Incidence, aetiology, treatment outcome and complications of maxillofacial fractures. A retrospective study from Northern Greece
| Autor: | Georgios Koloutsos, Konstantinos Antoniades, Argyro Kommata, Nikolaos Lazarides, Athanassios Kyrgidis |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Adolescent Esthetics medicine.medical_treatment Treatment outcome Maxillomandibular fixation Dentistry Violence Maxillary Fractures Fracture Fixation Internal Young Adult Mandibular Fractures Occlusion medicine Internal fixation Humans Surgical Wound Infection Child Aged Retrospective Studies Zygomatic Fractures Aged 80 and over Greece Skull Fractures business.industry Accidents Traffic Retrospective cohort study Middle Aged medicine.disease Jaw Fixation Techniques Treatment Outcome Otorhinolaryngology Patient Satisfaction Maxilla Child Preschool Etiology Surgery Female Maxillofacial Injuries Oral Surgery Malocclusion business Bone Plates Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 41(7) |
| ISSN: | 1878-4119 |
| Popis: | Aim To analyse the pattern of maxillofacial injuries and treatment outcomes in Northern Greece. Methods A tertiary referral single centre hospital; retrospective chart review. Demographics, aetiology, fixation technique (Rigid Internal Fixation: RIF; Maxillomandibular Fixation: MMF) post-surgical infections, aesthetics and occlusion were recorded. Results One thousand and ten males and 229 females were operated between 1998 and 2008. Mean age was 29.6 ± 13. Mean number of plates per patient was 3.96 ± 2.28. For those with midfacial fractures ( n = 379) mean was 4.02 ± 2.05. For those with mandibular fractures ( n = 333), mean was 2.74 ± 0.94 while those with combined mandible and midface fractures ( n = 216) were treated using 5.74 ± 2.87 plates per patient. Among those treated with plates, an unadjusted 22% increased risk for post-surgical infection per plate used (OR = 1.22, 95%CI: 1.13–1.32) was found. Patients with mandibular fractures were more satisfied with their post-surgical facial appearance in contrast to those with midfacial or combined midfacial and mandibular fractures. Female patients were less satisfied with their post-surgical facial appearance than males. Discussion This study verified a young males predominance, a shift towards more assault related fractures –especially in females– and similar post-surgical results for MMF and RIF modalities in mandibular fractures. In those patients treated with RIF, placement of fewest plates possible to obtain stability better serves aesthetics at the same time reducing risk for post-surgical infections and malocclusion. |
| Databáze: | OpenAIRE |
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