Fall-Related Facial Trauma: A Retrospective Review of Fracture Patterns and Medical Comorbidity

Winstead, Michael; Clegg, Devin J; Heidel, R. Eric; Ledderhof, Nicholas J.; Gotcher, Jack E.

doi:10.1016/j.joms.2020.09.040

Cited by 14 publications

(9 citation statements)

References 7 publications

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“…Our numbers match other epidemiological studies, such as those performed by Giacomin et al 15 and Grempel. 17 In our study, as shown in Figure 1, falls were the main etiological agent for injuries in both men and women between 2016 and 2017; this is also in harmony with studies by Winstead et al, 18 Giacomin et al, 15 Ito et al, 6 and Rezaei et al; 19 these studies also verified falls and men as the most frequent etiologic agent and most affected gender, respectively, differently from Grempel, 17 Thomson et al, 20 Brucoli et al, 21 Burkhard et al 22 Another important point to be considered for the results of this work involves the lifestyle and habits related to aging, which predisposes older adults to domestic accidents and traumas with less kinetic energy while reducing the possibilities of trauma due to interpersonal violence and sports accidents. 15 Owing to the longer permanence of older adults in their homes, most falls result from domestic accidents, 23 although their specifics were not verified in this study because of the limited data on medical records of patients assisted at the Emergency Department.…”

Section: Discussionsupporting

confidence: 90%

Profile of facial trauma in older adults cared for at a tertiary hospital of the Brazilian Federal District

Barbosa

Paula

Silva

et al. 2021

Geriatr Gerontol Aging

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OBJECTIVES: The phenomenon of population aging and the remarkable inclusion of older adults in the economically active population has increased their participation in injuries and accidents, including facial trauma. The purpose of this study was to analyze the prevalence, etiology, and treatment of facial trauma in the older population of the Brazilian Federal District, as well as the gender, etiology, type of trauma, and treatment strategy regarding different age groups (60–69 years, 70–79 years, and 80 years or older). METHODS: This is a retrospective quantitative descriptive study using electronic medical records (Trackcare system) of older patients (aged ≥ 60 years) assisted at the Emergency Department of a tertiary hospital of the Federal District between 2016 and 2017 due to facial trauma. RESULTS: Out of 2382 records of patients with facial trauma, 139 (5.8%) were aged over 60 years. The main causes of facial trauma were falls, both in male and female patients. Facial contusion was the main diagnosis of facial trauma (25.2%), followed by fractures of the jaw (16.5%) and zygomatic complex (15.8%). Conservative treatment was the most common strategy adopted in the Emergency Department of Oral and Maxillofacial Surgery and Traumatology. CONCLUSIONS: This study showed a high prevalence of facial trauma in the geriatric population. Etiological factors such as falls and car accidents were highlighted in the studied groups. Conservative treatment and local guidelines were the preferred therapeutic approaches. Owing to the growth trend of the older population in the upcoming decades, exposure to risk factors for facial trauma tends to grow, thus requiring greater attention and specific knowledge from health professionals.

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Section: Discussionsupporting

confidence: 90%

Profile of facial trauma in older adults cared for at a tertiary hospital of the Brazilian Federal District

Barbosa

Paula

Silva

et al. 2021

Geriatr Gerontol Aging

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“…35,36 More frequent causes of zygoma and maxillary fractures, however, are motor vehicle accidents and falls. 10,[37][38][39] Similar to midface fractures, mandibular fractures have been linked to sports injuries, 32,34 although they are more commonly reported to result from assault or motor vehicle accidents. 6,40,41 Sports have been found to cause only a minority of facial fractures, 39,42 as is the case in our dataset (Supplemental Figure S2).…”

Section: Discussionmentioning

confidence: 99%

Incidence of Craniofacial Trauma Changes With the Seasons

Wilkins,

Shah,

Bourdillon

et al. 2023

FACE

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Objective: Craniofacial fractures are commonly attributed to exposures that may vary with seasons. While it is commonly thought that summer months tend to have more craniofacial trauma, exact seasonality of such traumas across anatomic sites have not yet been elucidated. We aimed to characterize trends of craniofacial trauma across seasons. Study Design: Retrospective medical record review. Setting: Single-institution study at Level 1 trauma center. Methods: Patient and admission data for craniofacial trauma from June 2013 to June 2019 were systematically extracted by the hospital analyst team using International Classification of Diseases, 10th edition (ICD-10) diagnosis codes. For each ICD-10 diagnosis, anatomic sites affected by trauma were categorized. Trends across seasons and injury site were investigated using Student’s t-test and analysis of variance (ANOVA). Results: Across 925 admissions that met inclusion criteria, the volume of admissions did not significantly differ by season (ANOVA: P = .33). Frequency of admissions for jaw and maxilla fractures was significantly lower in the winter compared to summer (jaw: P = .024; maxilla: P = .018). Number of admissions involving zygoma fractures was lower in the winter compared to summer ( P = .044) and compared to fall ( P = .028). When examining number of fracture sites (eg, 1, 2, or ≥3) for each admission, there was a significantly greater number of admissions with ≥3 fracture sites during summer compared to winter ( P = .017) and fall compared to winter ( P = .011). Conclusion: Rates of craniofacial trauma admissions appear to follow seasonal trends, with significantly fewer craniofacial trauma presentations during winter when compared to summer, especially among non-occipital injuries. These findings, along with future efforts to elucidate seasonal trends nationally, may enable forecasting patterns of fractures to better guide resource allocation and inform prevention strategies.

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“…In a study by Winstead et al, cardiovascular disease (53.3%) was found to be the major co-morbidity associated with facial trauma caused by a fall. 24 Uncontrolled hypertension caused both increased intraoperative bleeding and also hematoma formation in the post-operative period. Uncontrolled blood sugar directly hampers wound healing and also increases the chance of infection.…”

Section: Scenario 6: Laceration In a Patient With Comorbiditiesmentioning

confidence: 99%

Complicated Facial Lacerations: Challenges in the Repair and Management of Complications by a Facial Trauma Team

Sagar

Dave

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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Face is our window to the world. It conveys our emotions and represents our identity. Any deformity of the face has profound impact on the social and psychological aspect of a person’s life. Therefore, management of any facial wound is of paramount importance. Most of the facial injuries are usually managed and repaired by emergency care physician or emergency surgeon. While basic surgical principles are applied in repairing such wounds, certain wounds require specialized knowledge and care owing to the complicated nature of these wounds and involvement of important structures. We present our experience in managing such complicated wounds over a period of 1 year at a level 1 trauma center by a dedicated facial trauma team consisting of a plastic surgeon, a trauma surgeon and a maxillofacial surgeon. We put forward the difficulties associated with such wounds and emphasize on specific aspects to be looked for and surgical principles in managing the same that can be applied by emergency care physicians or alert them regarding further complications.

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Fall-Related Facial Trauma: A Retrospective Review of Fracture Patterns and Medical Comorbidity

Cited by 14 publications

References 7 publications

Profile of facial trauma in older adults cared for at a tertiary hospital of the Brazilian Federal District

Profile of facial trauma in older adults cared for at a tertiary hospital of the Brazilian Federal District

Incidence of Craniofacial Trauma Changes With the Seasons

Complicated Facial Lacerations: Challenges in the Repair and Management of Complications by a Facial Trauma Team

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