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Epidemiology of maxillofacial trauma in elderly patients receiving oral anticoagulant or antithrombotic medication; a Swiss retrospective study.

David BettschenDimitra TsichlakiEleftherios ChatzimichailJolanta Klukowska-RoetzlerMartin MüllerThomas Christian SauterAristomenis K ExadaktylosMairi ZiakaMichael DoulberisJohn Patrik Matthias Burkhard
Published in: BMC emergency medicine (2024)
This study indicates that falls are the leading cause of maxillofacial trauma in the elderly, with the most common diagnoses being orbital, zygomatic, and nasal fractures. Haemorrhagic complications primarily involve facial hematomas, especially in the middle third of the face, with intracerebral haemorrhage being the second most frequent. Surgical intervention for bleeding was required in 8.5% of cases. Given the aging population, it is essential to improve prevention strategies and update safety protocols, particularly for patients on anticoagulant/antiplatelet therapy (AC/APT). This can ensure rapid diagnostic imaging and prompt treatment in emergencies.
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