Clinic analysis of 198 elder patients with maxillofacial fracture

doi:10.7518/hxkq.2018.06.017

Abstract

Abstract:

Objective The purpose of the study was to analyze the characteristics of elder patients with maxillofacial fracture.Methods We retrospectively analyzed the characteristics of maxillofacial fractures in the elder patients, who were treated from July 2010 to October 2017. The clinical characteristics of the etiology, fracture site, combined injury, systemic disease, and treatment method were analyzed.Results In the 198 elderly patients with maxillofacial fractures, the male-to-female ratio was 3.95︰1, and the mean age was 66.15 years old. Traffic accident injury (78 patients, 39.39%), fall injury (49 patients, 24.75%), high fall injury (33 patients, 16.67%) were the main factors of maxillofacial fracture in elderly patients. The most frequently observed fracture site was the mandible (120 patients). A total of 60 patients demonstrated associated injuries, in which limb injuries were the most prevalent (28 patients); whereas 66 patients had other systemic medical conditions, in which cardiovascular diseases was the most frequent (50 patients). The main treatment method of 198 patients was rigid internal fixation with small or micro-plates.Conclusion Falling and traffic accidents are the main factors of maxillofacial fracture in elderly patients. Thus, interference measures should be observed for the prevention of maxillofacial fractures in elderly patients.

Key words: elderly patient, maxillofacial fracture, retrospective study

CLC Number:

R782.4

Yuping Gong,Rui Li,Ying Wang,Peng Kang,Jinghua Cai,Yiming Liu,Kang Gan. Clinic analysis of 198 elder patients with maxillofacial fracture[J]. West China Journal of Stomatology, 2018, 36(6): 671-674.

Figures/Tables 3

References 19

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年龄/岁	男		女		合计		男女比
年龄/岁	例数	百分比/%	例数	百分比/%	例数	百分比/%	男女比
60~69	126	63.64	26	13.13	152	76.77	4.85︰1
70~79	24	12.12	12	6.06	36	18.18	2︰1
≥80	8	4.04	2	1.01	10	5.05	4︰1
合计	158	79.80	40	20.20	198	100.00	3.95︰1

年龄/岁	创伤原因
年龄/岁	交通事故伤	摔伤	高坠伤	其他
60~69	58/29.29	37/18.69	29/14.65	28/14.14
70~79	16/8.08	9/4.55	3/1.52	8/4.04
≥80	4/2.02	3/1.52	1/0.51	2/1.01
合计	78/39.39	49/24.75	33/16.67	38/19.19

骨折部位	计数	百分比/%	骨折部位	计数	百分比/％
额骨	8	4.04	下颌骨
面中部			髁突	50	25.25
颧骨	86	43.43	下颌支	16	8.08
鼻筛眶	62	31.31	下颌角	10	5.05
上颌骨	52	26.26	下颌体	38	19.19
			颏部	24	12.12