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Quality of life following maxillofacial trauma in the elderly: a multicenter, prospective study

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Abstract

Background/aims

When facial trauma involves elderly patients, the possible presence of frailty and comorbidities in victims of trauma may worsen the posttraumatic symptoms and decrease quality of life. The aim of this multicenter study was to assess the quality of life following surgical or non-operative management of maxillofacial trauma in elderly patients.

Materials and methods

This cohort study was based on the administration of validated self-administered questionnaires to all the geriatric patients (70 years or more) with facial fractures from the involved maxillofacial surgical units across Europe, since 1st January 2019 to 31st June 2019. The following questionnaires were administered: SF36 questionnaire; the VFQ-25 questionnaire; the Oral Health Impact Profile – 14 (OHIP14). Outcome variables were VFQ-25 and OHIP-14 results.

Results

A total of 37 patients (14 male and 23 female patients) met the inclusion criteria and were included in the study. Elderly patients had an improvement in almost all the categories examined by the SF-36 questionnaire 6 months after trauma, with the only exception of a worsening as for role limitations due to physical health. An improvement was observed in almost all the categories at SF-36 test. A worsening of scores of OHIP-14 for all the considered dimensions in the whole study population was observed too.

Conclusions

Elderly patients following facial trauma experience significant emotional, social, and functional disturbances. We observed that emotional problems, energy/fatigue, social functioning, and generally social limitations played a great role in the decrease of QoL in elderly patients following maxillofacial trauma.

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Author information

Authors and Affiliations

  1. Università Degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy

    Paolo Boffano, Alberto Pau, Camilla Dosio & Matteo Brucoli

  2. Division of Maxillofacial Surgery, University Hospital “Maggiore Della Carità”, University of Eastern Piedmont, Novara, Italy

    Paolo Boffano

  3. Department of Oral and Maxillofacial Surgery, Hasanuddin University, Makassar, Indonesia

    Muhammad Ruslin

  4. Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands

    Tymour Forouzanfar

  5. Hospital General de Asturias: Hospital Universitario Central de Asturias, Oviedo, Spain

    Tanía Rodríguez-Santamarta & Juan Carlos de Vicente

  6. Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia

    Marko Tarle & Emil Dediol

  7. Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria

    Petia Pechalova

  8. Plovdiv, Bulgaria

    Nikolai Pavlov

  9. Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria

    Hristo Daskalov

  10. Department of Maxillo-Facial Surgery, North Estonia Medical Centre Foundation, Tallinn, Estonia

    Iva Doykova & Kadri Kelemith

  11. Faculty of Medicine, University of Tartu, Tartu, Estonia

    Tiia Tamme

  12. Bogomolets National Medical University: Natsional’nii Meditsnii Universitet Imeni O O Bogomoltsa, Kyiv, Ukraine

    Andrey Kopchak & Romanova Anna Yu

  13. Division of Maxillofacial Surgery, Chu de Nantes, Nantes, France

    Pierre Corre, Helios Bertin, Maeva Bourry & Pierre Guyonvarc’h

  14. University of Belgrade: Univerzitet U Beogradu, Belgrade, Serbia

    Zoran Jezdić & Vitomir S. Konstantinovic

  15. Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Aalborg, Denmark

    Thomas Starch-Jensen

Authors
  1. Paolo Boffano
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  2. Alberto Pau
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  3. Camilla Dosio
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  4. Muhammad Ruslin
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  5. Tymour Forouzanfar
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  7. Juan Carlos de Vicente
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  17. Romanova Anna Yu
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  18. Pierre Corre
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  19. Helios Bertin
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  20. Maeva Bourry
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  21. Pierre Guyonvarc’h
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  22. Zoran Jezdić
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  23. Vitomir S. Konstantinovic
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  24. Thomas Starch-Jensen
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  25. Matteo Brucoli
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Corresponding author

Correspondence to Paolo Boffano.

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Boffano, P., Pau, A., Dosio, C. et al. Quality of life following maxillofacial trauma in the elderly: a multicenter, prospective study. Oral Maxillofac Surg 26, 383–392 (2022). https://doi.org/10.1007/s10006-021-01003-4

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  • DOI: https://doi.org/10.1007/s10006-021-01003-4

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