the quality of life in health and disease and the dynamics of its changes in the course of therapy are an indispensable element of every branch of medicine, including maxillofacial surgery [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. There is no shortage of studies on this subject in the fields of traumatology, oncology, and reconstructive surgery [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. The tools used in the TMD QoL assessment, discussed in the introduction, seem to be too general [ 5 , 10 , 11 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial

Sikora

Sielski²,

Chęciński³

et al. 2022

IJERPH

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Temporomandibular disorders, often manifested by articular pain, limitation of the mouth opening range, and unpleasant acoustic symptoms originating from inside the joint, have been associated with reduced quality of life. These symptoms, among others, can be treated with intra-articular injections of various substances, including repeated platelet-rich plasma (PRP) administration. The reported study was designed as an uncontrolled open-label clinical trial of consecutive cases. The participants completed a Fonseca questionnaire and evaluated acoustic symptoms, and spontaneous and provoked pain on VAS, and were subjected to a physical examination before, during, and after PRP therapy. The total Fonseca questionnaire results were statistically significantly (p < 0.05) correlated with 340 out of 348 (98%) other variables. The fully subjective assessment of the presence and intensity of acoustic symptoms coming from the temporomandibular joints was correlated with the physical examination results (0.45–0.63) and the maximum mouth opening with the maximum pain-free mouth opening (0.73–0.87). There were no correlations observed between the patient’s and the physician’s assessment of mandibular mobility. The Fonseca questionnaire seems to cover the entire spectrum of temporomandibular disorders, making it a balanced tool for assessing the quality of life in TMDs. However, it is worth considering extending the standard 3-point response scale to an 11-point one. The patient is somewhat able to perform a self-diagnosis with regard to the acoustic symptoms, but it is not possible for them to determine without measurement whether the range of mandibular mobility is appropriate..

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Section: Discussionmentioning

confidence: 99%

Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial

Sikora

Sielski²,

Chęciński³

et al. 2022

IJERPH

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“…5 Elderly patients suffering from mandible fracture represent a patient population presenting with significant comorbidities and requiring particular attention to individualized, multidisciplinary treatment approaches to best preserve quality of life. 6,7 A comparison study on atrophic versus nonatrophic mandibular fractures in elderly patients showed no statistical differences in postsurgical complications. 8 A national database analysis of 953 patients requiring surgical repair of mandible fractures by Daar et al demonstrated that older age is an independent risk factor for reoperation and readmission.…”

Section: Introductionmentioning

confidence: 99%

“…Elderly patients suffering from mandible fracture represent a patient population presenting with significant comorbidities and requiring particular attention to individualized, multidisciplinary treatment approaches to best preserve quality of life 6,7 . A comparison study on atrophic versus nonatrophic mandibular fractures in elderly patients showed no statistical differences in postsurgical complications 8 .…”

Section: Introductionmentioning

confidence: 99%

Impact of Age on Surgical Outcomes Following Mandible Fracture Repair

et al. 2022

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Objectives: Open repair of mandibular fractures are frequently performed surgical procedures. Increasing rates of such fractures are seen in older adults following falls. This study assesses the impact of older age on early complications following mandible fracture repair.Study Design: Retrospective analysis of national registry. Methods: The 2013-2018 National Surgical Quality Improvement Program database was queried for all cases of open mandible fracture repair and cases were categorized into younger (18-40), middle (41-65), and older (>65) age cohorts. Demographics and comorbidities were compared between the age groups. Rates of surgical, medical, and wound complications within 30-days of surgery were determined. Multivariable logistic analyses were performed to assess the relationship between age and complications.Results: Altogether, 1818 cases were included for analysis, of which 1269 (69.8%) were younger, 459 (25.2%) were middle, and 90 (5.0%) were older age. Increased rates of complications were seen in the older groups, including unplanned reoperation, unplanned readmission, wound disruption, and medical complications (p < 0.01). On unadjusted analysis, the older (>65) age group had an increased odds of experiencing a complication compared to the younger (18-40) group (OR: 4.19, p < 0.001). The older age group continued to have a significantly increased odds of medical complications after multivariable adjustment (adjusted OR: 8.64, p < 0.001).Conclusions: On this analysis of a national database, advanced age was associated with an increased frequency of early postoperative complications following open mandibular fracture repair. Following multivariable adjustment, advanced age continued to be associated with increased odds of postoperative medical complications within 30 days of surgery.

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“…These injured people suffer from long‐term and serious health problems due to the pain and the need for various plastic surgerical procedures in order to maintain their appearance and physical recovery 5,10 . Elderly people with facial trauma experience significant emotional, social, and functional disorders 11 …”

Section: Introductionmentioning

confidence: 99%

“…5,10 Elderly people with facial trauma experience significant emotional, social, and functional disorders. 11 High simultaneous occurrence of concussion with a maxillofacial injury causes more severe consequences and increased length…”

mentioning

confidence: 99%

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

Hosseini

Shalmaei

Mohtasham-Amiri

et al. 2022

Dental Traumatology

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Annually, a significant number of people suffer maxillofacial injuries (MFI), 1-3 which include dental injuries. [4][5][6] Studies in different countries have reported that the prevalence of MFI has been in the range of 6%-30%. However, in most of these studies, a high prevalence of this type of injury has been reported. 3 In Iran, the rate of MFI following motor vehicle accidents (MVA) was significantly high, and it shows that despite better enforcement of traffic laws, better roads and vehicles, the pattern of this type of injury has not changed and a review of prevention protocols is needed. 7 The difficulty of treatment and the high cost of treatment of these cases is another issue. 2 The annual cost of treating these injuries is $US 2-5 million per million cases. 8 The functional, psychological, and social effects of MFI on the patient have been reported. 9 These injured people suffer from longterm and serious health problems due to the pain and the need for various plastic surgerical procedures in order to maintain their appearance and physical recovery. 5,10 Elderly people with facial trauma experience significant emotional, social, and functional disorders. 11 High simultaneous occurrence of concussion with a maxillofacial injury causes more severe consequences and increased length

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Quality of life following maxillofacial trauma in the elderly: a multicenter, prospective study

Cited by 7 publications

References 30 publications

Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial

Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial

Impact of Age on Surgical Outcomes Following Mandible Fracture Repair

Psychiatric symptoms and pain in maxillofacial injury following motor vehicle accidents: A comparative study

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