National Characteristics and Patterns of Facial Fractures in the Elderly Population

Irgebay, Zhazira; Choi, James; Zellner, Elizabeth

doi:10.1097/01.gox.0000720904.65838.c4

Cited by 1 publication

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“…2,3 A nationwide study in 2014 found that facial fractures accounted for 4.92% of all fractures in the elderly population, with the annual incidence of facial fractures growing by 45.3% between 2011 and 2015 among people ages 55 and above. 4 Of these elderly patients, between 4.3 and 8.2% underwent operative management, depending on exact age. 4 Furthermore, current literature indicates that the elderly have worse outcomes after operative facial trauma, in general, compared with younger counterparts.…”

Section: Introductionmentioning

confidence: 99%

“…4 Of these elderly patients, between 4.3 and 8.2% underwent operative management, depending on exact age. 4 Furthermore, current literature indicates that the elderly have worse outcomes after operative facial trauma, in general, compared with younger counterparts. A study examining the impact of age on surgical outcomes demonstrated that older patients had significantly increased frequency of complications after mandible fracture repair.…”

Section: Introductionmentioning

confidence: 99%

“…Causes of bony facial trauma include assault, motor vehicle and pedestrian accidents, and falls; the latter, specifically ground‐level falls, accounts for the majority of traumatic facial injuries sustained by the elderly population 2,3 . A nationwide study in 2014 found that facial fractures accounted for 4.92% of all fractures in the elderly population, with the annual incidence of facial fractures growing by 45.3% between 2011 and 2015 among people ages 55 and above 4 . Of these elderly patients, between 4.3 and 8.2% underwent operative management, depending on exact age 4 .…”

Section: Introductionmentioning

confidence: 99%

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Incidence and Reimbursement Trends for Facial Fracture Repair in the Elderly: A Medicare Analysis

Torabi

Birkenbeuel

et al. 2023

The Laryngoscope

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ObjectivesThe aim was to describe incidence and reimbursement trends of surgical repair of facial fractures among the Medicare population.MethodsThe annual procedure data from the Centers for Medicare and Medicaid Service National Part B Data File from 2000 to 2019 were queried.ResultsThe total number of surgically corrected facial fractures increased from 10,148 in 2000 to 19,631 in 2019 in a linear pattern (r = 0.924). Specifically, nasal bone/septum fracture repairs increased the most by 200.6% (n = 4682 to n = 14,075), whereas operations for TMJ dislocations, malar/zygoma fractures, and alveolar ridge/mandibular fractures decreased by 27.9%, 12.3%, and 3.2%, respectively, between 2000 and 2019. Correspondingly, the total Medicare reimbursement rose from $2,574,317 in 2000 to $4,129,448 in 2019 (r = 0.895). However, the mean reimbursement for all procedures decreased from $376.63 to $210.35 (44.1% fall) over the same time after adjusting for inflation, with this trend holding for individual fracture types as well.ConclusionsGiven the population's increasing age, there has been a significant increase in the number of surgical repairs of facial fractures in Medicare patients between 2000 and 2019. However, this is largely driven by an increase in nasal bone/septum closed reductions, with stagnant and, in some cases, declining incidence among other fracture repairs. The reason is unclear and may be related to an increase in nonoperative management or poor outcomes. Nevertheless, like other subfields within otolaryngology and medicine at large, payments have lagged far behind, which may play some role.Level of Evidence3 Laryngoscope, 2023

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