TY - JOUR
T1 - The epidemiology of edentulous atrophic mandibular fractures in Europe
AU - Brucoli, Matteo
AU - Boffano, Paolo
AU - Romeo, Irene
AU - Corio, Chiara
AU - Benech, Arnaldo
AU - Ruslin, Muhammad
AU - Forouzanfar, Tymour
AU - Rodríguez-Santamarta, Tanía
AU - de Vicente, Juan Carlos
AU - Tarle, Marko
AU - Dediol, Emil
AU - Pechalova, Petia
AU - Pavlov, Nikolai
AU - Daskalov, Hristo
AU - Doykova, Iva
AU - Kelemith, Kadri
AU - Tamme, Tiia
AU - Kopchak, Andrey
AU - Shumynskyi, Ievgen
AU - Corre, Pierre
AU - Bertin, Helios
AU - Bourry, Maeva
AU - Guyonvarc'h, Pierre
AU - Dovšak, Tadej
AU - Vozlič, David
AU - Birk, Anže
AU - Aničić, Boban
AU - Konstantinovic, Vitomir S.
AU - Starch-Jensen, Thomas
N1 - Publisher Copyright:
© 2019 European Association for Cranio-Maxillo-Facial Surgery
PY - 2019/12
Y1 - 2019/12
N2 - Introduction: The objective of the present study was to assess the demographic variables, causes, and patterns of edentulous atrophic fractures of the mandible managed at several European departments of oral and maxillofacial surgery. The results of this multicenter collaboration over a 10-year period are presented. Methods: The data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between January 1, 2008, and December 31, 2017 were recorded: gender; age; voluptuary habits; comorbidities; etiology; fracture sites; synchronous body injuries; atrophy of the mandible according to Luhr classification; eventual type of treatment; timing of the eventual surgery; length of hospital stay. Results: A total of 197 patients (86 male and 111 female patients) with 285 mandibular fractures were included in the study. Mean age of the study population was 75 years. Statistically significant associations were found between Luhr classes I – II and condylar fractures on one hand (p < .0005), and between Luhr class III and body and parasymphyseal fractures on the other hand (p < .05). Finally, 135 patients underwent open reduction and internal fixation, 56 patients did not undergo any intervention, and 6 patients underwent closed reduction. No statistically significant association was observed between treatment, timing of treatment, comorbidities, and concomitant injuries. Conclusions: The management of edentulous atrophic mandibular fractures remains challenging. Treatment decisions should continue to be based on the clinician's previous experience and on the degree of bone resorption in edentulous mandible in relation to fracture subsites.
AB - Introduction: The objective of the present study was to assess the demographic variables, causes, and patterns of edentulous atrophic fractures of the mandible managed at several European departments of oral and maxillofacial surgery. The results of this multicenter collaboration over a 10-year period are presented. Methods: The data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between January 1, 2008, and December 31, 2017 were recorded: gender; age; voluptuary habits; comorbidities; etiology; fracture sites; synchronous body injuries; atrophy of the mandible according to Luhr classification; eventual type of treatment; timing of the eventual surgery; length of hospital stay. Results: A total of 197 patients (86 male and 111 female patients) with 285 mandibular fractures were included in the study. Mean age of the study population was 75 years. Statistically significant associations were found between Luhr classes I – II and condylar fractures on one hand (p < .0005), and between Luhr class III and body and parasymphyseal fractures on the other hand (p < .05). Finally, 135 patients underwent open reduction and internal fixation, 56 patients did not undergo any intervention, and 6 patients underwent closed reduction. No statistically significant association was observed between treatment, timing of treatment, comorbidities, and concomitant injuries. Conclusions: The management of edentulous atrophic mandibular fractures remains challenging. Treatment decisions should continue to be based on the clinician's previous experience and on the degree of bone resorption in edentulous mandible in relation to fracture subsites.
KW - Atrophic
KW - Edentulous
KW - Management
KW - Mandible
KW - Mandibular fracture
UR - http://www.scopus.com/inward/record.url?scp=85076226362&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2019.11.021
DO - 10.1016/j.jcms.2019.11.021
M3 - Article
SN - 1010-5182
VL - 47
SP - 1929
EP - 1934
JO - Journal of Cranio-Maxillo-Facial Surgery
JF - Journal of Cranio-Maxillo-Facial Surgery
IS - 12
ER -