Analysis of 126 hospitalized elder maxillofacial trauma victims in central China
Identifieur interne : 001435 ( Main/Exploration ); précédent : 001434; suivant : 001436Analysis of 126 hospitalized elder maxillofacial trauma victims in central China
Auteurs : Rui Li [République populaire de Chine] ; Rui Zhang [République populaire de Chine] ; Wenlu Li [République populaire de Chine] ; Fei Pei [République populaire de Chine] ; Wei He [République populaire de Chine]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China.
We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management.
Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF).
Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to develop more effective treatment and possibly prevent such injuries.
Url:
DOI: 10.4317/medoral.20551
PubMed: 25858086
PubMed Central: 4523260
Affiliations:
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trauma victims in central China</title><author><name sortKey="Li, Rui" sort="Li, Rui" uniqKey="Li R" first="Rui" last="Li">Rui Li</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Rui" sort="Zhang, Rui" uniqKey="Zhang R" first="Rui" last="Zhang">Rui Zhang</name><affiliation wicri:level="1"><nlm:aff id="A2">Oral and Maxillofacial Surgery, Zheng Zhou Stomatologic Hospital, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Oral and Maxillofacial Surgery, Zheng Zhou Stomatologic Hospital</wicri:regionArea><wicri:noRegion>Zheng Zhou Stomatologic Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Li, Wenlu" sort="Li, Wenlu" uniqKey="Li W" first="Wenlu" last="Li">Wenlu Li</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="Pei, Fei" sort="Pei, Fei" uniqKey="Pei F" first="Fei" last="Pei">Fei Pei</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25858086</idno><idno type="pmc">4523260</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523260</idno><idno type="RBID">PMC:4523260</idno><idno type="doi">10.4317/medoral.20551</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000385</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000385</idno><idno type="wicri:Area/Pmc/Curation">000385</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000385</idno><idno type="wicri:Area/Pmc/Checkpoint">001028</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001028</idno><idno type="wicri:Area/Ncbi/Merge">005A37</idno><idno type="wicri:Area/Ncbi/Curation">005A37</idno><idno type="wicri:Area/Ncbi/Checkpoint">005A37</idno><idno type="wicri:doubleKey">1698-4447:2015:Li R:analysis:of:hospitalized</idno><idno type="wicri:Area/Main/Merge">001438</idno><idno type="wicri:Area/Main/Curation">001435</idno><idno type="wicri:Area/Main/Exploration">001435</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Analysis of 126 hospitalized elder maxillofacial
trauma victims in central China</title><author><name sortKey="Li, Rui" sort="Li, Rui" uniqKey="Li R" first="Rui" last="Li">Rui Li</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Rui" sort="Zhang, Rui" uniqKey="Zhang R" first="Rui" last="Zhang">Rui Zhang</name><affiliation wicri:level="1"><nlm:aff id="A2">Oral and Maxillofacial Surgery, Zheng Zhou Stomatologic Hospital, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Oral and Maxillofacial Surgery, Zheng Zhou Stomatologic Hospital</wicri:regionArea><wicri:noRegion>Zheng Zhou Stomatologic Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Li, Wenlu" sort="Li, Wenlu" uniqKey="Li W" first="Wenlu" last="Li">Wenlu Li</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="Pei, Fei" sort="Pei, Fei" uniqKey="Pei F" first="Fei" last="Pei">Fei Pei</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author><author><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Stomatology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University</wicri:regionArea><wicri:noRegion>Zhengzhou University</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China.</p></sec><sec><title>Material and Methods</title><p>We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management.</p></sec><sec><title>Results</title><p>Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF).</p></sec><sec><title>Conclusions</title><p>Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to develop more effective treatment and possibly prevent such injuries.</p><p><bold>Key words:</bold>Maxillofacial, trauma, elderly, characteristics, treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, Jy" uniqKey="Chen J">JY Chen</name></author><author><name sortKey="Wang, Wc" uniqKey="Wang W">WC Wang</name></author><author><name sortKey="Chen, Yk" uniqKey="Chen Y">YK Chen</name></author><author><name sortKey="Lin, Lm" uniqKey="Lin L">LM Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mandel, L" uniqKey="Mandel L">L 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Andrew</name></author><author><name sortKey="Tang, J" uniqKey="Tang J">J Tang</name></author><author><name sortKey="Kirby, Jc" uniqKey="Kirby J">JC Kirby</name></author><author><name sortKey="Morgan, Dj" uniqKey="Morgan D">DJ Morgan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sawazaki, R" uniqKey="Sawazaki R">R Sawazaki</name></author><author><name sortKey="Lima Junior, Sm" uniqKey="Lima Junior S">SM Lima Junior</name></author><author><name sortKey="Asprino, L" uniqKey="Asprino L">L Asprino</name></author><author><name sortKey="Moreira, Rw" uniqKey="Moreira R">RW Moreira</name></author><author><name sortKey="De Moraes, M" uniqKey="De Moraes M">M de Moraes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tung, Tc" uniqKey="Tung T">TC Tung</name></author><author><name sortKey="Tseng, Ws" uniqKey="Tseng W">WS Tseng</name></author><author><name sortKey="Chen, Ct" uniqKey="Chen C">CT Chen</name></author><author><name sortKey="Lai, Jp" uniqKey="Lai J">JP Lai</name></author><author><name sortKey="Chen, Yr" uniqKey="Chen Y">YR Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caputo, Am" uniqKey="Caputo A">AM Caputo</name></author><author><name sortKey="Dobbertien, Rp" uniqKey="Dobbertien R">RP Dobbertien</name></author><author><name sortKey="Ferranti, Jm" uniqKey="Ferranti J">JM Ferranti</name></author><author><name sortKey="Brown, Cr" uniqKey="Brown C">CR Brown</name></author><author><name sortKey="Michael, Kw" uniqKey="Michael K">KW Michael</name></author><author><name sortKey="Richardson, Wj" uniqKey="Richardson W">WJ Richardson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Li, Rui" sort="Li, Rui" uniqKey="Li R" first="Rui" last="Li">Rui Li</name></noRegion><name sortKey="He, Wei" sort="He, Wei" uniqKey="He W" first="Wei" last="He">Wei He</name><name sortKey="Li, Wenlu" sort="Li, Wenlu" uniqKey="Li W" first="Wenlu" last="Li">Wenlu Li</name><name sortKey="Pei, Fei" sort="Pei, Fei" uniqKey="Pei F" first="Fei" last="Pei">Fei Pei</name><name sortKey="Zhang, Rui" sort="Zhang, Rui" uniqKey="Zhang R" first="Rui" last="Zhang">Rui Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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