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2021, Number 3

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Cir Plast 2021; 31 (3)

Handling of facial fractures in the elderly patient: experience of the orthognathic surgery and facial trauma clinic of the ''Dr. Manuel Gea González'' Hospital

Iñigo-Arroyo F, Felemovicius-Hermangus J, Chávez-Serna E, Carrillo-Romero A

Language: Spanish
References: 17
Page: 97-101
PDF size: 175.06 Kb.


ABSTRACT

Due to the increase in life expectancy, facial fractures in the elderly occur more frequently. Facial trauma gives rise to a significant decrease in the quality of life of the geriatric patient. The objective of this work is to describe the experience in handling facial fractures in the elderly at the orthognathic surgery and facial trauma clinic of the General Hospital "Dr. Manuel Gea González". A retrospective study was carried out, from 2013 to 2019, of the records of patients with facial fractures older than 65 years. The variables considered were: age, sex, etiology, affected craniofacial third, damaged bone, treatment and associated complications. A total of 74 patients were included: 45 men (61%) and 29 women (39%). The mean age was 76.2 years (SD = 8.4). Falls were most recurrent cause in 52 cases (70%). Orbit floor fractures were the most frequent, with 26 cases (35%). Treatment was conservative in 51 cases (69%) and surgical in 13 cases (31%). In 12 cases (16%) there were complications, the most persistent were paresthesia in five cases (42%). We conclude that falls represent the main cause of facial fractures in the elderly and are generally, related to reduced low energy. They do not cause severe injuries; therefore, in most cases, conservative treatment can be given with excellent results.


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