Craniomaxillofacial trauma in the elderly.

作者: Matthew J Goldschmidt , Charles L Castiglione , Leon A Assael , Mark D Litt

DOI: 10.1016/0278-2391(95)90620-7

关键词:

摘要: Purpose: Limited data are currently available regarding the nature of craniomaxillofacial fractures in geriatric population. This retrospective study reviews 109 hospital records dating from 1981 to mid-1993. The goal this was provide details relevant these types injuries. Results: Most patients were injured motor vehicle accidents (MVA) or fall-related episodes. Females sustained 43.9% while males 56.1%. In females, falls most common cause fractures, MVAs caused majority (P < .01). found upper midface region (60.3%) and mandible (27.5%). responsible for 82.7% all mandibular fractures. treated nonsurgically (49.5%); however, 37.6% with open reduction internal fixation. in-hospital mortality rate 11.1%, there three postoperative complications. Conclusion: Craniomaxillofacial trauma patient is readily treatable both aggressive surgical measures more conservative approaches. Elderly often have an underlying medical condition that may subsequently alter patient's treatment. findings also suggest preventive methods minimizing morbidity need be implemented.

参考文章(13)
Jeffrey W. Runge, The cost of injury. Emergency Medicine Clinics of North America. ,vol. 11, pp. 241- 253 ,(1993) , 10.1016/S0733-8627(20)30669-6
Karim Hussain, Don B. Wijetunge, Sisa Grubnic, Ian T. Jackson, A comprehensive analysis of craniofacial trauma Journal of Trauma-injury Infection and Critical Care. ,vol. 36, pp. 34- 47 ,(1994) , 10.1097/00005373-199401000-00006
Philip A. Falcone, George J. Haedicke, Glen Brooks, Patrick K. Sullivan, Maxillofacial fractures in the elderly: a comparative study. Plastic and Reconstructive Surgery. ,vol. 86, pp. 443- 448 ,(1990) , 10.1097/00006534-199009000-00009
HOWARD R. CHAMPION, PATRICIA S. GAINER, ELIZABETH YACKEE, A progress report on the trauma score in predicting a fatal outcome. Journal of Trauma-injury Infection and Critical Care. ,vol. 26, pp. 927- 931 ,(1986) , 10.1097/00005373-198610000-00012
John K. Howard, Michael R. Oraskovich, Michael K. Copass, C. James Carrico, Geriatric trauma: injury patterns and outcome. Journal of Trauma-injury Infection and Critical Care. ,vol. 24, pp. 565- 572 ,(1983) , 10.1097/00005373-198307000-00087
John A Morris, Ellen J MacKenzie, Sharon L Edelstein, The Effect of Preexisting Conditions on Mortality in Trauma Patients JAMA: The Journal of the American Medical Association. ,vol. 263, pp. 1942- 1946 ,(1990) , 10.1001/JAMA.1990.03440140068033
PAULO G. BASTOS, XIAOLU SUN, DOUGLAS P. WAGNER, ALBERT W. WU, WILLIAM A. KNAUS, Glasgow Coma Scale score in the evaluation of outcome in the intensive care unit: findings from the Acute Physiology and Chronic Health Evaluation III study. Critical Care Medicine. ,vol. 21, pp. 1459- 1465 ,(1993) , 10.1097/00003246-199310000-00012
ERIC J. DEMARIA, PARDON R. KENNEY, MICHAEL A. MERRIAM, LISA A. CASANOVA, DONALD S. GANN, Survival after trauma in geriatric patients. Annals of Surgery. ,vol. 206, pp. 738- 743 ,(1987) , 10.1097/00000658-198712000-00009
R W Sattin, Falls Among Older Persons: A Public Health Perspective Annual Review of Public Health. ,vol. 13, pp. 489- 508 ,(1992) , 10.1146/ANNUREV.PU.13.050192.002421
M E Wolf, F P Rivara, Nonfall Injuries in Older Adults Annual Review of Public Health. ,vol. 13, pp. 509- 528 ,(1992) , 10.1146/ANNUREV.PU.13.050192.002453