J Korean Med Assoc.  2011 Oct;54(10):1101-1108.

Facial bone fractures in the elderly: a recent five year retrospective analysis of 300 patients

• Kim IK
• Kim YH
• Kim TG
• Lee JH

Abstract

Trauma in the elderly, such as facial bone fractures, has been increasing, but there is paucity of literature examining the facial bone fractures of the elderly. Therefore, this study contributes to the prevention of facial bone fractures in the elderly and presents support from the literature for establishing a support policy for the elderly. Retrospective analyses were conducted on clinical records from January 2006 through December 2010 for facial bone fractures in 474 cases; of those cases, 300 patients were 55 years old or above. The statistical analyses were conducted according to the sex, age group, occupation, area of residence, time of accident, cause of accident, site, and multiplicity of the fractures, associated injuries, combined soft tissue injuries, treatment methods, and sequelae. Two hundred twenty-five (75.0%) were male and seventy-five (25.0%) were female patients. Among the age groups, patients in the age range of 65 to 74 years old were the most common. There were 136 (45.3%) patients who were farmers and agricultural support personnel. Patients in urban areas were more commocn than those from rural areas. The number of the patients increased each year except in 2008. The most common cause of fractures was traffic accidents, followed by slip down. Zygomatic fractures were the highest among all fracture types, followed by nasal bone fractures. There were more cases undergoing conservative treatment compared to those in a study of all age groups. Gathering information on facial bone fractures in the elderly will be valuable in establishing preventive strategies and policies.

Keyword

Facial bones; Bone fractures; Aged

MeSH Terms

Accidents, Traffic
Aged
Facial Bones
Female
Fractures, Bone
Humans
Male
Nasal Bone
Occupations
Retrospective Studies
Soft Tissue Injuries
Zygomatic Fractures

Figure

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  Figure 1 Yearly distribution.

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  Figure 2 Percentage of causes by the age groups. TA, traffic accidents. *Significant difference, P<0.05; ***Significant difference, P<0.001.

Reference

1. Korean Statistical Information Service [Internet]. cited 2010 Feb 24. Daejeon: Statistics Korea;Available from:http://kosis.kr/abroad/abroad_01List.jsp.

2. Gerbino G, Roccia F, De Gioanni PP, Berrone S. Maxillofacial trauma in the elderly. J Oral Maxillofac Surg. 1999. 57:777–782.

3. Choi C, Kim YH. Clinical study of 123 facial bone fractures in elderly. J Korean Soc Plast Reconstr Surg. 2007. 34:454–459.

4. Abdul Rahman N, Ramli R, Abdul Rahman R, Hussaini HM, Abdul Hamid AL. Facial trauma in geriatric patients in a selected Malaysian hospital. Geriatr Gerontol Int. 2010. 10:64–69.

5. Lee DK, Oh SH, Sung HM, Kim YW, Kwon KH. The clinicostatistical study of facial bone fracture in recent five years. J Korean Assoc Oral Maxillofac Surg. 1998. 24:448–453.

6. Choi HJ, Cho TK, Shin IS, Hong JH, Lim JY. A clinical study of facial bone fractures. Korean J Otolaryngol-Head Neck Surg. 1995. 38:1731–1737.

7. Lee SW, Ryu SY, Cho SJ, Lee SL, Oh SC, Kim SJ, Ahn JY, Kim HY. Clinical analysis of facial bone fractures. J Korean Soc Emerg Med. 2007. 18:241–249.

8. Fasola AO, Obiechina AE, Arotiba JT. Incidence and pattern of maxillofacial fractures in the elderly. Int J Oral Maxillofac Surg. 2003. 32:206–208.

9. Kang MS, Choi BC, Kim YH, Woo SH, Jeong JH, Seul JH. An analysis of 1,210 facial bone fractures in 835 patients: 5 year survey. J Korean Soc Plast Reconstr Surg. 1998. 25:598–606.

10. Kwon HJ, Han J, Kim JH, Jung HY, Kim JY, Yoon SH, Song CH, Ryu MH, Kim YH, Seo MS. Clinical epidemiologic study of facial bone fractures in Daegu. J Korean Soc Plast Reconstr Surg. 2007. 34:365–370.

11. Gwyn PP, Carraway JH, Horton CE, Adamson JE, Mladick RA. Facial fractures: associated injuries and complications. Plast Reconstr Surg. 1971. 47:225–230.

12. Fazzalari NL. Bone remodeling: a review of the bone microenvironment perspective for fragility fracture (osteoporosis) of the hip. Semin Cell Dev Biol. 2008. 19:467–472.

13. Seeman E. Structural basis of growth-related gain and agerelated loss of bone strength. Rheumatology (Oxford). 2008. 47:Suppl 4. iv2–iv8.

14. Oh BH. Psychosocial aspects of normal ageing. J Korean Med Assoc. 2004. 47:351–360.

15. Anstey KJ, Low LF. Normal cognitive changes in aging. Aust Fam Physician. 2004. 33:783–787.

16. Krishnan J. Distal radius fractures in adults. Orthopedics. 2002. 25:175–179.

17. Rhee SC, Kim YK, Cha JH, Kang SR, Park HS. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg. 2004. 113:45–52.