Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017

Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017

Abstract An update on the trends in maxillofacial traumatology provides additional information on the actual and changing needs. This retrospective study aimed to review all patient records of patients treated for isolated midface fractures in the Department of Cranial- and Maxillofacial Surgery at...

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Autores principales: Lars Bonitz, Vivienne Wruck, Elena Peretti, Dietmar Abel, Stefan Hassfeld, Ákos Bicsák
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/d822e69b1bd645e78ede959df4d87368
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spelling oai:doaj.org-article:d822e69b1bd645e78ede959df4d873682021-12-02T18:50:52ZLong-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–201710.1038/s41598-021-97858-42045-2322https://doaj.org/article/d822e69b1bd645e78ede959df4d873682021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97858-4https://doaj.org/toc/2045-2322Abstract An update on the trends in maxillofacial traumatology provides additional information on the actual and changing needs. This retrospective study aimed to review all patient records of patients treated for isolated midface fractures in the Department of Cranial- and Maxillofacial Surgery at the Dortmund General Hospital between 2007 and 2017. The patient radiographs and patient files were reviewed. The safety and efficacy of the applied methods were controlled by assessing complications based on the Clavien-Dindo classification system. The statistical analysis included descriptive methods including regression analysis and χ2-test. In eleven years, 3474 isolated midface fracture sites have been identified in 2868 patients. The yearly trend is slightly increasing, in elderly clearly worsening, in children and youth decreasing. The male-to-female ratio was 2.16:1 for the whole study population, in the age group 18–25 y.o. 6.95:1 while in elderly above 80 y.o. 1:2.51, the age group specific incidence reflects this result, too. The most common fractures were nasal bone fractures (1405), zygomatic fractures (832) and orbital floor fractures (700). The average hospital stay was 2.7 days, the most fractures were operated within 24 h. The complication rate was 2.02% (Clavien-Dindo class II–V). The incidence of midfacial fractures is increasing in the total population and especially in elderly, but decreasing in children. Development of injury prevention measures is needed in this population. The diagnostic and therapeutic procedures are appropriate, as there is a low complication rate and short inpatient stay observed.Lars BonitzVivienne WruckElena PerettiDietmar AbelStefan HassfeldÁkos BicsákNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lars Bonitz
Vivienne Wruck
Elena Peretti
Dietmar Abel
Stefan Hassfeld
Ákos Bicsák
Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
description Abstract An update on the trends in maxillofacial traumatology provides additional information on the actual and changing needs. This retrospective study aimed to review all patient records of patients treated for isolated midface fractures in the Department of Cranial- and Maxillofacial Surgery at the Dortmund General Hospital between 2007 and 2017. The patient radiographs and patient files were reviewed. The safety and efficacy of the applied methods were controlled by assessing complications based on the Clavien-Dindo classification system. The statistical analysis included descriptive methods including regression analysis and χ2-test. In eleven years, 3474 isolated midface fracture sites have been identified in 2868 patients. The yearly trend is slightly increasing, in elderly clearly worsening, in children and youth decreasing. The male-to-female ratio was 2.16:1 for the whole study population, in the age group 18–25 y.o. 6.95:1 while in elderly above 80 y.o. 1:2.51, the age group specific incidence reflects this result, too. The most common fractures were nasal bone fractures (1405), zygomatic fractures (832) and orbital floor fractures (700). The average hospital stay was 2.7 days, the most fractures were operated within 24 h. The complication rate was 2.02% (Clavien-Dindo class II–V). The incidence of midfacial fractures is increasing in the total population and especially in elderly, but decreasing in children. Development of injury prevention measures is needed in this population. The diagnostic and therapeutic procedures are appropriate, as there is a low complication rate and short inpatient stay observed.
format article
author Lars Bonitz
Vivienne Wruck
Elena Peretti
Dietmar Abel
Stefan Hassfeld
Ákos Bicsák
author_facet Lars Bonitz
Vivienne Wruck
Elena Peretti
Dietmar Abel
Stefan Hassfeld
Ákos Bicsák
author_sort Lars Bonitz
title Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
title_short Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
title_full Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
title_fullStr Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
title_full_unstemmed Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007–2017
title_sort long-term evaluation of treatment protocols for isolated midfacial fractures in a german nation-wide craniomaxillofacial trauma center 2007–2017
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d822e69b1bd645e78ede959df4d87368
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AT viviennewruck longtermevaluationoftreatmentprotocolsforisolatedmidfacialfracturesinagermannationwidecraniomaxillofacialtraumacenter20072017
AT elenaperetti longtermevaluationoftreatmentprotocolsforisolatedmidfacialfracturesinagermannationwidecraniomaxillofacialtraumacenter20072017
AT dietmarabel longtermevaluationoftreatmentprotocolsforisolatedmidfacialfracturesinagermannationwidecraniomaxillofacialtraumacenter20072017
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AT akosbicsak longtermevaluationoftreatmentprotocolsforisolatedmidfacialfracturesinagermannationwidecraniomaxillofacialtraumacenter20072017
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