The Impact of Osteoporosis on Patients With Maxillofacial Trauma

Werning, John W.; Downey, Nathan M.; Brinker, Ray A.; Khuder, Sadik A.; Davis, William J.; Rubin, Allan M.; Elsamaloty, Haitham

doi:10.1001/archotol.130.3.353

Cited by 33 publications

(21 citation statements)

References 23 publications

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“…In a study of 59 patients older than 60 years with osteoporosis, Werning et al found that osteoporosis predisposed elderly patients Plastic and Reconstructive Surgery • February 2016 to multiple facial fractures in low-impact and highimpact situations. 33 In addition, documented changes in expansion of paranasal cavity volume and progressive resorption of the maxillary alveolar ridge, especially in edentulous areas, can influence patterns of fracture. 34 Overall, the influence of osteoporosis and osteopenia on the craniofacial skeleton is unclear and deserves further study.…”

Section: Discussionmentioning

confidence: 99%

Defining Population-Specific Craniofacial Fracture Patterns and Resource Use in Geriatric Patients

Mundinger

Bellamy

Miller

et al. 2016

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Defining Population-Specific Craniofacial Fracture Patterns and Resource Use in Geriatric Patients

Mundinger

Bellamy

Miller

et al. 2016

Plastic and Reconstructive Surgery

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“…It likely results from the combined functional consequences of aging, systemic pathologies and the use of psychotropic drugs. Furthermore, elderly patients with osteoporosis more likely develop maxillofacial fractures following low-impact trauma (8), implying that osteoporosis is a risk factor for the development of maxillofacial fractures.…”

Section: Discussionmentioning

confidence: 99%

Etiology, distribution, treatment modalities and complications of maxillofacial fractures

Dang¹,

Barthélémy²,

Orliaguet³

et al. 2014

Med Oral

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Purpose: This study evaluated the trends and factors associated with maxillofacial fractures treated from 1997 to 2007 in the Oral and Maxillofacial Surgery Department of the Clermont-Ferrand University Hospital. Material and Methods: This study included 364 patients of which 82% were men and 45%, 20-29-years old. The etiology, anatomical distribution, treatment modality and complications of maxillofacial fractures were examined. Results: Overall, interpersonal violence, traffic accidents and falls were the most common mechanisms of injury. There was a decreasing trend in traffic accidents and increasing one in falls as a cause of fracture over the 11-years period of this study. Young male patients were preferentially victim of interpersonal violence and traffic accidents, while middle-aged ones were of falls and work-related accidents. Middle-aged female patients were preferentially victim of traffic accidents and interpersonal violence, while older ones were of falls. And the number of fractures per patient varied according to the mechanism of injury: low after work-related accidents and high after traffic accidents. About two-third of fractures involved the mandible. Most of these mandibular fractures were treated by osteosynthesis with or without intermaxillary fixation, with the proportion of the latter increasing over time. There were very few postoperative infections and only in mandible. Conclusions: Maxillofacial fractures predominantly occur in young men, due to interpersonal violence. There is nevertheless an increasing trend in falls as a cause of fracture, especially in female patients, consistent with the increasing trend in presentation of older people. Most maxillofacial fractures involve the mandible and there is an increasing trend in treating these fractures by osteosynthesis without intermaxillary fixation. Antibiotic prophylaxis associated with dental hygiene care can be indicated to prevent postoperative infections. Key words:Maxillofacial fractures, Epidemiology, Trends, Influencing factors, Fall, Age, Gender, Antibiotic prophylaxis.

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“…While some authors reported a progressive decrease of mandibular bone mineral density (BMD) with age [10], other could confirm a higher mineral content in the mandibles of old patients, what was interpreted as a response to atrophy after tooth loss [11,12]. Some studies suggest an influence of osteoporosis in the fracture incidence in the maxillofacial area [13,14].…”

Section: Introductionmentioning

confidence: 99%