Defining predictable patterns of craniomaxillofacial injury in the elderly: Analysis of 1,047 patients

Jonathan A. Zelken, Saami Khalifian, Gerhard S. Mundinger, Jinny Ha, Paul Manson, Eduardo D. Rodriguez, Amir Dorafshar

Research output: Contribution to journalArticle

Abstract

Purpose Currently, nearly 1 in 5 Americans is at least 60 years of age. Bone atrophy, decreased capacity for tissue repair, and chronic disease are known to influence fracture patterns and operative algorithms in this age group. This study presents craniofacial trauma injury patterns and treatment in an elderly population at a major urban trauma center. Methods Patient records were retrospectively reviewed from February 1998 through December 2010. Patients at least 60 years of age who met the inclusion criteria for craniofacial fractures identified by International Classification of Diseases, Ninth Revision code review and confirmed by author review of available computed tomograms were studied. Demographic information, fracture type, concomitant injuries, and management were recorded. Results Of 11,084 patients presenting with facial fracture, 1,047 were older than 60 years. The most common mechanism of injury was falls (50%), and most patients were men (59%). Commonly fractured areas included the nose (n = 452, 43%), maxilla (316, 30%), zygoma (312, 30%), orbital floor (280, 27%), and mandible (186, 18%), with 51 patients (5%) having a concomitant basilar skull fracture. Inpatient mortality and length of stay were significantly increased compared with the nongeriatric population (P

Original languageEnglish (US)
Pages (from-to)352-361
Number of pages10
JournalJournal of Oral and Maxillofacial Surgery
Volume72
Issue number2
DOIs
StatePublished - Feb 2014

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Wounds and Injuries
Basilar Skull Fracture
Zygoma
Trauma Centers
Maxilla
International Classification of Diseases
Mandible
Nose
Population
Atrophy
Inpatients
Length of Stay
Chronic Disease
Age Groups
Demography
Bone and Bones
Mortality
Therapeutics

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

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Defining predictable patterns of craniomaxillofacial injury in the elderly : Analysis of 1,047 patients. / Zelken, Jonathan A.; Khalifian, Saami; Mundinger, Gerhard S.; Ha, Jinny; Manson, Paul; Rodriguez, Eduardo D.; Dorafshar, Amir.

In: Journal of Oral and Maxillofacial Surgery, Vol. 72, No. 2, 02.2014, p. 352-361.

Research output: Contribution to journalArticle

Zelken, Jonathan A. ; Khalifian, Saami ; Mundinger, Gerhard S. ; Ha, Jinny ; Manson, Paul ; Rodriguez, Eduardo D. ; Dorafshar, Amir. / Defining predictable patterns of craniomaxillofacial injury in the elderly : Analysis of 1,047 patients. In: Journal of Oral and Maxillofacial Surgery. 2014 ; Vol. 72, No. 2. pp. 352-361.
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