Objectives: Geriatric maxillofacial trauma (GMT) is not an uncommon entity in maxillofacial surgery practice. The aim of the study was to document the experience with GMT cases in a single private dental college and hospital in an effort to uncover the etiology, prevalence, fracture sites, and various types of treatment in GMT. Materials and Methods: This was a retrospective study conducted at Saveetha Dental College and Hospital in Chennai. Data from patients diag-nosed with maxillofacial trauma between January 2019 and December 2023 were retrieved from hospital records, and those aged ≥60 years wereincluded in the study. Patients’ basic demographic details and the prevalence, etiology, fracture sites, and various treatments of GMT were recorded and analyzed. The collected data were entered into a structured database and analyzed using IBM SPSS Statistics ver. 23.0 (IBM). Results: A total of 867 cases were screened, and 37 (4.04%) GMT patients were finally included in the study. The mean age of the study population was 65±5 years, and there were six females and 31 males. A ground-level fall was the common etiology (n=17), and the most common site of fracture was the mandible (n=15). Open reduction and internal fixation (ORIF) was the most common treatment modality (n=24) among included cases. Conclusion Although the prevalence of GMT was low, ground-level falls were a common reason for trauma; hence, geriatric patients require comprehensive care in home and outdoor settings. Enhanced anesthetic and surgical techniques have made ORIF a suitable treatment approach in the present era.

Objectives: Geriatric maxillofacial trauma (GMT) is not an uncommon entity in maxillofacial surgery practice. The aim of the study was to document the experience with GMT cases in a single private dental college and hospital in an effort to uncover the etiology, prevalence, fracture sites, and various types of treatment in GMT. Materials and Methods: This was a retrospective study conducted at Saveetha Dental College and Hospital in Chennai. Data from patients diag-nosed with maxillofacial trauma between January 2019 and December 2023 were retrieved from hospital records, and those aged ≥60 years wereincluded in the study. Patients’ basic demographic details and the prevalence, etiology, fracture sites, and various treatments of GMT were recorded and analyzed. The collected data were entered into a structured database and analyzed using IBM SPSS Statistics ver. 23.0 (IBM). Results: A total of 867 cases were screened, and 37 (4.04%) GMT patients were finally included in the study. The mean age of the study population was 65±5 years, and there were six females and 31 males. A ground-level fall was the common etiology (n=17), and the most common site of fracture was the mandible (n=15). Open reduction and internal fixation (ORIF) was the most common treatment modality (n=24) among included cases. Conclusion Although the prevalence of GMT was low, ground-level falls were a common reason for trauma; hence, geriatric patients require comprehensive care in home and outdoor settings. Enhanced anesthetic and surgical techniques have made ORIF a suitable treatment approach in the present era.

Objectives: Geriatric maxillofacial trauma (GMT) is not an uncommon entity in maxillofacial surgery practice. The aim of the study was to document the experience with GMT cases in a single private dental college and hospital in an effort to uncover the etiology, prevalence, fracture sites, and various types of treatment in GMT. Materials and Methods: This was a retrospective study conducted at Saveetha Dental College and Hospital in Chennai. Data from patients diag-nosed with maxillofacial trauma between January 2019 and December 2023 were retrieved from hospital records, and those aged ≥60 years wereincluded in the study. Patients’ basic demographic details and the prevalence, etiology, fracture sites, and various treatments of GMT were recorded and analyzed. The collected data were entered into a structured database and analyzed using IBM SPSS Statistics ver. 23.0 (IBM). Results: A total of 867 cases were screened, and 37 (4.04%) GMT patients were finally included in the study. The mean age of the study population was 65±5 years, and there were six females and 31 males. A ground-level fall was the common etiology (n=17), and the most common site of fracture was the mandible (n=15). Open reduction and internal fixation (ORIF) was the most common treatment modality (n=24) among included cases. Conclusion Although the prevalence of GMT was low, ground-level falls were a common reason for trauma; hence, geriatric patients require comprehensive care in home and outdoor settings. Enhanced anesthetic and surgical techniques have made ORIF a suitable treatment approach in the present era.

Recurrent parosteal sarcomas with vascular involvement are rare and present unique challenges in their diagnosis and management. We report the case of a 21-year-old woman with parosteal osteosarcoma of the left distal femur, encasing the popliteal vessels. En bloc transarticular resection of the distal femur and popliteal vessels was performed, followed by reconstruction using a modular prosthesis and a saphenous vein autograft for both the artery and vein. On the 1st postoperative day, the patient developed an arterial thrombus requiring reintervention with a jump polytetrafluoroethylene (PTFE) graft. Histopathology confirmed parosteal osteosarcoma.After a disease-free survival of 41 months, the patient experienced local recurrence involving the PTFE graft, leading to graft compression, erosion, and subsequent thrombosis. Despite these complications, limb salvage was possible due to adequate collateral blood supply. This case highlights the feasibility of limb salvage surgery in select cases of parosteal osteosarcoma with vascular involvement.