Medical Faculty, Otorhinolaryngology Department, University of Gaziantep, Şehitkamil, Gaziantep, Turkey.
J Craniofac Surg. 2020 Oct;31(7):e695-e698. doi: 10.1097/SCS.0000000000006612.
BACKGROUND/AIM: The worldwide population is increasingly aging. Maxillofacial fractures of the geriatric population have been increased. Evaluation of the demographic variables, causes and the patterns of maxillofacial traumas in the elderly population is the main aim of this study.
Seven hundred thirteen maxillofacial tomography images which were scanned between 2010 and 2019 were evaluated. Data from 50 patients aged 65 years old and/or older, who were treated for maxillofacial fracture at the Department of Otorhinolaryngology, Gaziantep University, were retrospectively analyzed. Two groups were created according to the facial fracture pattern. Facial fractures were reclassified into 2 groups; mandibula, orbital, zygomaticomaxillary complex group fractures and the other group of frontal, naso-orbito-ethmoid fractures and were used as a comparison.
The mean age of the patients was 72.5 (min 65- max 93). The gender distribution was 17 females (34%) and 33 males (66%). The most common fractured bone was the nasal bone and the least one is the frontal bone. Approximately one-quarter of 50 fractures were seen in 70 to 79 years old. Falling is more common in females and men are more prone to work-related accidents than home-related accidents.
Facial fractures in the elderly often seen in midface location. Falling is the common etiology of facial fracture in all genders at elderly. However, male dominance is seen in other etiological factors. Additional diseases in the elderly seem to increase the severity of facial fracture.
背景/目的：全球人口老龄化趋势日益加剧，老年人群的颌面骨折也随之增多。本研究旨在评估颌面创伤患者的人口统计学变量、病因和类型。
回顾性分析了 2010 年至 2019 年间在加济安泰普大学耳鼻喉科接受颌面骨折治疗的 50 例年龄在 65 岁及以上患者的 713 例颌面 CT 图像。根据面部骨折模式将患者分为两组。将颌面骨折分为下颌骨、眶部、颧骨复合体骨折组和额部、鼻眶筛骨骨折组进行比较。
患者的平均年龄为 72.5 岁（最小 65 岁，最大 93 岁）；男女比例为 17 例女性（34%）和 33 例男性（66%）；最常见的骨折部位是鼻骨，最少见的是额骨。大约四分之一的 50 例骨折发生在 70 至 79 岁之间。女性更易因摔倒而导致骨折，而男性因工作相关事故导致骨折的概率高于家庭相关事故。
老年人的颌面骨折多发生在中面部。在所有年龄段的人群中，摔倒都是导致颌面骨折的常见原因，但在其他病因方面，男性占主导地位。老年人的其他疾病似乎会增加颌面骨折的严重程度。
