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

Matteo Brucoli, Paolo Boffano, Irene Romeo, Chiara Corio, Arnaldo Benech, Muhammad Ruslin, Tymour Forouzanfar, Thomas Starch-Jensen, Tanía Rodríguez-Santamarta, Juan Carlos de Vicente, Johanna Snäll, Hanna Thorén, Marko Tarle, Emil Dediol, Petia Pechalova, Nikolai Pavlov, Hristo Daskalov, Iva Doykova, Kadri Kelemith, Tiia TammeAndrey Kopchak, Ievgen Shumynskyi, Pierre Corre, Helios Bertin, Quentin Goguet, Marine Anquetil, Aurélien Louvrier, Christophe Meyer, Tadej Dovšak, David Vozlič, Anže Birk, Boban Aničić, Vitomir S. Konstantinovic

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Abstract

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.
Original languageEnglish
JournalDental traumatology
DOIs
Publication statusE-pub ahead of print - 21 Dec 2019

Cite this

Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., ... Konstantinovic, V. S. (2019). Management of maxillofacial trauma in the elderly: A European multicenter study. Dental traumatology. https://doi.org/10.1111/edt.12536