The epidemiology of edentulous atrophic mandibular fractures in Europe
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2019
Authors
Brucoli, MatteoBoffano, 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
Article (Published version)

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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 Lu...hr 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.
Keywords:
Edentulous / Mandibular fracture / Mandible / Atrophic / ManagementSource:
Journal of Cranio-Maxillofacial Surgery, 2019, 47, 12, 1929-1934Publisher:
- Churchill Livingstone, Edinburgh
DOI: 10.1016/j.jcms.2019.11.021
ISSN: 1010-5182
PubMed: 31810843
WoS: 000502610100015
Scopus: 2-s2.0-85076226362
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Stomatološki fakultetTY - 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 . .