Falcone P A, Haedicke G J, Brooks G, Sullivan P K
Department of Plastic Surgery, Brown University, Providence, R.I.
Plast Reconstr Surg. 1990 Sep;86(3):443-8. doi: 10.1097/00006534-199009000-00009.
Previous maxillofacial trauma research has dealt primarily with facial bone fractures in the general population. Very few studies have specifically addressed maxillofacial fractures in the elderly. We compared 45 elderly (65 years of age or older) and 201 younger adult (16 to 64 years of age) patients admitted to our hospital with maxillofacial fractures. The percentage of patients admitted with nasal bone fractures was much greater in the elderly population, while mandibular fractures were more common in the adult group. Motor vehicle accidents accounted for over half the injuries in both groups, while falls were more prevalent in the elderly. Management of the elderly patient may be complicated by their associated injuries or underlying medical problems, perhaps partially accounting for their longer median length of hospital stay. The elderly are a unique subpopulation of maxillofacial fracture patients and deserve further study regarding their injuries and optimal methods for treatment.
以往的颌面创伤研究主要针对普通人群的面部骨折。很少有研究专门探讨老年人的颌面骨折情况。我们比较了我院收治的45例老年（65岁及以上）和201例年轻成人（16至64岁）颌面骨折患者。老年人群中鼻骨骨折患者的比例要高得多，而下颌骨骨折在成年组中更为常见。两组中超过半数的损伤是由机动车事故造成的，而跌倒在老年人中更为普遍。老年患者的治疗可能因其合并损伤或基础疾病而变得复杂，这可能部分解释了他们较长的中位住院时间。老年人是颌面骨折患者中的一个独特亚群，他们的损伤情况及最佳治疗方法值得进一步研究。
