The characteristics of facial fractures and assosiated injuries in geriatric facial trauma patients

Tutkimustuotos: OpinnäyteVäitöskirjaArtikkelikokoelma

Abstrakti

The aims of the present study were to identify the characteristics of facial fractures in geriatric patients and to compare them with younger adults. The hypotheses were that the causes and resulting types of facial fractures are different, and that geriatric patients are more severely injured than younger controls. The present study focused on three different patient populations, diagnosed and treated for facial fractures at a level I trauma center and at the Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland. The study included patients with all types of facial fractures (Studies I and II), with a unilateral orbital fracture (Study III), and with a unilateral ZMO fracture (Study IV). The commonest cause of facial fractures in geriatric patients was falling on the ground, whereas younger adults commonly sustained their injuries due to assault (Studies I to IV). Midfacial fractures were significantly more common in geriatric than younger adult patients (Study I). Orbital fractures were significantly more often extensive among geriatric than younger adult patients (Study III). Associated injuries (AIs) in general, multiple AIs, and mortality were significantly more frequent among the elderly when compared to younger controls (Study II). In patients diagnosed with isolated ZMO fractures, AIs in general and traumatic brain injuries (TBI) in particular were significantly more frequent among the geriatric than the younger control group (Study IV). The causes and resulting types of facial injuries differ between geriatric patients and younger adults, and midfacial fractures need to be meticulously excluded in geriatric patients. The frequency and severity of AIs in geriatric facial trauma requires systematic trauma assessment, repeated examination of patient’s condition, and care in collaboration with several specialties.
Alkuperäiskielienglanti
Valvoja/neuvonantaja
  • Thorén, Hanna, Valvoja
  • Lindqvist, Christian, Valvoja
JulkaisupaikkaHelsinki
Kustantaja
Painoksen ISBN978-951-51-5522-1
Sähköinen ISBN978-951-51-5523-8
TilaJulkaistu - 2019
OKM-julkaisutyyppiG5 Tohtorinväitöskirja (artikkeli)

Lisätietoja

M1 - 80 s.

Tieteenalat

  • 313 Hammaslääketieteet

Siteeraa tätä