Michalak Piotr, Wyszyńska-Pawelec Grażyna, Szuta Mariusz, Hajto-Bryk Justyna, Zapała Jan, Zarzecka Joanna Katarzyna
Department of Conservative Dentistry with Endodontics, Jagiellonian University Medical College, 31-008 Krakow, Poland.
Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 31-008 Krakow, Poland.
Int J Environ Res Public Health. 2021 Oct 26;18(21):11219. doi: 10.3390/ijerph182111219.
The aim of the retrospective analysis of the medical documentation of 101 patients was to assess the incidence, etiology, and type of craniofacial fractures in the elderly population of southern Poland, who required specialist treatment at the Department of Cranio-Maxillo-Facial Surgery Jagiellonian University, Krakow, Poland, in the period 2010-2019. Patients were divided into 3 age groups: 65-74, 75-84, and 85 and older. The following was noted: age, sex, place of residence, education, cause and location of fracture, treatment, injuries and comorbidities, complications, alcohol and other drugs at the time of injury, and the period of hospitalization. The dominant group were patients aged 65-74 (72.28%), mainly males (56.44%). The main cause was fall (47.52%). The fractures involved mainly the mandible and the zygomaticomaxillary complex. Over half of patients (50.50%) lived in the countryside or small towns. Work tool-related accidents prevailed among geriatric patients living in small towns and rural areas. Craniofacial fractures were additionally accompanied by common complications regarding the organ of vision. Further studies analyzing factors leading to increased risk of craniofacial injuries in the elderly of the rural population will enable proper support programs, prophylaxis, and principles concerning agricultural activities.
对101例患者的医疗记录进行回顾性分析的目的是评估2010年至2019年期间在波兰克拉科夫雅盖隆大学颅颌面外科接受专科治疗的波兰南部老年人群中颅面骨折的发病率、病因和类型。患者被分为3个年龄组：65 - 74岁、75 - 84岁和85岁及以上。记录了以下信息：年龄、性别、居住地点、教育程度、骨折原因和部位、治疗情况、损伤和合并症、并发症、受伤时的酒精和其他药物使用情况以及住院时间。占主导地位的是65 - 74岁的患者（72.28%），主要为男性（56.44%）。主要原因是跌倒（47.52%）。骨折主要累及下颌骨和颧上颌复合体。超过一半的患者（50.50%）生活在农村或小镇。在生活在小镇和农村地区的老年患者中，与工作工具相关的事故较为普遍。颅面骨折还伴有与视觉器官相关的常见并发症。进一步分析导致农村老年人群颅面损伤风险增加的因素的研究将有助于制定适当的支持计划、预防措施以及与农业活动相关的原则。
