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Etiology of facial fractures in elderly Finns during 2006-2007
Miika Toivari1, Miia Helenius1, Anna Liisa Suominen2
1Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and Helsinki University, Helsinki, Finland.
Objective:
The purpose of the present study was to clarify the trauma mechanisms and resulting facial fractures in geriatric patients and to compare them with those of younger adults.
Study Design:
A cohort of 117 geriatric patients was compared with 136 patients aged 20 to 50 years. The statistical significance of differences between the age groups was evaluated with χ(2) tests.
Results:
Falls on the ground were significantly more frequent among geriatric patients (P < .001), whereas assault was more frequent in controls (P < .001). Accident rates in geriatric patients were significantly higher during the winter months (P = .04). Fractures of the midface in general (P = .001) and of the nasal bone (P = .004) and orbit (P = .015) in particular were more frequent in geriatric patients.
Conclusions:
Age-related factors and preexisting medical problems predispose the elderly to falls and subsequent fractures. Footwear traction devices are recommended during the cold season. Orbital fractures should be strongly suspected in the elderly.
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