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

被引：21

作者：

Brucoli, Matteo ^{[1
]}

Boffano, Paolo ^{[1
]}

Romeo, Irene ^{[1
]}

Corio, Chiara ^{[1
]}

Benech, Arnaldo ^{[1
]}

Ruslin, Muhammad ^{[2
]}

Forouzanfar, Tymour ^{[3
]}

Starch-Jensen, Thomas ^{[4
]}

Rodriguez-Santamarta, Tania ^{[5
]}

de Vicente, Juan Carlos ^{[5
]}

Snall, Johanna ^{[6
,7
]}

Thoren, Hanna ^{[8
,9
]}

Tarle, Marko ^{[10
]}

Dediol, Emil ^{[10
]}

Pechalova, Petia ^{[11
]}

Pavlov, Nikolai ^{[12
]}

Daskalov, Hristo ^{[11
]}

Doykova, Iva ^{[13
]}

Kelemith, Kadri ^{[14
]}

Tamme, Tiia ^{[15
]}

Kopchak, Andrey ^{[16
]}

Shumynskyi, Ievgen ^{[17
]}

Corre, Pierre ^{[18
]}

Bertin, Helios ^{[18
]}

Goguet, Quentin ^{[18
]}

Anquetil, Marine ^{[18
]}

Louvrier, Aurelien ^{[19
,20
]}

Meyer, Christophe ^{[19
,20
]}

Dovsak, Tadej ^{[21
]}

Vozlic, David ^{[21
]}

Birk, Anze ^{[21
]}

Anicic, Boban ^{[22
]}

Konstantinovic, Vitomir S. ^{[22
]}

机构：

[1] Univ Piemonte Orientale, Univ Hosp Maggiore Carita, Div Maxillofacial Surg, Novara, Italy

[2] Hasanuddin Univ, Dept Oral & Maxillofacial Surg, Makassar, Indonesia

[3] Vrije Univ Amsterdam Med Ctr, Dept Oral & Maxillofacial Surg, Oral Pathol, Amsterdam, Netherlands

[4] Aalborg Univ Hosp, Dept Oral & Maxillofacial Surg, Aalborg, Denmark

[5] Hosp Univ Cent Asturias, Serv Cirugia Maxilofacial, Oviedo, Spain

[6] Univ Helsinki, Dept Oral & Maxillofacial Dis, Helsinki, Finland

[7] Helsinki Univ Hosp, Helsinki, Finland

[8] Univ Turku, Inst Dent, Dept Oral & Maxillofacial Surg, Turku, Finland

[9] Turku Univ Hosp, Dept Oral & Maxillofacial Dis, Turku, Finland

[10] Univ Hosp Dubrava, Dept Maxillofacial Surg, Zagreb, Croatia

[11] Med Univ, Fac Dent Med, Dept Oral Surg, Plovdiv, Bulgaria

[12] Oral Surg, Plovdiv, Bulgaria

[13] Med Univ, Fac Dent Med, Dept Maxillofacial Surg, Plovdiv, Bulgaria

[14] North Estonia Med Ctr Fdn, Dept Maxillofacial Surg, Tallinn, Estonia

[15] Univ Tartu, Fac Med, Tartu, Estonia

[16] Bogomolets Natl Med Univ, Stomatol Med Ctr, Kiev, Ukraine

[17] Bogomolets Natl Med Univ, Kyiv City Clin Emergency Hosp, Kiev, Ukraine

[18] Div Maxillofacial Surg, Nantes, France

[19] Univ Hosp Besancon, Hosp Dent Unit, Dept Oral & Maxillofacial Surg, Besancon, France

[20] Univ Bourgogne, EA Nanomed Lab Imagery & Therapeut 4662, Besancon, France

[21] Univ Med Ctr, Dept Maxillofacial & Oral Surg, Ljubljana, Slovenia

[22] Univ Belgrade, Sch Dent Med, Dept Maxillofacial Surg, Belgrade, Serbia

来源：

DENTAL TRAUMATOLOGY | 2020年 / 36卷 / 03期

关键词：

elderly; geriatric; management; maxillofacial trauma; FACIAL FRACTURES; ETIOLOGY;

D O I：

10.1111/edt.12536

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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 facial fractures in elderly patients (aged 70 years or more) at several European departments of oral and maxillofacial surgery. Materials and Methods This study was based on a systematic computer-assisted database that allowed the recording of data from all geriatric patients with facial fractures from the involved maxillofacial surgical units across Europe between 2013 and 2017. Results A total of 1334 patients were included in the study: 665 patients underwent closed or open surgical treatment. A significant association (P < .005) was found between the presence of concomitant injuries and a prolonged time between hospital admission and treatment. The absence of indications to treatment was associated with comorbidities and an older age (P < .000005). Conclusions Elderly patients require specific attention and multidisciplinary collaboration in the diagnosis and sequencing of trauma treatment. A prudent attitude may be kept in selected cases, especially when severe comorbidities are associated and function is not impaired.

引用

页码：241 / 246

页数：6

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