Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy.
Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy.
J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):330-338. doi: 10.1016/j.jormas.2019.09.002. Epub 2019 Sep 15.
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).
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).
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.
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.
欧洲人口的老龄化趋势似乎导致了颌面骨折的流行病学、发病率和病因学发生变化，老年患者发生颅面创伤的频率增加。本研究的目的是评估 70 岁及以上老年人群颌面骨折的人口统计学变量、病因和类型。
收集了 2013 年 1 月 1 日至 2017 年 12 月 31 日期间所有 70 岁及以上老年颌面骨折患者的数据。记录每位患者的以下数据：性别、年龄、不良生活习惯、合并症、病因、骨折部位、合并身体损伤、面部损伤严重程度评分（FISS）。
共有 1334 例患者（599 例男性和 735 例女性）纳入研究。平均年龄为 79.3 岁，66%的患者报告有 1 种或多种合并症。最常见的损伤原因是跌倒，最常见的骨折是颧骨骨折。跌倒与较低的 FISS 值相关（P<.005）。27.3%的患者存在合并损伤。跌倒与无合并损伤相关。第 9 个十年（P<.05）和高 FISS 评分（P<.005）也与合并身体损伤相关。
本研究证实了跌倒在老年颌面创伤流行病学中的作用，但也强调了女性的高发病率和颧骨骨折的高频率。
