Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan
The number of elderly patients with maxillofacial trauma is rapidly increasing due to active lifestyles and longevity. Shimane prefecture has the fastest growing proportion of elderly individuals in Japan. The aim of this study was to reveal the distinctive features and treatment modes of mandibular...
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| creator | Tatsumi, Hiroto Nakatani, Eiji Kanno, Takahiro Nariai, Yoshiki Kagimura, Tatsuo Sekine, Joji |
| description | The number of elderly patients with maxillofacial trauma is rapidly increasing due to active lifestyles and longevity. Shimane prefecture has the fastest growing proportion of elderly individuals in Japan. The aim of this study was to reveal the distinctive features and treatment modes of mandibular fracture treatment mode in patients requiring hospitalization at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan.
Patient age, sex, period between injury and first consultation, years since injury, cause of injury, fracture site, treatment, and duration of hospitalization were evaluated. Univariate Poisson regression, relative risk with 95% confidence interval based on the Wald test, Fisher's exact test, and Kruskal-Wallis test were used to explore associations among clinical and demographic variables.
In total, 305 patients were diagnosed with and hospitalized for mandibular fracture from 1980 to 2010. Younger age increased the risk for mandibular fracture. Incidence was higher in males than females, particularly in the young, but the male to female ratio decreased with age. The period until first hospital consultation decreased progressively over the study period. Fall was a much more frequent cause in patients aged ≥60 than in those aged |
| doi_str_mv | 10.1371/journal.pone.0136278 |
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Patient age, sex, period between injury and first consultation, years since injury, cause of injury, fracture site, treatment, and duration of hospitalization were evaluated. Univariate Poisson regression, relative risk with 95% confidence interval based on the Wald test, Fisher's exact test, and Kruskal-Wallis test were used to explore associations among clinical and demographic variables.
In total, 305 patients were diagnosed with and hospitalized for mandibular fracture from 1980 to 2010. Younger age increased the risk for mandibular fracture. Incidence was higher in males than females, particularly in the young, but the male to female ratio decreased with age. The period until first hospital consultation decreased progressively over the study period. Fall was a much more frequent cause in patients aged ≥60 than in those aged <60 years. Mandibular fracture with condyle, symphysis, and angle involvement were most common and were associated with sex, age, and treatment mode. Length of hospitalization has decreased since 1980.
In our department, patients aged ≥60 years accounted for a greater proportion of mandibular fracture cases than in many previous studies, reflecting the greater proportion of elderly residents in Shimane prefecture.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0136278</identifier><identifier>PMID: 26334627</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Age ; Aged ; Aged, 80 and over ; Biomedical research ; Child ; Child, Preschool ; Confidence intervals ; Consultation ; Demographic variables ; Demographics ; Endoscopy ; Female ; Females ; Geriatrics ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Informatics ; Injuries ; Japan ; Male ; Males ; Mandible ; Mandibular Fractures - diagnosis ; Mandibular Fractures - surgery ; Maxillofacial ; Maxillofacial surgery ; Medicine ; Middle Aged ; Older people ; Patients ; Poisson density functions ; Population ; Sex ; Sex differences ; Statistical analysis ; Surgery ; Trauma ; University faculty ; Young Adult</subject><ispartof>PloS one, 2015-09, Vol.10 (9), p.e0136278-e0136278</ispartof><rights>2015 Tatsumi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Tatsumi et al 2015 Tatsumi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c636t-d18c31fae800958057e9c1fd428f6a0516515d975f9ba52ff025ee9d2033987a3</citedby><cites>FETCH-LOGICAL-c636t-d18c31fae800958057e9c1fd428f6a0516515d975f9ba52ff025ee9d2033987a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559417/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559417/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26334627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cray, James</contributor><creatorcontrib>Tatsumi, Hiroto</creatorcontrib><creatorcontrib>Nakatani, Eiji</creatorcontrib><creatorcontrib>Kanno, Takahiro</creatorcontrib><creatorcontrib>Nariai, Yoshiki</creatorcontrib><creatorcontrib>Kagimura, Tatsuo</creatorcontrib><creatorcontrib>Sekine, Joji</creatorcontrib><title>Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The number of elderly patients with maxillofacial trauma is rapidly increasing due to active lifestyles and longevity. Shimane prefecture has the fastest growing proportion of elderly individuals in Japan. The aim of this study was to reveal the distinctive features and treatment modes of mandibular fracture treatment mode in patients requiring hospitalization at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan.
Patient age, sex, period between injury and first consultation, years since injury, cause of injury, fracture site, treatment, and duration of hospitalization were evaluated. Univariate Poisson regression, relative risk with 95% confidence interval based on the Wald test, Fisher's exact test, and Kruskal-Wallis test were used to explore associations among clinical and demographic variables.
In total, 305 patients were diagnosed with and hospitalized for mandibular fracture from 1980 to 2010. Younger age increased the risk for mandibular fracture. Incidence was higher in males than females, particularly in the young, but the male to female ratio decreased with age. The period until first hospital consultation decreased progressively over the study period. Fall was a much more frequent cause in patients aged ≥60 than in those aged <60 years. Mandibular fracture with condyle, symphysis, and angle involvement were most common and were associated with sex, age, and treatment mode. Length of hospitalization has decreased since 1980.
In our department, patients aged ≥60 years accounted for a greater proportion of mandibular fracture cases than in many previous studies, reflecting the greater proportion of elderly residents in Shimane prefecture.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomedical research</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Confidence intervals</subject><subject>Consultation</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Females</subject><subject>Geriatrics</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Informatics</subject><subject>Injuries</subject><subject>Japan</subject><subject>Male</subject><subject>Males</subject><subject>Mandible</subject><subject>Mandibular Fractures - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tatsumi, Hiroto</au><au>Nakatani, Eiji</au><au>Kanno, Takahiro</au><au>Nariai, Yoshiki</au><au>Kagimura, Tatsuo</au><au>Sekine, Joji</au><au>Cray, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-09-03</date><risdate>2015</risdate><volume>10</volume><issue>9</issue><spage>e0136278</spage><epage>e0136278</epage><pages>e0136278-e0136278</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The number of elderly patients with maxillofacial trauma is rapidly increasing due to active lifestyles and longevity. Shimane prefecture has the fastest growing proportion of elderly individuals in Japan. The aim of this study was to reveal the distinctive features and treatment modes of mandibular fracture treatment mode in patients requiring hospitalization at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan.
Patient age, sex, period between injury and first consultation, years since injury, cause of injury, fracture site, treatment, and duration of hospitalization were evaluated. Univariate Poisson regression, relative risk with 95% confidence interval based on the Wald test, Fisher's exact test, and Kruskal-Wallis test were used to explore associations among clinical and demographic variables.
In total, 305 patients were diagnosed with and hospitalized for mandibular fracture from 1980 to 2010. Younger age increased the risk for mandibular fracture. Incidence was higher in males than females, particularly in the young, but the male to female ratio decreased with age. The period until first hospital consultation decreased progressively over the study period. Fall was a much more frequent cause in patients aged ≥60 than in those aged <60 years. Mandibular fracture with condyle, symphysis, and angle involvement were most common and were associated with sex, age, and treatment mode. Length of hospitalization has decreased since 1980.
In our department, patients aged ≥60 years accounted for a greater proportion of mandibular fracture cases than in many previous studies, reflecting the greater proportion of elderly residents in Shimane prefecture.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26334627</pmid><doi>10.1371/journal.pone.0136278</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Aged Aged, 80 and over Biomedical research Child Child, Preschool Confidence intervals Consultation Demographic variables Demographics Endoscopy Female Females Geriatrics Hospitalization Humans Infant Infant, Newborn Informatics Injuries Japan Male Males Mandible Mandibular Fractures - diagnosis Mandibular Fractures - surgery Maxillofacial Maxillofacial surgery Medicine Middle Aged Older people Patients Poisson density functions Population Sex Sex differences Statistical analysis Surgery Trauma University faculty Young Adult |
| title | Clinical Features and Treatment Modes of Mandibular Fracture at the Department of Oral and Maxillofacial Surgery, Shimane University Hospital, Japan |
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