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2015 ; 10
(9
): e0136278
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Clinical Features and Treatment Modes of Mandibular Fracture at the Department of
Oral and Maxillofacial Surgery, Shimane University Hospital, Japan
#MMPMID26334627
Tatsumi H
; Nakatani E
; Kanno T
; Nariai Y
; Kagimura T
; Sekine J
PLoS One
2015[]; 10
(9
): e0136278
PMID26334627
show ga
BACKGROUND: 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. PATIENTS AND
METHODS: 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. RESULTS: 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. CONCLUSION: 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.