Citation

Goedecke M, Thiem DGE, Schneider D, Frerich B, Kämmerer PW. Dent. Traumatol. 2019; 35(2): 115-120.

Affiliation

Department of Oral and Maxillofacial Surgery, Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health Augustenburger, Platz 1, 13353, Berlin, Germany.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/edt.12462

PMID

30615258

Abstract

AIMS: The number of maxillofacial traumas remain constant, however the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a five year period.

MATERIALS AND METHODS: In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, etiology, type of fracture, surgery details, complications and further injuries. Causes were subdivided into assaults, falls, epileptic seizure, work-related, traffic accident by car or bicycle, sport associated, or others (e.g. caused by explosions, horse kicks or unknown).

RESULTS: The most common causes for fractures were assaults (28.8%; n = 165), followed by falls (23.9%; n = 137), although, falls became the main reason for maxillofacial fractures in 2013 and 2014. The mean age for patients suffering from facial fractures due to falls was significantly higher compared to those injured by other causes. Most commonly, fractures of the zygomatico-maxillary complex with or without orbital floor involvement were seen (31.6%; n=291) followed by fractures of the mandible (20.6%; n=190) and fractures of the nose (15.2%; n=140). Most patients were treated surgically (89.5%; n=513) even though an increase of non-surgical treatment was found over the examination period, especially in older patients.

CONCLUSIONS: Maxillofacial fractures are mostly seen in younger male patients. Assaults were the main pattern of injury during the whole examination period, although falls became the main cause in older patients over the last two years. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

Language: en