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A prospective study on elderly patients with facial fractures in a developing country


Dr Stephen Joseph Royan, Department of Oral Surgery, Melaka Hospital, Jalan Mufti Hj. Khalil, 75400 Melaka, Malaysia.
Tel.: +606 270 7244
Fax: +606 284 5400


Background:  This paper describes the incidence, aetiology, treatment and complications of facial fractures seen among the elderly in a developing country.

Methods:  A prospective study evaluated 85 patients over 60 years of age who were diagnosed with facial fractures over a period of 12 months in 23 public hospitals nationwide.

Results:  The elderly accounted for 4.5% of the total number of patients seen with facial fractures during the study period. Elderly men outnumbered women by a ratio of 4.31:1. Of the elderly patients, 35.3% had at least one medical condition, the commonest of which was hypertension. Road traffic accidents were the main cause of injury. The fractures were treated in only 26.2% of cases. Complications were uncommon.

Conclusions:  With a low incidence, and conservative treatment often being practised, the healthcare burden of treating facial fractures among the elderly in Malaysia is at present still low.

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