A1 Refereed original research article in a scientific journal
Etiology of facial fractures in elderly Finns during 2006-2007
Authors: Toivari M, Helenius M, Suominen AL, Lindqvist C, Thoren H
Publisher: ELSEVIER SCIENCE INC
Publication year: 2014
Journal: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Journal name in source: ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY
Journal acronym: OR SURG OR MED OR PA
Volume: 118
Issue: 5
First page : 539
Last page: 545
Number of pages: 7
ISSN: 2212-4403
DOI: https://doi.org/10.1016/j.oooo.2014.06.016
Abstract
Objective. The purpose of the present study was to clarify the trauma mechanisms and resulting facial fractures in geriatric patients and to compare them with those of younger adults.Study Design. A cohort of 117 geriatric patients was compared with 136 patients aged 20 to 50 years. The statistical significance of differences between the age groups was evaluated with chi(2) tests.Results. Falls on the ground were significantly more frequent among geriatric patients (P < .001), whereas assault was more frequent in controls (P < .001). Accident rates in geriatric patients were significantly higher during the winter months (P = .04). Fractures of the midface in general (P = .001) and of the nasal bone (P = .004) and orbit (P = .015) in particular were more frequent in geriatric patients.Conclusions. Age-related factors and preexisting medical problems predispose the elderly to falls and subsequent fractures. Footwear traction devices are recommended during the cold season. Orbital fractures should be strongly suspected in the elderly.
Objective. The purpose of the present study was to clarify the trauma mechanisms and resulting facial fractures in geriatric patients and to compare them with those of younger adults.Study Design. A cohort of 117 geriatric patients was compared with 136 patients aged 20 to 50 years. The statistical significance of differences between the age groups was evaluated with chi(2) tests.Results. Falls on the ground were significantly more frequent among geriatric patients (P < .001), whereas assault was more frequent in controls (P < .001). Accident rates in geriatric patients were significantly higher during the winter months (P = .04). Fractures of the midface in general (P = .001) and of the nasal bone (P = .004) and orbit (P = .015) in particular were more frequent in geriatric patients.Conclusions. Age-related factors and preexisting medical problems predispose the elderly to falls and subsequent fractures. Footwear traction devices are recommended during the cold season. Orbital fractures should be strongly suspected in the elderly.
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