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Craniomaxillofacial trauma in the elderly

M J Goldschmidt1, C L Castiglione, L A Assael

  • 1Department of Oral and Maxillofacial Surgery, University of Connecticut School of Dental Medicine, Farmington 06030-1720, USA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 1, 1995
PubMed
Summary

Geriatric craniomaxillofacial fractures are often caused by motor vehicle accidents or falls. While treatable with surgery or conservative methods, preventive measures are needed to reduce mortality and morbidity in elderly patients.

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Area of Science:

  • Trauma Surgery
  • Geriatric Medicine
  • Oral and Maxillofacial Surgery

Background:

  • Limited data exists on craniomaxillofacial (CMF) fractures in the elderly population.
  • Understanding injury patterns and treatment outcomes is crucial for this demographic.

Purpose of the Study:

  • To review CMF fractures in geriatric patients.
  • To detail injury mechanisms, fracture locations, and treatment modalities.

Main Methods:

  • Retrospective review of 109 hospital records from 1981 to mid-1993.
  • Analysis of patient demographics, injury causes, fracture sites, and treatment approaches.

Main Results:

  • Motor vehicle accidents (MVAs) and falls were primary causes.

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  • Upper midface and mandible were most commonly fractured.
  • Mortality rate was 11.1%, with varying treatment approaches (surgical and non-surgical).

    • Conclusions:

    • Geriatric CMF trauma is treatable with both surgical and conservative methods.
    • Underlying medical conditions in the elderly can impact treatment decisions.
    • Preventive strategies are needed to minimize mortality and morbidity.