Fractures of the Craniofacial Skeleton in the Elderly: Retrospective Studies

Piotr Michalak, Grażyna Wyszyńska-Pawelec, Mariusz Szuta, Justyna Hajto-Bryk, Jan Zapała and Joanna Katarzyna Zarzecka
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Piotr Michalak: Department of Conservative Dentistry with Endodontics, Jagiellonian University Medical College, 31-008 Krakow, Poland
Grażyna Wyszyńska-Pawelec: Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 31-008 Krakow, Poland
Mariusz Szuta: Department of Oral Surgery, Jagiellonian University Medical College, 31-008 Kraków, Poland
Justyna Hajto-Bryk: Department of Conservative Dentistry with Endodontics, Jagiellonian University Medical College, 31-008 Krakow, Poland
Jan Zapała: Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 31-008 Krakow, Poland
Joanna Katarzyna Zarzecka: Department of Conservative Dentistry with Endodontics, Jagiellonian University Medical College, 31-008 Krakow, Poland

IJERPH, 2021, vol. 18, issue 21, 1-9

Abstract: The aim of the retrospective analysis of the medical documentation of 101 patients was to assess the incidence, etiology, and type of craniofacial fractures in the elderly population of southern Poland, who required specialist treatment at the Department of Cranio-Maxillo-Facial Surgery Jagiellonian University, Krakow, Poland, in the period 2010–2019. Patients were divided into 3 age groups: 65–74, 75–84, and 85 and older. The following was noted: age, sex, place of residence, education, cause and location of fracture, treatment, injuries and comorbidities, complications, alcohol and other drugs at the time of injury, and the period of hospitalization. The dominant group were patients aged 65–74 (72.28%), mainly males (56.44%). The main cause was fall (47.52%). The fractures involved mainly the mandible and the zygomaticomaxillary complex. Over half of patients (50.50%) lived in the countryside or small towns. Work tool-related accidents prevailed among geriatric patients living in small towns and rural areas. Craniofacial fractures were additionally accompanied by common complications regarding the organ of vision. Further studies analyzing factors leading to increased risk of craniofacial injuries in the elderly of the rural population will enable proper support programs, prophylaxis, and principles concerning agricultural activities.

Keywords: aged; aging; older people; gerodontology; oral health; fractures; maxillofacial injuries; retrospective studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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