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

Abstract

Background/Aims: Management of maxillofacial trauma in the geriatric population poses a great challenge due to anatomical variations and medical comorbidities. The aim of this study was to analyze the management variables, timing, and outcomes of Center City Country Kiev Ukraine TA B L E 1 Participating centers of maxillofacial surgery How to cite this article: Brucoli M, Boffano P, Romeo I, et al. Management of maxillofacial trauma in the elderly: A European multicenter study. Dent Traumatol. 2020;36:241-246. https ://doi.

Patterns of Facial Fractures in a Major Metropolitan Level 1 Trauma Center: A 10‐year Experience

“…1,[5][6][7][8][9][10] The exception to this was in older age groups in which there was a female predominance in all decades over 60 years. This is consistent with others in the literature 9,11 and may be a reflection of the increasing life expectancy for women as well as in the state of New York. [12][13][14] Our overall mean and median age is much higher than other published cohorts.…”

Treatment decision‐making for a post‐traumatic malocclusion in an elderly patient: A case report.

“…The principles of treatment for the geriatric population are the same, although influenced by specific factors such as bone atrophy, reduced capacity for tissue repair and concurrent diseases. Anatomical hazards of open treatment, satisfactory results of closed treatments, and the functional rather than esthetic goals make non‐surgical treatment more frequent among geriatric patients, 9 as recently reported by a European multicenter study 10 . Regardless of whether the initial choice is an open or closed treatment, condylar fractures are burdened with a significant rate of unsuccessful outcomes as in the presented case.…”

“…[6][7][8] The principles of treatment for the geriatric population are the same, although influenced by specific factors such as bone atrophy, reduced capacity for tissue repair and factory results of closed treatments, and the functional rather than esthetic goals make non-surgical treatment more frequent among geriatric patients, 9 as recently reported by a European multicenter study. 10 Regardless of whether the initial choice is an open or closed treatment, condylar fractures are burdened with a significant rate of unsuccessful outcomes as in the presented case. Successful treatment in condylar fractures depends on the biological characteristics and adaptive capability of the patient's masticatory system, which differs between elderly and younger individuals.…”

Aspectos peculiares do traumatismo facial no idoso: Relato de caso

“…Os princípios do manejo das fraturas faciais na população idosa e em adultos são basicamente os mesmos, mas o transoperatório em geriátricos torna-se mais complexo devido às variações anatômicas e comorbidades médicas, o que ocasiona um consumo desproporcional de recursos de saúde (Brucoli et al, 2020b). Esses pacientes são mais suscetíveis a infecções nosocomiais, além de apresentarem maiores taxas de complicações e maior tempo de recuperação (Liu et al, 2017).…”

“…Entretanto, deve-se considerar fatores como atrofia óssea, capacidade reduzida de reparo de tecidos e condições patológicas (Chrcanovic et al, 2010). Quando a equipe julga que uma intervenção cirúrgica complexa pode representar uma ameaça à vida ou que os riscos da cirurgia podem superar suas vantagens, a suspensão desse tratamento é uma alternativa prudente (Brucoli et al, 2020b).…”