Traumatology of the facial skeleton in octogenarian patients: A retrospective analysis of 96 cases

Berg, Britt‐Isabelle; Juergens, P.; Soerensen, Y.; Savic, Miodrag; Zeilhofer, H.‐F.; Schwenzer-Zimmerer, K.

doi:10.1016/j.jcms.2013.12.007

Cited by 20 publications

(30 citation statements)

References 28 publications

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“…The distribution of facial fractures in relation to their localisation may depend on geographic region and socio‐economic factors. This study found that midface fractures are much more common than mandibular fractures, which is in accordance with other studies . The zygomatic bone and the orbit are the most frequently affected structures in the midface area.…”

Section: Discussionsupporting

confidence: 92%

“…Nonetheless, falling from a standing position remains the main cause of facial fractures in the elderly in Switzerland. Slight peaks of incidence were observed during the cold winter period as well as in the warm summer season, which is in accordance with the current literature . This may be explained by the increased risk of slipping in the winter and by sporting activities like riding bicycles in the summer …”

Section: Discussionsupporting

confidence: 90%

“…Complications due to surgery are rare, as also shown in the present study. Only three patients suffered from complications immediately after surgery.…”

Section: Discussionsupporting

confidence: 88%

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Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

et al. 2019

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Objective To assess the prevalence and surgical treatment of facial fractures in a Swiss population aged 65 and over. Background The knowledge of the characteristics of geriatric trauma may help to prevent injuries and better allocate clinical resources for the management of multimorbid patients. Material and methods This study retrospectively evaluated a cohort of 181 patients who presented at the Bern University Hospital in Switzerland from May 2012 to September 2016. Data on age, gender, aetiology and type of trauma, treatment and complications, co‐morbidities and associated injuries were obtained. Results Women were most frequently affected (55.2%). Mean age was 80 years. Zygomatic complex fractures were the most frequent type of fractures (37%), followed by isolated orbital fractures (27.6%). Falls were the most common cause of trauma (76.1%). Thirty‐five per cent of all patients were taking anticoagulation or platelet aggregation medication. Hospitalisation was required in 88.4%, whereby 92.3% of the patients underwent surgical treatment. Surgery had to be performed immediately in three cases to treat compression of the optic nerve. Median hospital length of stay was 4 days, with 68% of patients returning to a domestic environment and 32% being transferred to another institution for further treatment. Conclusion The most common cause of facial injuries is a fall while standing in a domestic environment. Midface fractures were the most common type of fractures.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

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Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

et al. 2019

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“…These specific characteristics of this age group explain the differences found in relation to the traumatic agent and the location of fractures in this group. The most common cause of facial injuries among the elderly was falls, which agreed with other studies 2,6,[9][10][11][12] , although traffic accidents were the most frequent cause of facial traumas among the 60-69 years age group.…”

Section: Discussionsupporting

confidence: 90%

Elderly patients with facial trauma: a 10 year review

Giacomin

Conto

Siqueira³

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to analyze the epidemiological profile of geriatric patients with facial trauma treated at a Maxillofacial Surgery Department in southern Brazil over a period of 10 years. Methods: a retrospective analysis of the medical records of patients aged over 60 years treated for facial trauma in the period from January 2001 to December 2010 was performed. Result: of a total of 1,385 analyzed medical records of patients with facial trauma, 86 (6.2%) belonged to the group aged 60-89 years. The male gender was the most affected and the age group 60-69 years was the most frequently involved. The middle third was the most affected, and the zygomatic bone was the most commonly fractured. Conclusion: special attention should be given to the 60-69 age group, as while such patients present physiological changes inherent to aging, they remain active in society and exposed to risk factors for facial trauma.

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“…In a study on facial trauma in octagenarian patients, falls was the most prevalent cause of injuries. Others causes were much less common in this age group . The decreased tendency of the elderly to travel by roads may explain lower rates of traffic accidents in this age range …”

Section: Discussionmentioning

confidence: 83%

Profile and costs associated with the use of osteosynthesis materials in victims of traffic accidents

Aires

Vasconcelos

Silva

2019

Dental Traumatology

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Background/Aims Facial trauma arising from traffic accidents is one of the most prevalent injuries in urban trauma centers. The aim of this study was to evaluate the frequency, types, and costs associated with osteosynthesis material used in facial fractures of traffic accident victims seen at the Hospital da Restauração, Recife/PE, Brazil, from January to December 2014. Materials and methods Data were collected from the medical records of hospitalized patients submitted to surgery under general anesthesia for the treatment of facial fractures during the period. The data were analyzed descriptively by calculating absolute frequencies, percentages, and means. Statistical analysis was performed using SPSS v.21.0. Results Among the patients, 73.1% were victims of motorcycle accidents that led to higher costs as they were the most prevalent injuries. Mandibular fractures were the most prevalent injury (53.5%). A total of 477 osteosynthesis materials were used, of which 76.51% were a 2.0‐mm plate system, 15.51% were a 1.5‐mm plate system, 3.14% were a 2.4‐mm plate system, 3.77% titanium meshes, 0.83% lag screws, and 0.2% steel wires. The use of these materials for the treatment of facial fractures resulted in a cost of US $51.285,00 for the Brazilian public health system. Conclusion The increase in the number of traffic accidents implies significant numbers of victims with facial fractures, as well as considerable costs associated with the use of osteosynthesis materials for public health services.

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Traumatology of the facial skeleton in octogenarian patients: A retrospective analysis of 96 cases

Cited by 20 publications

References 28 publications

Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

Changing trends in epidemiology and management of facial trauma in a Swiss geriatric population

Elderly patients with facial trauma: a 10 year review

Profile and costs associated with the use of osteosynthesis materials in victims of traffic accidents

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