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Factors predicting oral and maxillofacial fractures after falling and factors predicting the duration of treatment.
Machida, Yoshisato; Tomioka, Takahiro; Koshinuma, Shinya; Nakamura, Mami; Yamamoto, Gaku; Hitosugi, Masahito.
Afiliación
  • Machida Y; Department of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
  • Tomioka T; Department of Legal Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
  • Koshinuma S; Department of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
  • Nakamura M; Department of Legal Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
  • Yamamoto G; Department of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
  • Hitosugi M; Department of Legal Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Dent Traumatol ; 39(5): 418-424, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37232513
BACKGROUND/AIM: The first objective of this study was to identify predictive factors for oral and maxillofacial fractures at the initial response to the patient. The second objective was to determine the factors influencing the incidence of treatment duration of more than 1 month using the information shown in the medical record. MATERIALS AND METHODS: Hospital records from 2011 to 2019 were reviewed to identify patients who had sustained oral and maxillofacial injuries by falling or falling from a height. Patterns and types of oral and maxillofacial injury, injury severity, and background of the injury were collected from the hospital records. The variables independently associated with a treatment duration of more than 1 month were determined by logistic regression analysis. RESULTS: In total, 282 patients (150 men, 132 women; median age, 17.5 years) were selected for analysis. Maxillofacial fractures were observed in 20.9% of patients (59/282); among these, mandibular fractures were the most common (47/59). Logistic regression analysis showed that age (odds ratio [OR], 1.026), nighttime occurrence (OR, 2.192), and upper face injury (OR, 20.704) were independent predictive factors for having a maxillofacial fracture. Additionally, the number of injured teeth (OR, 1.515) and the use of intermaxillary fixation (OR, 16.091) were independent predictors of treatment duration of more than 1 month. CONCLUSIONS: These results may be useful in the initial management of maxillofacial injuries in terms of better-informing patients injured by falling their expected treatment duration and managing the psychological impacts of a long treatment duration.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas Craneales / Fracturas Mandibulares / Traumatismos Maxilofaciales Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: Dent Traumatol Asunto de la revista: ODONTOLOGIA / TRAUMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Dinamarca
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas Craneales / Fracturas Mandibulares / Traumatismos Maxilofaciales Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: Dent Traumatol Asunto de la revista: ODONTOLOGIA / TRAUMATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Dinamarca