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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2014 April;25(1):9-12
Management of patients with fall-related maxillofacial fractures due to epilepsy
Roccia F. 1, Zibetti M. 2, Zavattero E. 1, Cerutti E. 3, Ramieri G. 1
1 Division of Maxillofacial Surgery, Department of Surgical Science, San Giovanni Battista Hospital, University of Turin, Turin, Italy;
2 Department of Neuroscience, University of Turin, Turin, Italy;
3 Department of Anesthesia and Intensive Care, University of Turin, Turin, Italy
AIM: Epilepsy is one of the most common chronic disorder involving unpredictably recurring seizures that can result in injuries due to falls. This study describes the management of patients with fall-related maxillofacial fractures due to epilepsy.
METHODS: The database of patients hospitalized in the Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy, from 1 January 2001 to 31 December 2012 was searched for patients with maxillofacial fractures arising from epilepsy-related falls. Data on patient age, gender, fracture site, associated lesions, type of treatment, and length of hospital stay were also analyzed.
RESULTS: Of 639 patients admitted to our division with injuries following falls, 19 (3%) had maxillofacial fractures following epilepsy-related falls (16 males, 3 females; average age 39.9 [range 13-86] years). These patients had a total of 37 maxillofacial fractures, which were divided equally between the middle and inferior thirds of the face, with the orbito-zygomatic-maxillary complex and mandibular condyle involved most frequently. Seventeen patients were treated surgically under general anesthesia without complications with a mean hospital stay of 5 days.
CONCLUSION: Although patients with epilepsy are at greater risk of fall-related accidents, the incidence of maxillofacial fractures is relatively low in our experience. The resulting injuries mainly involve the middle and lower thirds of face, and are mainly in men in the fourth decade of life.