Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2025
A comparison of isolated midface and forehead fractures and pattern of fractures of the midface and forehead in cases with panfacial fractures - A study from 2007 to 2024 on 6588 patients.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Bicsák Ákos, Koch Leonie, Hassfeld Stefan, Bonitz Lars
Аннотация
INTRODUCTION: This study analyses upper and midface fracture patterns and demographics from 2007 to 2024 in a highest-level German interregional trauma centre, comparing isolated and pan-facial fractures to improve diagnostics and treatment.
MATERIALS AND METHODS: The data from our Maxillofacial Trauma Registry was analyzed by demographic methods, χ2-test for group comparison, and Wilcoxon ranked test.
RESULTS: In this study of 5459 isolated and 1129 panfacial fracture cases, males predominated (ratios: 2.1:1 and 3.4:1, respectively). Male patients peaked at ages 20-30, while females peaked at 80+. Average ages were similar across groups (46.3 vs. 46.2 years). Yearly panfacial cases declined steadily, while isolated cases showed volatility after 2020. Statistical tests revealed significant differences in fracture distributions "far from the cranial base" (p = 0.047) but not "near the cranial base" (p = 0.807), highlighting biomechanical implications.
DISCUSSION: Young males and older females are the most fracture-prone groups. The fracture distribution highlights the biomechanical significance of the cranial base. While demographic shifts and pandemic-driven case volatility necessitate ongoing monitoring for effective healthcare planning.
MATERIALS AND METHODS: The data from our Maxillofacial Trauma Registry was analyzed by demographic methods, χ2-test for group comparison, and Wilcoxon ranked test.
RESULTS: In this study of 5459 isolated and 1129 panfacial fracture cases, males predominated (ratios: 2.1:1 and 3.4:1, respectively). Male patients peaked at ages 20-30, while females peaked at 80+. Average ages were similar across groups (46.3 vs. 46.2 years). Yearly panfacial cases declined steadily, while isolated cases showed volatility after 2020. Statistical tests revealed significant differences in fracture distributions "far from the cranial base" (p = 0.047) but not "near the cranial base" (p = 0.807), highlighting biomechanical implications.
DISCUSSION: Young males and older females are the most fracture-prone groups. The fracture distribution highlights the biomechanical significance of the cranial base. While demographic shifts and pandemic-driven case volatility necessitate ongoing monitoring for effective healthcare planning.