Maxillofacial trauma in the elderly

Gerbino, Giovanni; Roccia, Fabio; Gioanni, P. P. De; Berrone, Sid

doi:10.1016/s0278-2391(99)90812-1

Cited by 79 publications

(72 citation statements)

References 19 publications

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“…In our study, fractures of the nose, maxilla, and orbit were the 3 most common fracture sites, and the relative distribution of fractures was similar to the findings of other investigators. [1][2][3] Fewer than 10% of the fractures occurred in the mandible, whereas other studies documented rates of mandible fracture in the elderly as high as 27.5%. 2 The findings in our investigation are surprising because alveolar ridge resorption following dental extractions would be expected to further weaken the osteopenic mandible, which should intuitively lead to more mandibular fractures in osteoporotic individuals.…”

Section: Commentmentioning

confidence: 97%

The Impact of Osteoporosis on Patients With Maxillofacial Trauma

Werning¹,

Downey²,

Brinker³

et al. 2004

Arch Otolaryngol Head Neck Surg

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Section: Commentmentioning

confidence: 97%

The Impact of Osteoporosis on Patients With Maxillofacial Trauma

Werning¹,

Downey²,

Brinker³

et al. 2004

Arch Otolaryngol Head Neck Surg

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“…Injuries in traffic accidents as a pedestrian and simple falls were mostly observed in older patients. These findings indicate that older patients are likely to be injured in daily life activity, probably related to the physiologic consequences of aging and the presence of systemic pathologic conditions (22)(23)(24). Injuries in sports and assault were observed in younger patients.…”

Section: Discussionmentioning

confidence: 77%

“…Some patients were reluctant to undergo surgery, since they were not so concerned about a slight facial deformity or hypoesthesia unless function was seriously impaired (22)(23)(24). In fractures of the maxilla, ORIF was also limited to cases of severe mobility of the bone fragment and/or dysfunction, such as occlusal disturbance.…”

mentioning

confidence: 99%

Clinical Analysis of Midfacial Fractures

Yamamoto¹,

Matsusue²,

Horita³

et al. 2014

Mater Sociomed

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Purpose: To analyze the features of midfacial fractures. Methods: Data of 320 patients treated for midfacial fractures during the past 10 years were retrospectively analyzed. Results: Patients were 192 male and 128 female. Their age ranged from 1 to 96 years old with the average of 42.1. Injury most frequently occurred by traffic accidents in 168 patients, followed by falls in 78, assaults in 31 and sports in 25. Pattern of the fractures was classified into zygoma in 159 patients, alveolus in 60, multiple sites in 54, maxilla in 45 and nasal bone in 2. Facial injury severity scale ranged from 1 to 12 with the average of 1.52. Injuries to other sites of the body were found in 90 patients. Fractures of multiple sites showed higher facial injury severity scale and were associated with injuries to other sites of the body at a higher rate. Observation was most frequently chosen in 153 patients, followed by open reduction and internal fixation in 72, intramaxillary fixation in 43 and transcutaneous reduction in 26. Conclusions: Midfacial fractures showed a variety of features in terms of the site and severity and associated injuries. Understanding these features is important to manage these patients properly.

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“…Table 4. where the middle third facial area is more affected in elderly victims, with special regards to the orbital-zygomatic region 23,24 . Another finding was a greater risk for trauma on the lower third associated with falls after adjustment in the final regression model.…”

Section: Discussionmentioning

confidence: 99%

Non-white people have a greater risk for maxillofacial trauma: findings from a 24-month retrospective study in Brazil

Conceição¹,

Lund²,

Nascimento³

et al. 2013

Braz. J. Oral Sci.

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Aim: To identify the predominant causes and types of maxillofacial trauma in Brazil. Methods: Reports of corporal trauma (7,536) between 2009-2010 in the Brazilian Institute of Forensic Medicine were analyzed as to the presence of maxillofacial traumas. Victims' demographic and trauma characteristics were recorded. Results: Data were submitted to chi-square test and to multivariate Poisson regression. 778 reports referred maxillofacial trauma. Most victims were men (50.8%) around 27.6 years. Main causes were physical aggression (88.1%) and traffic accidents (6.7%). The most affected extraoral area was the middle third (60.7%). Risk for trauma in the middle third was significantly higher among patients aged 61-75 (RR 1.32), and non-white patients (black-skinned RR 1.21; brown-skinned RR 1.18); while falls were associated with trauma in the lower third (RR1.79). Conclusions: Violence was the main cause of maxillofacial trauma. Prevention of interpersonal violence may be a key element to prevent maxillofacial trauma.

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Maxillofacial trauma in the elderly

Cited by 79 publications

References 19 publications

The Impact of Osteoporosis on Patients With Maxillofacial Trauma

The Impact of Osteoporosis on Patients With Maxillofacial Trauma

Clinical Analysis of Midfacial Fractures

Non-white people have a greater risk for maxillofacial trauma: findings from a 24-month retrospective study in Brazil

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