Incidence,aetiology, treatment outcome and complications of maxillofacial fractures. A retrospective study from Northern Greece |
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| Authors: | Athanassios Kyrgidis Georgios Koloutsos Argyro Kommata Nikolaos Lazarides Konstantinos Antoniades |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Kennemer Gasthuis Hospital, P.O. Box 417, 2000 AK, Haarlem, The Netherlands;2. Research Center Linnaeus Institute, Kennemer Gasthuis Hospital, P.O. Box 417, 2000 AK, Haarlem, The Netherlands;3. Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA), P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands;1. Department of Emergency Medicine, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie, Suite 1300, Chicago, IL 60611, USA;2. Department of Medicine, Northwestern Medicine, Northwestern University Feinber School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA;3. Department of Orthopaedic Surgery, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA;4. Department of Orthopaedic Surgery, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA;1. Maxillofacial Surgery Operative Unit (Head: Prof. Luigi Califano), University Hospital of Naples “Federico II”, Via Pansini 5, 80131 Naples, Italy;2. Actuarial Science, University of Rome “La Sapienza”, Rome, Italy;3. Maxillofacial Surgery Operative Unit (Head: Dott. Giacomo De Riu), University Hospital of Sassari, Viale San Pietro 43B, 07100 Sassari, Italy;4. Neurosurgery Operative Unit (Head: Prof. Giorigio Iaconetta), University Hospital of Salerno, Via Allende, 84081 Baronissi, Salerno, Italy;1. Resident, Division of Oral and Maxillofacial Surgery, University of Cincinnati, Cincinnati, OH;2. Voluntary Assistant Professor, Division of Oral and Maxillofacial Surgery, University of Cincinnati, Cincinnati, OH; Private Practice, Mountain State Oral and Maxillofacial Surgeons, Charleston, WV;1. Department of Metallurgy and Materials Engineering, Faculty of Engineering, University of Malta, Malta;2. Department of Restorative Dentistry, Faculty of Dental Surgery, University of Malta, Malta |
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| Abstract: | AimTo analyse the pattern of maxillofacial injuries and treatment outcomes in Northern Greece.MethodsA tertiary referral single centre hospital; retrospective chart review. Demographics, aetiology, fixation technique (Rigid Internal Fixation: RIF; Maxillomandibular Fixation: MMF) post-surgical infections, aesthetics and occlusion were recorded.ResultsOne thousand and ten males and 229 females were operated between 1998 and 2008. Mean age was 29.6 ± 13. Mean number of plates per patient was 3.96 ± 2.28. For those with midfacial fractures (n = 379) mean was 4.02 ± 2.05. For those with mandibular fractures (n = 333), mean was 2.74 ± 0.94 while those with combined mandible and midface fractures (n = 216) were treated using 5.74 ± 2.87 plates per patient. Among those treated with plates, an unadjusted 22% increased risk for post-surgical infection per plate used (OR = 1.22, 95%CI: 1.13–1.32) was found. Patients with mandibular fractures were more satisfied with their post-surgical facial appearance in contrast to those with midfacial or combined midfacial and mandibular fractures. Female patients were less satisfied with their post-surgical facial appearance than males.DiscussionThis study verified a young males predominance, a shift towards more assault related fractures –especially in females– and similar post-surgical results for MMF and RIF modalities in mandibular fractures. In those patients treated with RIF, placement of fewest plates possible to obtain stability better serves aesthetics at the same time reducing risk for post-surgical infections and malocclusion. |
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