Treating maxillofacial trauma for over half a century: how can we interpret the changing patterns in etiology and management?

Rallis, George; Stathopoulos, Panagiotis; Igoumenakis, Dimosthenis; Krasadakis, Christos; Mourouzis, Constantinos; Mezitis, Michael

doi:10.1016/j.oooo.2015.01.013

Cited by 39 publications

(47 citation statements)

References 24 publications

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“…Even if there are considerable variations, men usually outnumber women by more than 2 to 1 . In this study, the mean patients’ age was 41.8 years which is consistent with other studies (31.2‐42.7 years) . Male casualties were significantly younger than the females ( P < 0.001) which can be explained by a riskier lifestyle and a higher incidence of interpersonal violence in young male adults.…”

Section: Discussionsupporting

confidence: 90%

Through the ages—Aetiological changes in maxillofacial trauma

Goedecke

Thiem²,

Schneider

et al. 2019

Dental Traumatology

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Aims The number of patients suffering maxillofacial trauma remains constant although the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a 5‐year period. Materials and methods In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, aetiology, type of fracture, surgery details, complications and further injuries. Causes were subdivided into assaults, falls, epileptic seizure, work‐related, traffic accident by car or bicycle, sport‐associated or others (eg caused by explosions, horse kicks or unknown). Results The most common causes for fractures were assaults (28.8%; n = 165), followed by falls (23.9%; n = 137), although falls became the main reason for maxillofacial fractures in 2013 and 2014. The mean age for patients suffering from facial fractures due to falls was significantly higher compared to those injured by other causes. Most commonly, fractures of the zygomatico‐maxillary complex with or without orbital floor involvement were seen (31.6%; n = 291) followed by fractures of the mandible (20.6%; n = 190) and fractures of the nose (15.2%; n = 140). Most patients were treated surgically (89.5%; n = 513) even though an increase in non‐surgical treatment was found over the examination period, especially in older patients. Conclusions Maxillofacial fractures are mostly seen in younger male patients. Assaults were the main pattern of injury during the whole examination period, although falls became the main cause in older patients over the last 2 years.

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Section: Discussionsupporting

confidence: 90%

Through the ages—Aetiological changes in maxillofacial trauma

Goedecke

Thiem²,

Schneider

et al. 2019

Dental Traumatology

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“…Fractures affecting the maxillofacial region are classified as very serious and are often associated with disfigurement, functional impairment, severe morbidity and high costs for health services and may require complex therapeutic modalities for treatment [29][30][31][32] . In this study, they were more associated with men exposed to community violence, suggesting greater severity of injuries occurred to this group.…”

Section: Dimension 1 Dimensionmentioning

confidence: 99%

Violência interpessoal, circunstâncias das agressões e padrões dos traumas maxilofaciais na região metropolitana de Campina Grande, Paraíba, Brasil (2008-2011)

Bernardino

Barbosa

Nóbrega

et al. 2017

Ciênc. saúde coletiva

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“…In recent years, depending on the innovations in surgical tools, plate osteosynthesis has gained priority in proper cases (22,23). The main advantages of this approach include stable and precise reduction of fragments, early recovery due to the rapid bone remodeling, and consolidation in the fracture line (24).…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Surgically Managed Maxillofacial Fractures in Kayseri Training and Research Hospital

Yaşar¹,

Bayram²,

Doğan³

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: To retrospectively evaluate the clinical and surgical data of patients with maxillofacial fracture (MFF) who were surgically treated at the Department of ENT and Head Neck Surgery in the Kayseri Training and Research Hospital and to compare and discuss the results with relevant literature, including that from Turkey. Results: A total of 35 patients were surgically treated because of MFF between January 2013 and March 2015. Of the 35 patients, 28 (80%) were male, whereas seven (20%) were female. Traffic accidents (40%) were the most frequent cause of MFFs. Mandibular fractures (49.1%) were the most common fractures, followed by zygomatic fractures (31.6%). Surgical management of MFFs was performed via closed reduction (17.5%) and/ or open reduction with internal fixation by miniplates (82.5%). A total of five complications were observed in the present study: malunion (n=2), removal of fixation plate because of infection (n=2), and permanent infraorbital nerve injury (n=1). Methods Conclusion:Based on the experience from the close proximity of the area, we think that surgeries for MFFs should be in the surgical repertoire of ENT surgeons.

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Treating maxillofacial trauma for over half a century: how can we interpret the changing patterns in etiology and management?

Cited by 39 publications

References 24 publications

Through the ages—Aetiological changes in maxillofacial trauma

Through the ages—Aetiological changes in maxillofacial trauma

Violência interpessoal, circunstâncias das agressões e padrões dos traumas maxilofaciais na região metropolitana de Campina Grande, Paraíba, Brasil (2008-2011)

Retrospective Analysis of Surgically Managed Maxillofacial Fractures in Kayseri Training and Research Hospital

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