Characteristic Multidetector Computed Tomography Findings of Maxillofacial Fractures Resulting from Falls in the Elderly

Abstract

The purpose of this study was to investigate the characteristic multidetector computed tomography (MDCT) findings of maxillofacial fractures resulting from falls in the elderly.A prospective study was performed in 38 patients over 64 years of age with maxillofacial fractures resulting from falls underwent 64-MDCT. Maxillofacial fractures were classified into eight types: mandibular median, paramedian, angle, condylar, Le Fort (I-III), isolated anterior maxillary, isolated zygomatic arch and zygomaticomaxillary complex.Statistical analysis of the relationship between gender and maxillofacial fracture locations was performed using χ  test with Fisherʼs exact test. A P value less than 0.05 was considered statistically significant. The prevalence of male and female were 40.7% and 59.3% of condylar type (p=0.288), and 80.0% and 20.0% of zygomaticomaxillary complex type (p=0.170), respectively. In conclusion, regarding to elderly patients, the condylar type was considered more frequency in female with maxillofacial fractures resulting from falls, and the zygomaticomaxillary complex type was considered more frequency in male with those.

Profil épidémiologique et tomodensitométrique des fractures maxillo-faciales post-traumatiques à Mopti au Mali

“…Les accidents de la voie publique restent, avec les rixes, sa première cause [ 4 ]. La morphologie de ces fractures étant souvent complexe, la tomodensitométrie multi-détecteurs avec reformation multi-planaire (MPR) et tridimensionnelle des images est une partie standard de l'évaluation de ces blessures maxillo-faciales en raison de sa sensibilité [ 9 ]. La région de Mopti est la cinquième région administrative du Mali.…”

<b>Characteristic Multidetector CT Findings of Mandibular Fractures: Comparison with Falls and Violence </b>

“…Regarding to elderly patients. Ohki et al (14) showed that the condylar type was considered more frequency in female with maxillofacial fractures resulting from falls. This study showed that falls were commonly observed in elderly patients, especially in female patients, and the violence were commonly observed in younger patients, especially in male patients.…”

Epidemiological and Diagnosis Aspects of Facial Smash

“…These fractures are the result of road traffic accidents, which are still the main cause [2] because of the lack of enforcement of speed limits, seat belt and helmet laws, and because many drivers are impaired by alcohol [4] . As the morphology of these fractures is often complex, multi-detector CT with multi-planar reformation (MPR) and threedimensional imaging is a standard part of the evaluation of these maxillofacial injuries due to its sensitivity [5] . The aim of our work is to determine the epidemiological and diagnostic aspects of these fractures.…”