A multicentric prospective analysis of the management of edentulous jaw fractures in the elderly population: a World Oral Maxillofacial Trauma (WORMAT) project.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Roccia Fabio, Omedè Michela, Sobrero Federica, Cremona Giulia, Yilmaz Utku Nezih, Atabay Mikail, Bourazani Malamatenia, Skiadas Stavros, Kovačič Žiga, Krebs Nik, Sivrić Anamaria, Kordić Mario, Bottini Gian Battista, Goetzinger Maximilian, de Oliveira Gorla Luis Fernando, Pereira-Filho Valfrido Antonio, Dediol Emil, Kos Boris, Konstantinovic Vitomir S, Miković Nikola, Samieirad Sahand, Roig Antonio Mari, Ferran Aguilera Padros, Laverick Sean, Mehmet Tamay, Benech Rodolfo, Dmd Maria Taheny, Strada Carlo, Jaisani Mehul Raiesh, Hassanein Ahmed Gaber, Allam Mahmoud Sobhi, Fwacs Timothy Aladelusi, Volpe Fabio, Copelli Chiara
Аннотация
METHODS: Patients aged ≥ 60 years with edentulous maxillary and/or mandibular fractures admitted to 17 centres participating in the World Oral and Maxillofacial Trauma (WORMAT) project between March 2024 and March 2025 were prospectively enrolled. The following data were collected: age, sex, cause, fracture site and type, grade of bone atrophy, Facial Injury Severity Scale (FISS), associated injuries, surgical approach, type of treatment, use of a bone graft, length of hospitalisation. Clinical outcomes were assessed at 6 weeks and 3 months.
RESULTS: Among 364 elderly patients with maxillofacial trauma, 93 (25.5%) were edentulous and 69 sustained jaw fractures. Falls were the most common mechanism of injury. Maxillary fractures mainly involved the zygomaticomaxillary complex and were frequently managed conservatively, whereas mandibular fractures predominantly affected the body and symphysis/parasymphysis and were treated with open reduction and internal fixation in 89% of cases, usually with rigid fixation. Fracture site displacement was statistically associated with ORIF, both for maxillary (p = 0.010) and mandibular fractures (p = 0.026). Complications were mainly plate exposure in three patients with mandibular fractures.
CONCLUSION: Edentulous jaw fractures in the elderly are rare and typically result from low-energy trauma. Displaced fractures, especially of the atrophic mandible, are mainly managed surgically, with a clear tendency to employ rigid fixation.