Academic Journal
Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies
| العنوان: | Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies |
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| المؤلفون: | Liu, Farrah C., Halsey, Jordan N., Oleck, Nicholas C., Lee, Edward S., Granick, Mark S. |
| المصدر: | Craniomaxillofacial Trauma & Reconstruction ; volume 12, issue 1, page 45-53 ; ISSN 1943-3875 1943-3883 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2019 |
| الوصف: | Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. The objective of this study was to examine the prevalence of facial fractures secondary to mechanical falls in the elderly population to analyze mechanism of injury, comorbidities, and fracture management. A retrospective review of all facial fractures as a result of falls in the elderly population in a level 1 trauma center in an urban environment was performed for the years 2002 to 2012. Patient demographics were collected, as well as location of fractures, concomitant injuries, and surgical management strategies. During the time period examined, 139 patients were identified as greater than 60 years of age and having sustained a fracture of the facial skeleton as the result of a fall. The average age was 75.7 (range, 60–103) years, with no gender predominance of 50.4% female and 49.6% male. There were a total of 205 fractures recorded. The most common fractures were those of the orbit (42.0%), nasal bone (23.4%), zygoma (13.2%), and zygomaticomaxillary complex (7.32%). The average Glasgow Coma Scale on arrival was 12.8 (range, 3–15). Uncontrolled hemorrhage was noted on presentation to the trauma bay in five patients. Twenty-one patients were intubated on, or prior to, arrival to the trauma bay, and 44 required a surgical airway. The most common concomitant injury was a long bone fracture (23.5%), followed by cervical spine fracture (18.5%), skull fracture (17.3%), intracerebral hemorrhage (17.3%), rib fracture (17.3%), ophthalmologic injuries (6.2%), short bone fracture (4.9%), pelvic fracture (2.9%), thoracic spine fracture ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1055/s-0038-1642034 |
| الاتاحة: | http://dx.doi.org/10.1055/s-0038-1642034 http://journals.sagepub.com/doi/pdf/10.1055/s-0038-1642034 http://journals.sagepub.com/doi/full-xml/10.1055/s-0038-1642034 |
| Rights: | http://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.5DA97489 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1055/s-0038-1642034 |
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