Particularities of facial skeleton fractures in older people
Abstract
Background: Due to anatomic changes of lower jaw and life habits of the population over 60 years of age, etiology and therapy of mandible fractures essentially change. In most cases, treatment of lower jaw fractures is operative. Longer osteosynthetic plates are used because of insufficient blood supply and osteoporosis. Plate location varies according to atrophy and therefore often differs from basic principles of mandible osteosynthesis.
Conclusions: The author explains the specific etiology of facial skeleton fractures, their diagnostic, and particularities of osteosynthesis, focusing primarily on mandible fractures.
Downloads
References
Rehman K, Edmondson H. The causes and consequences of maxillofacial injuries in elderly people. Geroddontology 2002; 19: 60–4.
Motamedi MH. An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 2003; 61: 61–4.
Gray E, Dierks E, Homer L, Smith F, Potter B. Survey of trauma patients requiring maxillofacial intervention, ages 56 to 91 years, with length of stay analysis. J Oral Maxillofac Surg 2002; 60: 1114–25.
Gerbino G, Roccia F, De Gioanni PP, Berrone S. Maxillofacial trauma in the elderly. J Oral Maxillofac Surg 1999; 57: 777–82.
Jarupoonphol V. Surgical treatment of Le Fort fractures in Ban Pong Hospital: two decades of experience. J Med Assoc Thai 2001; 84: 1541–19.
Crawley WA, Azman P, Clark N, et al. The edentulous Le Fort fracture. J Craniofac Surg 1997; 8: 298–307.
Carr RM, Mathog RH. Early and delayed repair of orbitozygomatic complex fractures. J Oral Maxillofac Surg 1997; 55: 253–8.
Vriens JP, van der Glas HW, Moos KF, Koole R. Infraorbital nerve function following treatment of orbitozygomatic complex fractures. A multitest approach. Int J Oral Maxillofac Surg 1998; 27: 27–32.
Iatrou I, Theologie-Lygidakis N, Angelopoulos A. Use of membrane and bone grafts in the reconstruction of orbital fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 281–6.
Park HS, Kim YK, Yoon CH. Various applications of titanium mesh screen implant to orbital wall fractures. J Craniofac Surg 2001; 12: 555–60.
Villarreal PM, Monje F, Morillo AJ, Junquera LM, Gonzales C, Barbon JJ. Porous polyethylene implants in orbital floor reconstruction. Plast Reconstr Surg 2002; 109: 877–85.
Hosal BM, Beatty RL. Diplopia and enophtalmos after surgical repair of blowout fracture. Orbit 2002; 21: 27–33.
Bollen AM, Taguchi A, Hujeol PP, Hollender LG. Case-control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 518–24.
Pankratov AS, Melkumova Aiu. The clinical characteristics of mandibular fractures in middle-aged and elderly subjects. Stomatologiia (Mosk) 2000; 79: 28–33.
Santler G, Karcher H, Ruda C, Kole E. Fractures of the condylar process: surgical versus nonsurgical treatment. J Oral Maxillofac Surg 1999; 57: 392–7.
Shlomi B, Levy Y, Kahan A, Horowitz I. Fractures of the atrophic mandible. Harefuah 2002; 141: 242–6.
Kunz C, Hammer B, Prein J. Fractures of the edentulous atrophic mandible. Fracture management and complications. Mund Kiefer Gesichtschir 2001; 5: 227–32.
Toma VS, Mathog RH, Toma RS, Meleca RJ. Transoral versus extraoral reduction of mandible fractures: a comparison of complication rates and other factors. Otolaryngol Head Neck Surg 2003; 182: 215–9.
Schug T, Rodemer H, Neupert W, Dumbach J. Management of comminuted and open fractures of the mandible and fractures in atrophic mandibles with titanium mesh. Mund Kiefer Gesichtschir 2000; 4: 193–6.
Iatrou I, Samaras C, Theologie-Lygidakis N. Miniplate osteosynthesis for fractures of the edentulous mandible: a clinical study 1989–96. J Craniomaxillofac Surg 1998; 26: 400–4.
Yerit KC, Enislidis G, Schopper C, et al. Fixation of mandibular fractures with biodegradable plates and crews. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 94: 294–300.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
