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dc.contributor.authorKent, S
dc.contributor.authorAdatia, A
dc.contributor.authorJames, P
dc.contributor.authorBains, K
dc.contributor.authorHenry, A
dc.contributor.authorBlore, C
dc.contributor.authorDawoud, B
dc.contributor.authorKumar, D
dc.contributor.authorJefferies, C
dc.contributor.authorKyzas, P
dc.contributor.authorSonigra, D
dc.contributor.authorBotha, E
dc.contributor.authorOoi, S
dc.contributor.authorBosov, M
dc.contributor.authorFish, E
dc.contributor.authorLin, Y
dc.contributor.authorAslam-Pervez, B
dc.contributor.authorFletcher, R
dc.contributor.authorWright, F
dc.contributor.authorKhan, H
dc.contributor.authorCollins, T
dc.contributor.authorLoke, R
dc.contributor.authorNiraj, L
dc.contributor.authorDhanjal, G
dc.contributor.authorGhosh, A
dc.contributor.authorKaneria, V
dc.contributor.authorMcIntosh, C
dc.contributor.authorMoksud, M
dc.contributor.authorO Higgins, C
dc.contributor.authorTaha, A
dc.contributor.authorThompson, A
dc.contributor.authorTow, G
dc.contributor.authorWege, J
dc.contributor.authorSidat, F
dc.contributor.authorSthankiya, M
dc.contributor.authorHughes, D
dc.contributor.authorNg, S
dc.contributor.authorPatel, H
dc.contributor.authorSmyth, D
dc.contributor.authorCraddock, C
dc.contributor.authorDouglas, J
dc.contributor.authorGordon, C
dc.contributor.authorIyer, S
dc.contributor.authorJefferies, C
dc.contributor.authorSexton, P
dc.contributor.authorTaylor, R
dc.contributor.authorWalshaw, E
dc.contributor.authorMan, C
dc.contributor.authorSankey, J
dc.contributor.authorWilcock, H
dc.contributor.authorNijamudeen, A
dc.contributor.authorTabbenor, O
dc.contributor.authorDavies, A
dc.contributor.authorHenderson, T
dc.contributor.authorPigadas, N
dc.contributor.authorRupchandani, R
dc.contributor.authorZakai, D
dc.contributor.authorColl, Y
dc.contributor.authorDunphy, B
dc.contributor.authorGruber, E
dc.contributor.authorKo, Y
dc.contributor.authorKulkarni, R
dc.contributor.authorPaul, R
dc.contributor.authorJetty, K
dc.contributor.authorExley, R
dc.contributor.authorPancholi, R
dc.contributor.authorHorisk, N
dc.contributor.authorKorobczuk, A
dc.contributor.authorChandran, C
dc.contributor.authorDalal, A
dc.contributor.authorShivam, R
dc.contributor.authorAllison, N
dc.contributor.authorStonier, G
dc.contributor.authorDylgjeri, F
dc.contributor.authorRooney, J
dc.contributor.authorSvoboda, T
dc.contributor.authorAhmed, A
dc.contributor.authorFarooq, S
dc.contributor.authorTurton, N
dc.contributor.authorClyde, S
dc.contributor.authorRitchie, M
dc.contributor.authorBrandsma, S
dc.contributor.authorNazir, H
dc.contributor.authorMousa, Y
dc.contributor.authorChoudhury, S
dc.contributor.authorCrawley, K
dc.contributor.authorOffen, E
dc.contributor.authorIqbal, A
dc.contributor.authorBaniulyte, G
dc.contributor.authorPamma, A
dc.contributor.authorYaqoob, O
dc.contributor.authorBritton, D
dc.contributor.authorSanapala, C
dc.contributor.authorHashem, I
dc.contributor.authorIcel, S
dc.contributor.authorGoodall, A
dc.contributor.authorUddin, M
dc.contributor.authorUddin, M
dc.contributor.authorAziz, A
dc.contributor.authorDocherty, C
dc.contributor.authorHuguet, H
dc.contributor.authorKelly, M
dc.contributor.authorThorley, W
dc.contributor.authorBrar, J
dc.contributor.authorMin, A
dc.contributor.authorPepper, T
dc.contributor.authorCarr, R
dc.contributor.authorFahy, E
dc.contributor.authorGeddes, A
dc.contributor.authorHennigan, M
dc.contributor.authorSimpson, C
dc.contributor.authorCobb, M
dc.contributor.authorDenholm, K
dc.contributor.authorNeilson, J
dc.contributor.authorSwansbury, A
dc.contributor.authorDickason, A
dc.contributor.authorScott, R
dc.contributor.authorWotherspoon, E
dc.contributor.authorJohnston, D
dc.contributor.authorMurphy, D
dc.contributor.authorAlreefi, M
dc.contributor.authorAlthawadi, N
dc.contributor.authorHowells, R
dc.contributor.authorMiles, S
dc.contributor.authorSaadya, A
dc.contributor.authorSawali, J
dc.contributor.authorSuleiman, A
dc.contributor.authorOlujide, S
dc.contributor.authorHannah, A
dc.date.accessioned2023-04-11T22:35:13Z
dc.date.available2023-04-11T22:35:13Z
dc.date.issued2022-07-05
dc.identifier.issn1865-1550
dc.identifier.issn1865-1569
dc.identifier.urihttps://pearl.plymouth.ac.uk/handle/10026.1/20668
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec> <jats:title>Introduction</jats:title> <jats:p>Complications following mandibular fractures occur in 9–23% of patients. Identifying those at risk is key to prevention. Previous studies highlighted smoking, age and time from injury to presentation as risk factors but rarely recorded other possible confounders. In this paper, we use a collaborative snapshot audit to document novel risk factors and confirm established risks for complications following the treatment of mandibular fractures.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>The audit was carried out by 122 OMFS trainees across the UK and Ireland (49 centres) over 6 months, coordinated by the Maxillofacial Surgery Trainees Research Collaborative. Variables recorded included basic demography, medical and social history, injury mechanism and type, management and 30-day outcome.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Nine hundred and forty-seven (947) patients with fractured mandibles were recorded. Surgical management was carried out in 76.3%. Complications at 30 days occurred 65 (9%) of those who were managed surgically. Risk factors for complications included male sex, increasing age, any medical history, increasing number of cigarettes smoked per week, increasing alcohol use per week, worse oral hygiene and increased time from injury to presentation.</jats:p> </jats:sec><jats:sec> <jats:title>Discussion</jats:title> <jats:p>We have used a large prospective snapshot audit to confirm established risk factors and identify novel risk factors. We demonstrate that time from injury to presentation is confounded by other indicators of poor health behaviour. These results are important in designing trial protocols for management of mandibular fractures and in targeting health interventions to patients at highest risk of complications.</jats:p> </jats:sec>

dc.format.extent609-616
dc.format.mediumPrint-Electronic
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectTrauma
dc.subjectMandible
dc.subjectComplications
dc.subjectRisk factors
dc.subjectInfection
dc.subjectAudit
dc.titleRisk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/35788932
plymouth.issue4
plymouth.volume27
plymouth.publisher-urlhttp://dx.doi.org/10.1007/s10006-022-01096-5
plymouth.publication-statusPublished online
plymouth.journalOral and Maxillofacial Surgery
dc.identifier.doi10.1007/s10006-022-01096-5
plymouth.organisational-group|Plymouth
plymouth.organisational-group|Plymouth|Faculty of Health
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
plymouth.organisational-group|Plymouth|Faculty of Health|Peninsula Dental School
dc.publisher.placeGermany
dcterms.dateAccepted2022-06-19
dc.date.updated2023-04-11T22:35:01Z
dc.rights.embargodate2023-4-13
dc.identifier.eissn1865-1569
dc.rights.embargoperiodforever
rioxxterms.versionofrecord10.1007/s10006-022-01096-5


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