Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies

Craniomaxillofacial Trauma & Reconstruction
Farrah C LiuMark S Granick

Abstract

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 ...Continue Reading

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Citations

Nov 3, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Michael L WinsteadJack E Gotcher
Jul 3, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dani Stanbouly, Sung-Kiang Chuang
May 4, 2021·The Journal of Craniofacial Surgery·Tsanko YovevAli Modabber

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Methods Mentioned

BETA
X-ray

Software Mentioned

Fracture Risk Assessment Tool ( FRAX )
Excel

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