Oral-maxillofacial trauma of a geriatric population in a super-ageing country

Autor: Ken Furudate, Wataru Kobayashi, Anna Satake, Norihiko Narita, Kosei Kubota, Takao Kon, Hiroshi Nakagawa, Akinari Inui, Yoshihiro Tamura, Toshiaki Oyama, Ryohei Ito
Rok vydání: 2017
Předmět:
Zdroj: Dental Traumatology. 33:433-437
ISSN: 1600-4469
DOI: 10.1111/edt.12371
Popis: Background/Aim World population has been aging and oral-maxillofacial trauma of geriatric population is expected to increase. The aim of this study was to analyze the characteristic features of oral-maxillofacial trauma in the geriatric population. Materials and methods Data from 127 patients aged 65 years old or older, who were treated for oral-maxillofacial trauma at the Department of Oral and Maxillofacial Surgery, Hirosaki University, from 2000 to 2014, were retrospectively analyzed. The data from 292 patients aged 20–64 years was used as a comparison. Results Oral-maxillofacial trauma in the geriatric population had been increasing over 15-year period. The male to female ratio was 1.05:1 in the older group and 2.3:1 in the younger group. In the older group, 117 patients (92.1%) had one or more underlying systemic diseases, and 16 (12.6%) had suffered injuries in association with acute medical disorders. The most common injuries in the older group were bone fractures (46.5%). The ratio of fractures in the older group was lower than in the younger group (69.2%). Trauma in the older group most frequently occurred because of falls from a standing height or lower (52.0%), and the mandible was the most common site of fracture (74.6%). A conservative form of treatment for maxillofacial fractures was most commonly (86.4%) chosen for the older group, while surgical treatment was most commonly in the younger group (55.0%). Conclusion Oral-maxillofacial trauma in the geriatric population shows characteristic features in terms of etiology, patterns, and treatment modalities. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE