Browsing by Subject "FACIAL FRACTURES"

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  • Toivari, Miika; Snäll, Johanna; Suominen, Anna Liisa; Apajalahti, Satu; Lindqvist, Christian; Thoren, Hanna (2019)
    Purpose: Associated injuries (AIs) are hypothesized to be frequent in geriatric zygomatico-orbital (ZMO) fractures. The study aim was to determine the relation between ZMO fractures and AIs in geriatric patients compared with younger adult patients. Patients and Methods: A retrospective case-and-control study was carried out on geriatric patients at least 65 years of age (n = 93) and younger adult patients 20 to 30 years of age (n = 68) diagnosed with pure unilateral ZMO fractures. The main exposure was age, the primary outcome was AI outside the face, and the secondary outcomes were type and severity of AI, ocular injuries, restriction of mandibular movement, and ZMO buttress asymmetry. The confounding variables were gender, trauma mechanism, type of ZMO fracture, and dislocation. Statistical analyses included chi(2) tests, risk evaluation with 2 x 2 tables, and logistic regression analysis. Results: AIs outside the face, and particularly brain injuries, were significantly more frequent in the geriatric group than in the control group (P <.001). The significant predictors of AIs outside the face were fall from a height (66.7%), motor vehicle accidents (66.7%), and absence of ZMO dislocation (59.5%; P <.001). The adjusted risk of brain injury was 2.5-fold in the absence of dislocation. The geriatric group had a more than 5-fold higher risk of brain injuries compared with the younger control group (P = .003). Conclusions: AIs in general, and particularly brain injuries, are frequent in geriatric ZMO fractures. Intra- cranial injuries should be ruled out, particularly in geriatric patients diagnosed with a non-dislocated ZMO fracture. (C) 2018 American Association of Oral and Maxillofacial Surgeons
  • Brucoli, Matteo; Boffano, Paolo; Romeo, Irene; Corio, Chiara; Benech, Arnaldo; Ruslin, Muhammad; Forouzanfar, Tymour; Jensen, Thomas Starch-; Rodríguez-Santamarta, Tanía; de Vicente, Juan Carlos; Snäll, Johanna; Thorén, Hanna; Aničić, Boban; Konstantinovic, Vitomir S.; Pechalova, Petia; Pavlov, Nikolai; Daskalov, Hristo; Doykova, Iva; Kelemith, Kadri; Tamme, Tiia; Kopchak, Andrey; Shumynskyi, Ievgen; Corre, Pierre; Bertin, Helios; Goguet, Quentin; Anquetil, Marine; Louvrier, Aurélien; Meyer, Christophe; Dovšak, Tadej; Vozlič, David; Birk, Anže; Tarle, Marko; Dediol, Emil (2020)
    ABSTRACT 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.
  • Toivari, Miika; Suominen, Anna Liisa; Apajalahti, Satu; Lindqvist, Christian; Snäll, Johanna; Thoren, Hanna (2018)
    Purpose: The purpose of the present study was to clarify the reasons for, types of, and degree of involvement of the orbital wall and the severity of orbital fractures in geriatric patients and to compare the differences between geriatric and younger adult patients. Materials and Methods: A retrospective case-control study of geriatric patients aged at least 65 years (n = 72) and younger controls aged 20 to 50 years (n = 58) with a diagnosis of a unilateral isolated orbital fracture was designed and implemented. The main exposure was age, the primary outcome was the isolated orbital fracture type, and the secondary outcomes were the associated orbital zones, fracture area (cm(2)), degree of dislocation (mm), involvement of anatomic landmarks, diplopia, altered ocular position, restricted eyemovement, and ocular injuries. The confounding variables were gender, trauma mechanism, and alcohol abuse. The statistical methods included chi(2) tests and logistic regression analyses. Results: Among the geriatric patients, the great majority of isolated orbital fractures had been caused by falls (66.7%; P Conclusions: Falling is the most common mechanism of elderly orbital fractures. Isolated orbital fractures are extensive and mainly affect the globe supporting the middle and posterior parts of the orbital floor among geriatric patients. (C) 2017 American Association of Oral and Maxillofacial Surgeons