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Etiology, distribution, treatment modalities and complications of maxillofacial fractures

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Etiology, distribution, treatment modalities and complications of maxillofacial fractures

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dc.contributor.author Pham-Dang, Nathalie es
dc.contributor.author Barthélémy, Isabelle es
dc.contributor.author Orliaguet, Thierry es
dc.contributor.author Artola, Alain es
dc.contributor.author Mondié, Jean-Michel es
dc.contributor.author Dallel, Radhouane es
dc.date.accessioned 2014-07-04T07:55:19Z
dc.date.available 2014-07-04T07:55:19Z
dc.date.issued 2014 es
dc.identifier.citation Pham-Dang, Nathalie ; Barthélémy, Isabelle ; Orliaguet, Thierry ; Artola, Alain ; Mondié, Jean-Michel ; Dallel, Radhouane. Etiology, distribution, treatment modalities and complications of maxillofacial fractures. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2014, Vol. 19, No. 3: 261-269 es
dc.identifier.uri http://hdl.handle.net/10550/36886
dc.description.abstract Purpose: This study evaluated the trends and factors associated with maxillofacial fractures treated from 1997 to 2007 in the Oral and Maxillofacial Surgery Department of the Clermont-Ferrand University Hospital. Material and Methods: This study included 364 patients of which 82% were men and 45%, 20-29-years old. The etio- logy, anatomical distribution, treatment modality and complications of maxillofacial fractures were examined. Results: Overall, interpersonal violence, traffic accidents and falls were the most common mechanisms of injury. There was a decreasing trend in traffic accidents and increasing one in falls as a cause of fracture over the 11-years period of this study. Young male patients were preferentially victim of interpersonal violence and traffic accidents, while middle-aged ones were of falls and work-related accidents. Middle-aged female patients were preferentially victim of traffic accidents and interpersonal violence, while older ones were of falls. And the number of fractures per patient varied according to the mechanism of injury: low after work-related accidents and high after traffic accidents. About two-third of fractures involved the mandible. Most of these mandibular fractures were treated by osteosynthesis with or without intermaxillary fixation, with the proportion of the latter increasing over time. There were very few postoperative infections and only in mandible. Conclusions: Maxillofacial fractures predominantly occur in young men, due to interpersonal violence. There is nevertheless an increasing trend in falls as a cause of fracture, especially in female patients, consistent with the increasing trend in presentation of older people. Most maxillofacial fractures involve the mandible and there is an increasing trend in treating these fractures by osteosynthesis without intermaxillary fixation. Antibiotic prophy - laxis associated with dental hygiene care can be indicated to prevent postoperative infections. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Etiology, distribution, treatment modalities and complications of maxillofacial fractures es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES
dc.identifier.url http://www.medicinaoral.com/pubmed/medoralv19_i3_p261.pdf es

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