TY  - JOUR
AU  - Brucoli, Matteo
AU  - Boffano, Paolo
AU  - Romeo, Irene
AU  - Corio, Chiara
AU  - Benech, Arnaldo
AU  - Ruslin, Muhammad
AU  - Forouzanfar, Tymour
AU  - Rodriguez-Santamarta, Tania
AU  - Vicente, Juan Carlos de
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  - Vozlić, David
AU  - Birk, Anze
AU  - Aničić, Boban
AU  - Konstantinović, Vitomir
AU  - Starch-Jensen, Thomas
PY  - 2020
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2515
AB  - Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length of hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.
PB  - Springer Heidelberg, Heidelberg
T2  - Oral & Maxillofacial Surgery-Heidelberg
T1  - Surgical management of unilateral body fractures of the edentulous atrophic mandible
VL  - 24
IS  - 1
SP  - 65
EP  - 71
DO  - 10.1007/s10006-019-00824-8
ER  - 

@article{
author = "Brucoli, Matteo and Boffano, Paolo and Romeo, Irene and Corio, Chiara and Benech, Arnaldo and Ruslin, Muhammad and Forouzanfar, Tymour and Rodriguez-Santamarta, Tania and Vicente, Juan Carlos de and Tarle, Marko and Dediol, Emil and Pechalova, Petia and Pavlov, Nikolai and Daskalov, Hristo and Doykova, Iva and Kelemith, Kadri and Tamme, Tiia and Kopchak, Andrey and Shumynskyi, Ievgen and Corre, Pierre and Bertin, Helios and Bourry, Maeva and Guyonvarc'h, Pierre and Dovšak, Tadej and Vozlić, David and Birk, Anze and Aničić, Boban and Konstantinović, Vitomir and Starch-Jensen, Thomas",
year = "2020",
abstract = "Introduction Management of body fractures in patients with edentulous atrophic mandibles represents a challenging task due to patient's age, medical comorbidities, poor bone quality, and vascularity, as well as reduced contact area between the fracture ends. The aim of the study was to assess the demographic and clinical variables, the surgical technique, and outcomes of unilateral body fractures of the edentulous atrophic mandible managed at several European departments of oral and maxillofacial surgery. Methods This study is based on a systematic computer-assisted database that allowed the recording of data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between 2008 and 2017. The following data were recorded for each patient: gender, age, comorbidities, etiology, synchronous body injuries, degree of atrophy of the mandible according to Luhr classification, type of surgical approach and fixation, length of hospitalization, and presence and type of complications. Results A total of 43 patients were included in the study: 17 patients' mandibles were classified as class I according to Luhr, 15 as class II, and 11 as class III. All patients underwent open reduction and internal fixation by extraoral approach in 25 patients, intraoral in 15 patients, and mixed in 3 patients. A single 2.0 miniplate was used in 16 patients, followed by a single 2.4 reconstruction plate in 13 patients, by two 2.0 miniplates, and three 2.0 miniplates. Outcome was considered to be satisfying in 30 patients, with no complications. Complications were observed in 13 cases. Conclusions Treatment of unilateral body fractures of the edentulous mandible must still be based on the type of fracture, degree of atrophy, experience of the surgeon, and patients' preference. An adequate stability can be obtained by different plating techniques that have to be appropriately tailored to every single specific patient.",
publisher = "Springer Heidelberg, Heidelberg",
journal = "Oral & Maxillofacial Surgery-Heidelberg",
title = "Surgical management of unilateral body fractures of the edentulous atrophic mandible",
volume = "24",
number = "1",
pages = "65-71",
doi = "10.1007/s10006-019-00824-8"
}

Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., Forouzanfar, T., Rodriguez-Santamarta, T., Vicente, J. C. d., Tarle, M., Dediol, E., Pechalova, P., Pavlov, N., Daskalov, H., Doykova, I., Kelemith, K., Tamme, T., Kopchak, A., Shumynskyi, I., Corre, P., Bertin, H., Bourry, M., Guyonvarc'h, P., Dovšak, T., Vozlić, D., Birk, A., Aničić, B., Konstantinović, V.,& Starch-Jensen, T.. (2020). Surgical management of unilateral body fractures of the edentulous atrophic mandible. in Oral & Maxillofacial Surgery-Heidelberg
Springer Heidelberg, Heidelberg., 24(1), 65-71.
https://doi.org/10.1007/s10006-019-00824-8

Brucoli M, Boffano P, Romeo I, Corio C, Benech A, Ruslin M, Forouzanfar T, Rodriguez-Santamarta T, Vicente JCD, Tarle M, Dediol E, Pechalova P, Pavlov N, Daskalov H, Doykova I, Kelemith K, Tamme T, Kopchak A, Shumynskyi I, Corre P, Bertin H, Bourry M, Guyonvarc'h P, Dovšak T, Vozlić D, Birk A, Aničić B, Konstantinović V, Starch-Jensen T. Surgical management of unilateral body fractures of the edentulous atrophic mandible. in Oral & Maxillofacial Surgery-Heidelberg. 2020;24(1):65-71.
doi:10.1007/s10006-019-00824-8 .

Brucoli, Matteo, Boffano, Paolo, Romeo, Irene, Corio, Chiara, Benech, Arnaldo, Ruslin, Muhammad, Forouzanfar, Tymour, Rodriguez-Santamarta, Tania, Vicente, Juan Carlos de, Tarle, Marko, Dediol, Emil, Pechalova, Petia, Pavlov, Nikolai, Daskalov, Hristo, Doykova, Iva, Kelemith, Kadri, Tamme, Tiia, Kopchak, Andrey, Shumynskyi, Ievgen, Corre, Pierre, Bertin, Helios, Bourry, Maeva, Guyonvarc'h, Pierre, Dovšak, Tadej, Vozlić, David, Birk, Anze, Aničić, Boban, Konstantinović, Vitomir, Starch-Jensen, Thomas, "Surgical management of unilateral body fractures of the edentulous atrophic mandible" in Oral & Maxillofacial Surgery-Heidelberg, 24, no. 1 (2020):65-71,
https://doi.org/10.1007/s10006-019-00824-8 . .

TY  - JOUR
AU  - Brucoli, Matteo
AU  - Boffano, Paolo
AU  - Romeo, Irene
AU  - Corio, Chiara
AU  - Benech, Arnaldo
AU  - Ruslin, Muhammad
AU  - Forouzanfar, Tymour
AU  - Rodriguez-Santamarta, Tania
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  - Vozlić, David
AU  - Birk, Anze
AU  - Aničić, Boban
AU  - Konstantinović, Vitomir
AU  - Starch-Jensen, Thomas
PY  - 2020
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2477
AB  - Introduction: Treatment of condylar fractures in patients with atrophic edentulous mandibles is a peculiar field that has been little considered in the literature. The aim of the study was to assess the demographic and clinical variables as well as management and outcome of mandibular condylar fractures in edentulous patients with atrophic mandibles that were treated at several European departments of oral and maxillofacial surgery. 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. Only patients that were diagnosed with condylar fractures of the edentulous atrophic mandible were included. Results: A total of 52 patients met the inclusion criteria and were included in the study: 79% of patients reported one or more comorbidities. Thirty-four unilateral neck or subcondylar fractures, 9 bilateral neck or subcondylar condylar fractures, 7 unilateral head condylar fractures, and 2 bilateral head condylar fractures were diagnosed. No treatment was performed in 37 cases, whereas in 4 patients a closed treatment was decided, and 11 patients underwent open reduction and internal fixation. Outcome was considered to be satisfying in 48 patients, with no complications. Conclusions: The golden rule still remains that the diagnosis of a subcondylar or neck fracture in an edentulous patient should constitute an indication for open reduction and internal fixation. However, an appropriate choice of management options has to be individualized on a case by case basis, also depending on the patient consent.
PB  - Elsevier Masson SAS
T2  - Journal of Stomatology, Oral & Maxillofacial Surgery
T1  - Management of mandibular condylar fractures in patients with atrophic edentulous mandibles
VL  - 121
IS  - 3
SP  - 226
EP  - 232
DO  - 10.1016/j.jormas.2019.10.004
ER  - 

@article{
author = "Brucoli, Matteo and Boffano, Paolo and Romeo, Irene and Corio, Chiara and Benech, Arnaldo and Ruslin, Muhammad and Forouzanfar, Tymour and Rodriguez-Santamarta, Tania and de Vicente, Juan Carlos and Tarle, Marko and Dediol, Emil and Pechalova, Petia and Pavlov, Nikolai and Daskalov, Hristo and Doykova, Iva and Kelemith, Kadri and Tamme, Tiia and Kopchak, Andrey and Shumynskyi, Ievgen and Corre, Pierre and Bertin, Helios and Bourry, Maeva and Guyonvarc'h, Pierre and Dovšak, Tadej and Vozlić, David and Birk, Anze and Aničić, Boban and Konstantinović, Vitomir and Starch-Jensen, Thomas",
year = "2020",
abstract = "Introduction: Treatment of condylar fractures in patients with atrophic edentulous mandibles is a peculiar field that has been little considered in the literature. The aim of the study was to assess the demographic and clinical variables as well as management and outcome of mandibular condylar fractures in edentulous patients with atrophic mandibles that were treated at several European departments of oral and maxillofacial surgery. 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. Only patients that were diagnosed with condylar fractures of the edentulous atrophic mandible were included. Results: A total of 52 patients met the inclusion criteria and were included in the study: 79% of patients reported one or more comorbidities. Thirty-four unilateral neck or subcondylar fractures, 9 bilateral neck or subcondylar condylar fractures, 7 unilateral head condylar fractures, and 2 bilateral head condylar fractures were diagnosed. No treatment was performed in 37 cases, whereas in 4 patients a closed treatment was decided, and 11 patients underwent open reduction and internal fixation. Outcome was considered to be satisfying in 48 patients, with no complications. Conclusions: The golden rule still remains that the diagnosis of a subcondylar or neck fracture in an edentulous patient should constitute an indication for open reduction and internal fixation. However, an appropriate choice of management options has to be individualized on a case by case basis, also depending on the patient consent.",
publisher = "Elsevier Masson SAS",
journal = "Journal of Stomatology, Oral & Maxillofacial Surgery",
title = "Management of mandibular condylar fractures in patients with atrophic edentulous mandibles",
volume = "121",
number = "3",
pages = "226-232",
doi = "10.1016/j.jormas.2019.10.004"
}

Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., Forouzanfar, T., Rodriguez-Santamarta, T., de Vicente, J. C., Tarle, M., Dediol, E., Pechalova, P., Pavlov, N., Daskalov, H., Doykova, I., Kelemith, K., Tamme, T., Kopchak, A., Shumynskyi, I., Corre, P., Bertin, H., Bourry, M., Guyonvarc'h, P., Dovšak, T., Vozlić, D., Birk, A., Aničić, B., Konstantinović, V.,& Starch-Jensen, T.. (2020). Management of mandibular condylar fractures in patients with atrophic edentulous mandibles. in Journal of Stomatology, Oral & Maxillofacial Surgery
Elsevier Masson SAS., 121(3), 226-232.
https://doi.org/10.1016/j.jormas.2019.10.004

Brucoli M, Boffano P, Romeo I, Corio C, Benech A, Ruslin M, Forouzanfar T, Rodriguez-Santamarta T, de Vicente JC, Tarle M, Dediol E, Pechalova P, Pavlov N, Daskalov H, Doykova I, Kelemith K, Tamme T, Kopchak A, Shumynskyi I, Corre P, Bertin H, Bourry M, Guyonvarc'h P, Dovšak T, Vozlić D, Birk A, Aničić B, Konstantinović V, Starch-Jensen T. Management of mandibular condylar fractures in patients with atrophic edentulous mandibles. in Journal of Stomatology, Oral & Maxillofacial Surgery. 2020;121(3):226-232.
doi:10.1016/j.jormas.2019.10.004 .

Brucoli, Matteo, Boffano, Paolo, Romeo, Irene, Corio, Chiara, Benech, Arnaldo, Ruslin, Muhammad, Forouzanfar, Tymour, Rodriguez-Santamarta, Tania, de Vicente, Juan Carlos, Tarle, Marko, Dediol, Emil, Pechalova, Petia, Pavlov, Nikolai, Daskalov, Hristo, Doykova, Iva, Kelemith, Kadri, Tamme, Tiia, Kopchak, Andrey, Shumynskyi, Ievgen, Corre, Pierre, Bertin, Helios, Bourry, Maeva, Guyonvarc'h, Pierre, Dovšak, Tadej, Vozlić, David, Birk, Anze, Aničić, Boban, Konstantinović, Vitomir, Starch-Jensen, Thomas, "Management of mandibular condylar fractures in patients with atrophic edentulous mandibles" in Journal of Stomatology, Oral & Maxillofacial Surgery, 121, no. 3 (2020):226-232,
https://doi.org/10.1016/j.jormas.2019.10.004 . .

TY  - JOUR
AU  - Brucoli, Matteo
AU  - Boffano, Paolo
AU  - Romeo, Irene
AU  - Corio, Chiara
AU  - Benech, Arnaldo
AU  - Ruslin, Muhammad
AU  - Forouzanfar, Tymour
AU  - Rodriguez-Santamarta, Tania
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  - Vozlić, David
AU  - Birk, Anze
AU  - Aničić, Boban
AU  - Konstantinović, Vitomir
AU  - Starch-Jensen, Thomas
PY  - 2019
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2417
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 populationwas 75 years. Statistically significant associations were found between Luhr classes I - II and condylar fractures on one hand (p  lt .0005), and between Luhr class III and body and parasymphyseal fractures on the other hand (p  lt .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.
PB  - Churchill Livingstone, Edinburgh
T2  - Journal of Cranio-Maxillofacial Surgery
T1  - The epidemiology of edentulous atrophic mandibular fractures in Europe
VL  - 47
IS  - 12
SP  - 1929
EP  - 1934
DO  - 10.1016/j.jcms.2019.11.021
ER  - 

@article{
author = "Brucoli, Matteo and Boffano, Paolo and Romeo, Irene and Corio, Chiara and Benech, Arnaldo and Ruslin, Muhammad and Forouzanfar, Tymour and Rodriguez-Santamarta, Tania and de Vicente, Juan Carlos and Tarle, Marko and Dediol, Emil and Pechalova, Petia and Pavlov, Nikolai and Daskalov, Hristo and Doykova, Iva and Kelemith, Kadri and Tamme, Tiia and Kopchak, Andrey and Shumynskyi, Ievgen and Corre, Pierre and Bertin, Helios and Bourry, Maeva and Guyonvarc'h, Pierre and Dovšak, Tadej and Vozlić, David and Birk, Anze and Aničić, Boban and Konstantinović, Vitomir and Starch-Jensen, Thomas",
year = "2019",
abstract = "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 populationwas 75 years. Statistically significant associations were found between Luhr classes I - II and condylar fractures on one hand (p  lt .0005), and between Luhr class III and body and parasymphyseal fractures on the other hand (p  lt .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.",
publisher = "Churchill Livingstone, Edinburgh",
journal = "Journal of Cranio-Maxillofacial Surgery",
title = "The epidemiology of edentulous atrophic mandibular fractures in Europe",
volume = "47",
number = "12",
pages = "1929-1934",
doi = "10.1016/j.jcms.2019.11.021"
}

Brucoli, M., Boffano, P., Romeo, I., Corio, C., Benech, A., Ruslin, M., Forouzanfar, T., Rodriguez-Santamarta, T., de Vicente, J. C., Tarle, M., Dediol, E., Pechalova, P., Pavlov, N., Daskalov, H., Doykova, I., Kelemith, K., Tamme, T., Kopchak, A., Shumynskyi, I., Corre, P., Bertin, H., Bourry, M., Guyonvarc'h, P., Dovšak, T., Vozlić, D., Birk, A., Aničić, B., Konstantinović, V.,& Starch-Jensen, T.. (2019). The epidemiology of edentulous atrophic mandibular fractures in Europe. in Journal of Cranio-Maxillofacial Surgery
Churchill Livingstone, Edinburgh., 47(12), 1929-1934.
https://doi.org/10.1016/j.jcms.2019.11.021

Brucoli M, Boffano P, Romeo I, Corio C, Benech A, Ruslin M, Forouzanfar T, Rodriguez-Santamarta T, de Vicente JC, Tarle M, Dediol E, Pechalova P, Pavlov N, Daskalov H, Doykova I, Kelemith K, Tamme T, Kopchak A, Shumynskyi I, Corre P, Bertin H, Bourry M, Guyonvarc'h P, Dovšak T, Vozlić D, Birk A, Aničić B, Konstantinović V, Starch-Jensen T. The epidemiology of edentulous atrophic mandibular fractures in Europe. in Journal of Cranio-Maxillofacial Surgery. 2019;47(12):1929-1934.
doi:10.1016/j.jcms.2019.11.021 .

Brucoli, Matteo, Boffano, Paolo, Romeo, Irene, Corio, Chiara, Benech, Arnaldo, Ruslin, Muhammad, Forouzanfar, Tymour, Rodriguez-Santamarta, Tania, de Vicente, Juan Carlos, Tarle, Marko, Dediol, Emil, Pechalova, Petia, Pavlov, Nikolai, Daskalov, Hristo, Doykova, Iva, Kelemith, Kadri, Tamme, Tiia, Kopchak, Andrey, Shumynskyi, Ievgen, Corre, Pierre, Bertin, Helios, Bourry, Maeva, Guyonvarc'h, Pierre, Dovšak, Tadej, Vozlić, David, Birk, Anze, Aničić, Boban, Konstantinović, Vitomir, Starch-Jensen, Thomas, "The epidemiology of edentulous atrophic mandibular fractures in Europe" in Journal of Cranio-Maxillofacial Surgery, 47, no. 12 (2019):1929-1934,
https://doi.org/10.1016/j.jcms.2019.11.021 . .