Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

Brucoli, Matteo; Boffano, Paolo; Romeo, Irene; Corio, Chiara; Benech, Arnaldo; Ruslin, Muhammad; Forouzanfar, Tymour; Starch‐Jensen, Thomas; Rodríguez-Santamarta, Tanía; Vicente, Juan Carlos de; Snäll, Johanna; Thorén, Hanna; Aničić, Boban; Konstantinović, Vitomir S.; Pechalova, Petia; Павлов, Н. В.; Daskalov, Hristo; Doykova, Iva; Kelemith, Kadri; Tamme, Tiia; Копчак, Андрій; Shumynskyi, Ievgen; Corre, Pierre; Bertin, Hélios; Goguet, Quentin; Anquetil, Marine; Louvrier, Aurélien; Meyer, Christophe; Dovšak, Tadej; Vozlič, David; Birk, Anže; Tarle, Marko; Dediol, Emil

doi:10.1016/j.jormas.2019.09.002

Cited by 47 publications

(81 citation statements)

References 20 publications

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“…This result is consistent with the literature. 10,11 The former is probably related to reduced behavioral differences due to hormone levels and greater longevity in the elderly female population than in the elderly male population, according to demographics. 12 A low weight and small size favor inertia reduction, thus minimizing the impact force when a child collides with an object.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: A two‐year retrospective study

Guo

Yang

Wang

et al. 2021

Dental Traumatology

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Background/Aims Maxillofacial soft tissue injuries (STIs) may differ in epidemiological characteristics from other maxillofacial injuries. The aim of this study was to investigate the epidemiology of maxillofacial STIs in a public oral emergency department in Beijing, China, from 2017 to 2018. Material and Methods In this retrospective study, 5949 patients with maxillofacial STIs and complete medical records were evaluated. Gender, age, etiology, visit date and time, interval between accident and treatment, anatomic injury site, treatment modality, and the number of associated maxillofacial bone fractures or tooth injuries were analyzed. Result There were 3831 males and 2118 females (ratio 1.81:1). Patients younger than 10 years were the most frequently seen group (44.2%). Among adults, 20‐ to 29‐years‐old (16.2%) was the most prominent age group. The month of May (11.8%) had the highest incidence of maxillofacial STIs, and February (4.5%) had the lowest incidence. The average number of daily visits was significantly higher on holidays than on workdays. Of the 5949 patients, 45.9% attended at night, 2021 patients had dental trauma, and 31 had jaw fractures. The lips were the most common site of STIs, followed by the chin and gingiva. Lip and gingival STIs were more common in the 0‐ to 10‐years‐old group. Chin STIs were more common in the 20‐ to 39‐years‐old group. A fall was the leading cause of injury, especially in patients younger than 10 years and older than 70 years. Approximately 56.7% of the falls resulted in injuries to the lower one‐third of the face. Sports injuries were more common among 10‐ to 29‐years‐old individuals. Conclusion STIs of the maxillofacial region were most likely to occur at night, in May and during holidays. Males, children younger than 10 years and 20‐ to 29‐years‐old adults were high‐risk populations. Most maxillofacial STIs involved the lips, and one‐third of the patients had dental trauma.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: A two‐year retrospective study

Guo

Yang

Wang

et al. 2021

Dental Traumatology

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“…Uma compreensão completa da epidemiologia e padrões de trauma facial na população idosa é essencial para um manejo mais adequado desses pacientes e para desenvolver estratégias de tratamento mais eficazes e possivelmente prevenir lesões (Brucoli et al, 2020a).…”

Section: Discussionunclassified

“…Sabe-se que atrofia progressiva da mandíbula (especialmente em pacientes edêntulos) tem influência na incidência de fratura de côndilo e corpo mandibular (Brucoli et al, 2020a).…”

Section: Discussionunclassified

Aspectos peculiares do traumatismo facial no idoso: Relato de caso

Sousa

Albuquerque

Lima

et al. 2021

RSD

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Este caso clínico relata tratamento cirúrgico em paciente idosa desdentada bimaxilar após trauma em terço inferior de face. A paciente compareceu a emergência do Hospital de Fraturas, Recife – PE com queixa de dor em face após queda da própria altura. Ao exame radiográfico, constatou-se fratura mandibular bilateral. O planejamento do tratamento foi realizado levando em consideração alguns fatores importantes para o sucesso terapêutico, como uso de medicamentos, presença de doenças crônicas e alterações fisiológicas e anatômicas. Após o diagnóstico e correto planejamento, foi realizada a fixação dos cotos ósseos com 2 miniplaca do sistema 2.0. A paciente evoluiu bem, sem queixas, sem parestesia ou paralisia, e a radiografia pós-operatória demonstrou boa redução das fraturas. Dessa forma, conclui-se que o tratamento dos traumas em pacientes idosos pode ser através de métodos conservadores ou de técnicas mais complexas e invasivas, levando-se sempre em consideração o caso particular do paciente, visando suas necessidades e implicações específicas.

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“…Elderly patients and those suffering from chronic systemic conditions, such as diabetes, osteoporosis, and other bone metabolic disorders, have an increased potential for poor outcomes and worse complications from the management of these injuries. In orthopedic and oral and maxillofacial surgical specialties, plates and screws are used to stabilize the fractured bone fragments [ 4 , 6 , 7 , 8 , 9 ], and the most commonly used material is commercially pure Ti (CPTi) and its alloys, especially Ti grade 5 (Ti-6Al-4V). Other metals have also been used, for example, cobalt-chromium-molybdenum alloys, as well as stainless steel.…”

Section: Introductionmentioning

confidence: 99%

Is There a Role for Absorbable Metals in Surgery? A Systematic Review and Meta-Analysis of Mg/Mg Alloy Based Implants

et al. 2020

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Magnesium (Mg) alloys have received attention in the literature as potential biomaterials for use as absorbable implants in oral and maxillofacial and orthopedic surgery applications. This study aimed to evaluate the available clinical studies related to patients who underwent bone fixation (patients), and received conventional fixation (intervention), in comparison to absorbable metals (comparison), in terms of follow-up and complications (outcomes). A systematic review and meta-analysis were performed in accordance with the PRISMA statement and PROSPERO (CRD42020188654), PICO question, ROBINS-I, and ROB scales. The relative risk (RR) of complications and failures were calculated considering a confidence interval (CI) of 95%. Eight studies (three randomized clinical trial (RCT), one retrospective studies, two case-control studies, and two prospective studies) involving 468 patients, including 230 Mg screws and 213 Titanium (Ti) screws, were analyzed. The meta-analysis did not show any significant differences when comparing the use of Mg and Ti screws for complications (p = 0.868). The estimated complication rate was 13.3% (95% CI: 8.3% to 20.6%) for the comparison group who received an absorbable Mg screw. The use of absorbable metals is feasible for clinical applications in bone surgery with equivalent outcomes to standard metal fixation devices.

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Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

Cited by 47 publications

References 20 publications

Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: A two‐year retrospective study

Epidemiology of maxillofacial soft tissue injuries in an oral emergency department in Beijing: A two‐year retrospective study

Aspectos peculiares do traumatismo facial no idoso: Relato de caso

Is There a Role for Absorbable Metals in Surgery? A Systematic Review and Meta-Analysis of Mg/Mg Alloy Based Implants

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