Epidemiology of maxillofacial trauma in the elderly: A European multicenter study

被引：38

作者：

Brucoli, M. ^{[1
]}

Boffano, P. ^{[1
]}

Romeo, I ^{[1
]}

Corio, C. ^{[1
]}

Benech, A. ^{[1
]}

Ruslin, M. ^{[2
]}

Forouzanfar, T. ^{[3
]}

Starch-Jensen, T. ^{[4
]}

Rodriguez-Santamarta, T. ^{[5
]}

de Vicente, J. C. ^{[5
]}

Snall, J. ^{[6
,7
]}

Thoren, H. ^{[8
,9
]}

Anicic, B. ^{[10
]}

Konstantinovic, V. S. ^{[10
]}

Pechalova, P. ^{[11
]}

Pavlov, N. ^{[12
]}

Daskalov, H. ^{[12
]}

Doykova, I ^{[13
]}

Kelemith, K. ^{[14
]}

Tamme, T. ^{[15
]}

Kopchak, A. ^{[16
]}

Shumynskyi, I ^{[17
]}

Corre, P. ^{[18
]}

Bertin, H. ^{[18
]}

Goguet, Q. ^{[18
]}

Anquetil, M. ^{[18
]}

Louvrier, A. ^{[19
,20
]}

Meyer, C. ^{[19
,20
]}

Dovsak, T. ^{[21
]}

Vozlic, D. ^{[21
]}

Birk, A. ^{[21
]}

Tarle, M. ^{[22
]}

Dediol, E. ^{[22
]}

机构：

[1] Univ Piemonte Orientale, Univ Hosp Maggiore Carit, Div Maxillofacial Surg, Novara, Italy

[2] Hasanuddin Univ, Dept Oral & Maxillofacial Surg, Makassar, Indonesia

[3] Vrije Univ Amsterdam, Dept Oral & Maxillofacial Surg Oral Pathol, Med Ctr, Amsterdam, Netherlands

[4] Aalborg Univ Hosp, Dept Oral & Maxillofacial Surg, Aalborg, Denmark

[5] Hosp Univ Cent Asturias, Serv Cirug Maxilofacial, Oviedo, Spain

[6] Univ Helsinki, Dept Oral & Maxillofacial Dis, Helsinki, Finland

[7] Helsinki Univ Hosp, Helsinki, Finland

[8] Univ Turku, Inst Dent, Dept Oral & Maxillofacial Surg, Turku, Finland

[9] Turku Univ Hosp, Dept Oral & Maxillofacial Dis, Turku, Finland

[10] Univ Belgrade, Sch Dent Med, Dept Maxillofacial Surg, Belgrade, Serbia

[11] Med Univ, Fac Dent Med, Dept Oral Surg, Plovdiv, Bulgaria

[12] Oral Surg, Plovdiv, Bulgaria

[13] Med Univ, Fac Dent Med, Dept Maxillofacial Surg, Plovdiv, Bulgaria

[14] North Estonia Med Ctr Fdn, Dept Maxillofacial Surg, Tallinn, Estonia

[15] Univ Tartu, Fac Med, Tartu, Estonia

[16] Bogomolets Natl Med Univ, Stomatol Med Ctr, Kiev, Ukraine

[17] Bogomolets Natl Med Univ, Kyiv City Clin Emergency Hosp, Kiev, Ukraine

[18] Div Maxillofacial Surg, CHU Nantes, 1 Pl Alexis Ricordeau, F-44000 Nantes, France

[19] Univ Hosp Besancon, Dept Oral & Maxillofacial Surg, Hosp Dent Unit, 3 Blvd Alexandre Fleming, F-25000 Besancon, France

[20] Univ Bourgogne Franche Comte, Nanomed Lab Imagery & Therapeut, EA 4662, F-25000 Besancon, France

[21] Univ Med Ctr, Dept Maxillofacial & Oral Surg, Ljubljana, Slovenia

[22] Univ Hosp Dubrava, Dept Maxillofacial Surg, Zagreb, Croatia

来源：

JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY | 2020年 / 121卷 / 04期

关键词：

Facial fractures; Multicenter; Epidemiology; Etiology; Falls; FACIAL FRACTURES; ETIOLOGY;

D O I：

10.1016/j.jormas.2019.09.002

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Introduction: The progressive aging of European population seems to determine a change in the epidemiology, incidence and etiology of maxillofacial fractures with an increase in the frequency of old patients sustaining craniofacial trauma. The objective of the present study was to assess the demographic variables, causes, and patterns of facial fractures in elderly population (with 70 years or more). Materials and methods: The data from all geriatric patients (70 years or more) with facial fractures between January 1, 2013, and December 31, 2017, were collected. The following data were recorded for each patient: gender, age, voluptuary habits, comorbidities, etiology, site of facial fractures, synchronous body injuries, Facial Injury Severity Score (FISS). Results: A total of 1334 patients (599 male and 735 female patients) were included in the study. Mean age was 79.3 years, and 66% of patients reported one or more comorbidities. The most frequent cause of injury was fall and zygomatic fractures were the most frequently observed injuries. Falls were associated with a low FISS value (P < .005). Concomitant injuries were observed in 27.3% of patients. Falls were associated with the absence of concomitant injuries. The ninth decade (P < .05) and a high FISS score (P < .005) were associated with concomitant body injuries too. Conclusions: This study confirms the role of falls in the epidemiology of facial trauma in the elderly, but also highlights the frequency of involvement of females, and the high frequency of zygomatic fractures. (C) 2019 Elsevier Masson SAS. All rights reserved.

引用

页码：330 / 338

页数：9

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