TY - JOUR PY - 2019// TI - Epidemiology of maxillofacial trauma in the elderly: a European multicenter study JO - Journal of stomatology, oral and maxillofacial surgery A1 - Brucoli, Matteo A1 - Boffano, Paolo A1 - Romeo, Irene A1 - Corio, Chiara A1 - Benech, Arnaldo A1 - Ruslin, Muhammad A1 - Forouzanfar, Tymour A1 - Jensen, Thomas Starch- A1 - Rodríguez-Santamarta, Tanía A1 - de Vicente, Juan Carlos A1 - Snäll, Johanna A1 - Thorén, Hanna A1 - Aničić, Boban A1 - Konstantinovic, Vitomir S. A1 - Pechalova, Petia A1 - Pavlov, Nikolai A1 - Daskalov, Hristo A1 - Doykova, Iva A1 - Kelemith, Kadri A1 - Tamme, Tiia A1 - Kopchak, Andrey A1 - Shumynskyi, Ievgen A1 - Corre, Pierre A1 - Bertin, Helios A1 - Goguet, Quentin A1 - Anquetil, Marine A1 - Louvrier, Aurélien A1 - Meyer, Christophe A1 - Dovšak, Tadej A1 - Vozlič, David A1 - Birk, Anže A1 - Tarle, Marko A1 - Dediol, Emil SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Copyright © 2019. Published by Elsevier Masson SAS.

Language: en

LA - en SN - 2468-8509 UR - http://dx.doi.org/10.1016/j.jormas.2019.09.002 ID - ref1 ER -