Article

Incidence and pattern of maxillofacial fractures in the elderly.

Department of Oral and Maxillofacial Surgery, College of Medicine, University College Hospital, PMB 5116, Ibadan, Nigeria.
International Journal of Oral and Maxillofacial Surgery (impact factor: 1.51). 05/2003; 32(2):206-8. DOI:10.1054/ijom.2002.0323 pp.206-8
Source: PubMed

ABSTRACT The results of an audit analysing patients above 60 years and above treated for maxillofacial fractures over a 15-year period at the University College Hospital, lbadan are presented. Of the total number of 1689 patients of all ages treated for facial fractures, 53 (3.1%) were within the age range of the study. The male to female ratio was 1.1:1 and 41 (77.4%) patients were younger than 70 years. Road traffic accidents were the most common cause of facial fractures (58.5%) and the mandible was involved in 91% of cases. Complications were noted in 2 (3.8%) patients. Attention should be paid to update driving courses and home safety instructions in order to reduce the incidence of maxillofacial fractures in the elderly.

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    Article: Significance of osteoporosis in craniomaxillofacial surgery: a review of the literature.
    B Hohlweg-Majert, R Schmelzeisen, B M Pfeiffer, E Schneider
    [show abstract] [hide abstract]
    ABSTRACT: Osteoporosis is a common problem in orthopedic surgery. The purpose of this review of the literature was to examine whether osteoporosis is also an important factor in patient treatment in the field of craniomaxillofacial surgery. Emphasis was given to the consequences of osteoporosis for the maxilla and mandible, the influence of osteoporosis on fracture treatment, the use of dental implants, the importance of soft tissues and the effect of osteoporosis therapies. It was found that osteoporosis does affect the bones of the skull. The effect of osteoporosis on treatment, however, is controversial and necessitates better ways of quantifying bone loss. Large inter-individual and site-specific differences in bone density, as well as other effects such as removal of teeth, periodontitis, implant insertion, augmentation procedures and altered loading with dystrophic consequences need to be considered in future studies. Special attention should be given to osteoporosis during fracture treatment.
    Osteoporosis International 03/2006; 17(2):167-79. · 4.58 Impact Factor
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Keywords

15-year period
 
age range
 
audit analysing patients
 
cases
 
courses
 
facial fractures
 
female ratio
 
home safety instructions
 
mandible
 
maxillofacial fractures
 
University College Hospital
 

A O Fasola