Fractures of the facial skeleton in the edentulous patient.
Identifieur interne : 005749 ( PubMed/Corpus ); précédent : 005748; suivant : 005750Fractures of the facial skeleton in the edentulous patient.
Auteurs : N. Zachariades ; D. Papavassiliou ; D. Triantafyllou ; E. Vairaktaris ; I. Papademetriou ; M. Mezitis ; A. RapidisSource :
- Journal of maxillofacial surgery [ 0301-0503 ] ; 1984.
English descriptors
- KwdEn :
- Adult, Aged, Facial Bones (injuries), Female, Fracture Fixation, Fracture Fixation, Internal, Humans, Jaw Fractures (surgery), Jaw, Edentulous (complications), Male, Mandibular Condyle (injuries), Mandibular Fractures (surgery), Middle Aged, Postoperative Complications (etiology), Skull Fractures (surgery).
- MESH :
- complications : Jaw, Edentulous.
- etiology : Postoperative Complications.
- injuries : Facial Bones, Mandibular Condyle.
- surgery : Jaw Fractures, Mandibular Fractures, Skull Fractures.
- Adult, Aged, Female, Fracture Fixation, Fracture Fixation, Internal, Humans, Male, Middle Aged.
Abstract
An evaluation was made of 112 fractures that occurred in 66 edentulous patients in a 10 year period. There was an average of 1.7 fractures per person. 104 fractures occurred in the mandible and 75% of these were treated without intermaxillary fixation or were not treated at all. In 28.5% of the cases no treatment was provided other than soft or liquid diet and appropriate instructions. As a group, the condylar fractures were those that were left with no treatment to a greater extent than any other group, apart from the Le Fort type of fracture; the latter being very few in absolute numbers. The age group associated with the edentulous state quite often suffers from conditions that may prohibit aggressive treatment. These conditions may be aggravated by the accident and, by the time the patient is ready for maxillofacial surgery, one has to contemplate (and discuss with the patient) the advantages and disadvantages of a procedure. It appears that aesthetics are of minor importance (to a certain degree) for elderly patients and small deviations from the normal (both in appearance and function) are acceptable to them, considering the prospect of an operation or of the prolonged discomfort, such as that associated with intermaxillary fixation. The advisability of the latter should be assessed carefully in view of the respiratory impairment that it may cause in patients whose airway may already be compromised.(ABSTRACT TRUNCATED AT 250 WORDS)
PubMed: 6596366
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Mezitis</name></author><author><name sortKey="Rapidis, A" sort="Rapidis, A" uniqKey="Rapidis A" first="A" last="Rapidis">A. Rapidis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1984">1984</date><idno type="RBID">pubmed:6596366</idno><idno type="pmid">6596366</idno><idno type="wicri:Area/PubMed/Corpus">005749</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005749</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Fractures of the facial skeleton in the edentulous patient.</title><author><name sortKey="Zachariades, N" sort="Zachariades, N" uniqKey="Zachariades N" first="N" last="Zachariades">N. Zachariades</name></author><author><name sortKey="Papavassiliou, D" sort="Papavassiliou, D" uniqKey="Papavassiliou D" first="D" last="Papavassiliou">D. Papavassiliou</name></author><author><name sortKey="Triantafyllou, D" sort="Triantafyllou, D" uniqKey="Triantafyllou D" first="D" last="Triantafyllou">D. Triantafyllou</name></author><author><name sortKey="Vairaktaris, E" sort="Vairaktaris, E" uniqKey="Vairaktaris E" first="E" last="Vairaktaris">E. Vairaktaris</name></author><author><name sortKey="Papademetriou, I" sort="Papademetriou, I" uniqKey="Papademetriou I" first="I" last="Papademetriou">I. Papademetriou</name></author><author><name sortKey="Mezitis, M" sort="Mezitis, M" uniqKey="Mezitis M" first="M" last="Mezitis">M. Mezitis</name></author><author><name sortKey="Rapidis, A" sort="Rapidis, A" uniqKey="Rapidis A" first="A" last="Rapidis">A. Rapidis</name></author></analytic><series><title level="j">Journal of maxillofacial surgery</title><idno type="ISSN">0301-0503</idno><imprint><date when="1984" type="published">1984</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Facial Bones (injuries)</term><term>Female</term><term>Fracture Fixation</term><term>Fracture Fixation, Internal</term><term>Humans</term><term>Jaw Fractures (surgery)</term><term>Jaw, Edentulous (complications)</term><term>Male</term><term>Mandibular Condyle (injuries)</term><term>Mandibular Fractures (surgery)</term><term>Middle Aged</term><term>Postoperative Complications (etiology)</term><term>Skull Fractures (surgery)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Facial Bones</term><term>Mandibular Condyle</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw Fractures</term><term>Mandibular Fractures</term><term>Skull Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Fracture Fixation</term><term>Fracture Fixation, Internal</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">An evaluation was made of 112 fractures that occurred in 66 edentulous patients in a 10 year period. There was an average of 1.7 fractures per person. 104 fractures occurred in the mandible and 75% of these were treated without intermaxillary fixation or were not treated at all. In 28.5% of the cases no treatment was provided other than soft or liquid diet and appropriate instructions. As a group, the condylar fractures were those that were left with no treatment to a greater extent than any other group, apart from the Le Fort type of fracture; the latter being very few in absolute numbers. The age group associated with the edentulous state quite often suffers from conditions that may prohibit aggressive treatment. These conditions may be aggravated by the accident and, by the time the patient is ready for maxillofacial surgery, one has to contemplate (and discuss with the patient) the advantages and disadvantages of a procedure. It appears that aesthetics are of minor importance (to a certain degree) for elderly patients and small deviations from the normal (both in appearance and function) are acceptable to them, considering the prospect of an operation or of the prolonged discomfort, such as that associated with intermaxillary fixation. The advisability of the latter should be assessed carefully in view of the respiratory impairment that it may cause in patients whose airway may already be compromised.(ABSTRACT TRUNCATED AT 250 WORDS)</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">6596366</PMID><DateCompleted><Year>1985</Year><Month>03</Month><Day>14</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0301-0503</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>6</Issue><PubDate><Year>1984</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of maxillofacial surgery</Title><ISOAbbreviation>J Maxillofac Surg</ISOAbbreviation></Journal><ArticleTitle>Fractures of the facial skeleton in the edentulous patient.</ArticleTitle><Pagination><MedlinePgn>262-6</MedlinePgn></Pagination><Abstract><AbstractText>An evaluation was made of 112 fractures that occurred in 66 edentulous patients in a 10 year period. There was an average of 1.7 fractures per person. 104 fractures occurred in the mandible and 75% of these were treated without intermaxillary fixation or were not treated at all. In 28.5% of the cases no treatment was provided other than soft or liquid diet and appropriate instructions. As a group, the condylar fractures were those that were left with no treatment to a greater extent than any other group, apart from the Le Fort type of fracture; the latter being very few in absolute numbers. The age group associated with the edentulous state quite often suffers from conditions that may prohibit aggressive treatment. These conditions may be aggravated by the accident and, by the time the patient is ready for maxillofacial surgery, one has to contemplate (and discuss with the patient) the advantages and disadvantages of a procedure. It appears that aesthetics are of minor importance (to a certain degree) for elderly patients and small deviations from the normal (both in appearance and function) are acceptable to them, considering the prospect of an operation or of the prolonged discomfort, such as that associated with intermaxillary fixation. The advisability of the latter should be assessed carefully in view of the respiratory impairment that it may cause in patients whose airway may already be compromised.(ABSTRACT TRUNCATED AT 250 WORDS)</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zachariades</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Papavassiliou</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Triantafyllou</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Vairaktaris</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Papademetriou</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Mezitis</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Rapidis</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>J Maxillofac Surg</MedlineTA><NlmUniqueID>0370036</NlmUniqueID><ISSNLinking>0301-0503</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005147" MajorTopicYN="N">Facial Bones</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005592" MajorTopicYN="N">Fracture Fixation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005593" MajorTopicYN="N">Fracture Fixation, Internal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007572" MajorTopicYN="N">Jaw Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="Y">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008335" MajorTopicYN="N">Mandibular Condyle</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="N">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012887" MajorTopicYN="N">Skull Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1984</Year><Month>12</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1984</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1984</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">6596366</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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