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Berg, BI; Juergens, P; Soerensen, Y; Savic, M; Zeilhofer, HF; Schwenzer-Zimmerer, K.
Traumatology of the facial skeleton in octogenarian patients: a retrospective analysis of 96 cases.
J Craniomaxillofac Surg. 2014; 42(6): 870-873. Doi: 10.1016/j.jcms.2013.12.007
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Co-authors Med Uni Graz
Schwenzer-Zimmerer Katja Christine
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Abstract:
The aim of this retrospective study was to evaluate the frequency and distribution of maxillofacial trauma patients over 80 years, with regard to type and environment of accidents as well as treatment and complications. Data for 94 patients (96 cases; aged 80-94 years) with maxillofacial fractures were retrospectively analysed. Data of 30 male and 64 female patients with an average age of 85 years were analysed. In 90% of the study population, the cause of fractures was a fall, followed by traffic accidents (9%) and assault (1%). Seventy-two patients had fractures of the midface, 10 had factures of the mandible, 9 had fractures of both the midface and mandible and 5 had fractures of the neurocranium and midface. Surgical intervention was required in 57% of the patients. Post-operative complications were: four cases of diplopia, two cases of infected plates, four cases of lower eyelid ectropion and in one case a retrobulbar haematoma. Facial trauma in the elderly can often be treated conservatively unless the patient complains of functional problems. Due to co-morbidities, special attention should be paid to hypertension, anticoagulant agents and the surgical approach. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Accidental Falls - statistics & numerical data
Accidents, Traffic - statistics & numerical data
Aged, 80 and over -
Diplopia - epidemiology
Ectropion - epidemiology
Facial Bones - injuries
Female -
Follow-Up Studies -
Fracture Fixation, Internal - statistics & numerical data
Hematoma - epidemiology
Humans -
Male -
Mandibular Fractures - epidemiology
Maxillary Fractures - epidemiology
Nasal Bone - injuries
Orbital Fractures - epidemiology
Postoperative Complications - epidemiology
Retrobulbar Hemorrhage - epidemiology
Retrospective Studies -
Skull Fractures - epidemiology
Surgical Wound Infection - epidemiology
Surgical Wound Infection - epidemiology
Violence - statistics & numerical data
Zygomatic Fractures - epidemiology

Find related publications in this database (Keywords)
Maxillofacial
Elderly
Trauma
Management
Treatment
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