Li Rui, Zhang Rui, Li Wenlu, Pei Fei, He Wei
Jianshe Road, Zhengzhou 450052, He'nan, China,
Med Oral Patol Oral Cir Bucal. 2015 Jul 1;20(4):e464-70. doi: 10.4317/medoral.20551.
The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China.
We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management.
Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF).
Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to develop more effective treatment and possibly prevent such injuries.
本研究旨在分析中国中部地区老年颌面部损伤患者的损伤特点及治疗情况。
我们回顾性分析了郑州大学第一附属医院60岁以上颌面部损伤患者的损伤特点及治疗情况（2010年至2013年），以分析中国中部地区老年患者颌面部创伤的趋势及临床特点，并提出预防和处理建议。
在932例颌面部损伤患者中，126例年龄超过60岁，占所有患者的13.52%（男:女，1.74:1；平均年龄67.08岁）。约52%的患者因跌倒受伤。最常见的损伤类型是软组织损伤（100%），其次是面部骨折（83.05%）。在软组织损伤患者中，擦伤最为多见，其次是撕裂伤。面中部骨折患者数量（60例）与面下部骨折患者数量（66例）几乎相似。82例患者（65.08%）存在合并伤，其中颅脑损伤最为常见。104例患者（82.54%）患有其他全身性疾病，以心血管疾病最为多见，其次是代谢性疾病和肌肉骨骼疾病。此外，研究表明颌面部骨折与肌肉骨骼疾病之间存在关联。仅13例患者（10.32%）发生局部感染，其中均患有其他疾病。大多数老年患者的面部损伤（85.71%）接受了手术治疗，包括清创、固定松动牙齿、复位、颌间固定及切开复位内固定（ORIF）。
我们对老年患者颌面部损伤特点的分析可能有助于推动临床研究，以开发更有效的治疗方法并可能预防此类损伤。
