Isolated Orbital Fractures Are Severe Among Geriatric Patients

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Toivari , M , Suominen , A L , Apajalahti , S , Lindqvist , C , Snäll , J & Thoren , H 2018 , ' Isolated Orbital Fractures Are Severe Among Geriatric Patients ' , Journal of Oral and Maxillofacial Surgery , vol. 76 , no. 2 , pp. 388-395 . https://doi.org/10.1016/j.joms.2017.09.019

Title: Isolated Orbital Fractures Are Severe Among Geriatric Patients
Author: Toivari, Miika; Suominen, Anna Liisa; Apajalahti, Satu; Lindqvist, Christian; Snäll, Johanna; Thoren, Hanna
Contributor: University of Helsinki, Department of Oral and Maxillofacial Diseases
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2018-02
Language: eng
Number of pages: 8
Belongs to series: Journal of Oral and Maxillofacial Surgery
ISSN: 0278-2391
URI: http://hdl.handle.net/10138/300068
Abstract: 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
Subject: BLOW-OUT FRACTURES
FACIAL FRACTURES
MULTICENTER
TRAUMA
WOMEN
313 Dentistry
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