Traumatismos faciais em pacientes idosos atendidos pela Faculdade de Odontologia de Piracicaba - UNICAMP / Facial injuries in elderly patients related to the Piracicaba Dental School - UNICAMP
AUTOR(ES)
Rafael Grotta Grempel
DATA DE PUBLICAÇÃO
2008
RESUMO
Life expectancy is increasing all over the world, and this social change brings an increasing participation of elderly patients in accidents, with social, economic and governmental consequences. The rising requirement of a deep knowledge about the physiological changes in this group of patients is standed out, as well as the peculiarities of the injuries and the consequences of them, that may modify the clinical priorities and the protocol of conventional treatment. This work was based on an observational, prospective and longitudinal study, aiming to evaluate the specific epidemiologic characteristics of the facial injuries in elderly patients, related to the Division of Oral and Maxillofacial Surgery of Piracicaba Dental School UNICAMP, emphasizing its etiology and consequences, and the necessary knowledge related about the management and treatment of these patients. In this study all trauma related charts from 1999 to 2006 have been evaluated, totalizing 145 patients which were 60-year-old or older. The statistic descriptive analysis showed prevalence of females (53.8%), white individuals (80.7%), mostly non-economically active (85.5%) and with average age of 71.8 ± 8.1 years. The majority of the initial care was carried out by the Brazilian Public Health Insurance - SUS (83.4%), predominantly occurring in the first 72 hours after-trauma (70.3%). Fall was the main etiologic agent (71%), in which 66% of these victims were women. About fifth nine percent (59.3%) of the patients presented some facial fracture, totalizing 113 fractures, mainly in the zygomaticoorbital complex (47.8%), nose (24.8%) and mandible (21.2%). Only 18.6% of these had undergone some surgical procedure as treatment. Rigid internal fixation has been in all the fractures surgically treated, except for one nasal, one of the zygomatic arch and one dental-alveolar fracture. Concerning to the soft tissues injuries, hematomas (35%) followed by lacerations (33.7%) were the predominants. Some concomitant injury was appreciated in 39.3% of the patients, generally in upper (26.2%) and lower limbs (16.5%). It can be concluded from this study that facial injuries generally reach, in an important way, this group of patients, usually receiving a more conservative treatment.
ASSUNTO(S)
epidemiologia traumatology injury traumatologia trauma epidemiology face face
ACESSO AO ARTIGO
http://libdigi.unicamp.br/document/?code=vtls000437711Documentos Relacionados
- Análise retrospectiva dos traumas faciais associados aos traumas cervicais dos pacientes atendidos na área de Cirurgia Buco-maxilo-facial da Faculdade de Odontologia de Piracicaba - UNICAMP, no período de 1999 a 2009
- Analise retrospectiva dos traumas faciais decorrentes de acidentes de transito em pacientes atendidos pela area de Cirurgia Buco-maxilo-facial da Faculdade de Odontologia de Piracicaba/UNICAMP no periodo de 1999 a 2007
- Fraturas de angulo mandibular tratadas pela Area de Cirurgia Buco-Maxilo-Facial da Faculdade de Odontologia de Piracicaba - Unicamp
- Avaliação dos traumatismos dentários atendidos no Serviço de Trauma Dental da Faculdade de Odontologia de Piracicaba : estudo retrospectivo de 10 anos
- The analysis of mandibular condyle fractures treated by the Oral and Maxilofacial Surgery Divison, Piracicaba Dental School - UNICAMP from 1999 to 2007