Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)

S Kent; A Adatia; P James; K Bains; A Henry; C Blore; B Dawoud; D Kumar; C Jefferies; P Kyzas; D Sonigra; E Botha; S Ooi; M Bosov; E Fish; Y Lin; B Aslam-Pervez; R Fletcher; F Wright; H Khan; T Collins; R Loke; L Niraj; G Dhanjal; A Ghosh; V Kaneria; C McIntosh; M Moksud; Higgins C O; A Taha; A Thompson; G Tow; J Wege; F Sidat; M Sthankiya; D Hughes; S Ng; H Patel; D Smyth; C Craddock; J Douglas; C Gordon; S Iyer; C Jefferies; P Sexton; R Taylor; E Walshaw; C Man; J Sankey; H Wilcock; A Nijamudeen; O Tabbenor; A Davies; T Henderson; N Pigadas; R Rupchandani; D Zakai; Y Coll; B Dunphy; E Gruber; Y Ko; R Kulkarni; R Paul; K Jetty; R Exley; R Pancholi; N Horisk; A Korobczuk; C Chandran; A Dalal; R Shivam; N Allison; G Stonier; F Dylgjeri; J Rooney; T Svoboda; A Ahmed; S Farooq; N Turton; S Clyde; M Ritchie; S Brandsma; H Nazir; Y Mousa; S Choudhury; K Crawley; E Offen; A Iqbal; G Baniulyte; A Pamma; O Yaqoob; D Britton; C Sanapala; I Hashem; S Icel; A Goodall; M Uddin; M Uddin; A Aziz; null Do

doi:10.1007/s10006-022-01096-5

Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)

S Kent, A Adatia, P James, K Bains, A Henry, C Blore, B Dawoud, D Kumar, C Jefferies, P Kyzas, D Sonigra, E Botha, S Ooi, M Bosov, E Fish, Y Lin, B Aslam-Pervez, R Fletcher, F Wright, H KhanT Collins, R Loke, L Niraj, G Dhanjal, A Ghosh, V Kaneria, C McIntosh, M Moksud, Higgins C O, A Taha, A Thompson, G Tow, J Wege, F Sidat, M Sthankiya, D Hughes, S Ng, H Patel, D Smyth, C Craddock, J Douglas, C Gordon, S Iyer, C Jefferies, P Sexton, R Taylor, E Walshaw, C Man, J Sankey, H Wilcock, A Nijamudeen, O Tabbenor, A Davies, T Henderson, N Pigadas, R Rupchandani, D Zakai, Y Coll, B Dunphy, E Gruber, Y Ko, R Kulkarni, R Paul, K Jetty, R Exley, R Pancholi, N Horisk, A Korobczuk, C Chandran, A Dalal, R Shivam, N Allison, G Stonier, F Dylgjeri, J Rooney, T Svoboda, A Ahmed, S Farooq, N Turton, S Clyde, M Ritchie, S Brandsma, H Nazir, Y Mousa, S Choudhury, K Crawley, E Offen, A Iqbal, G Baniulyte, A Pamma, O Yaqoob, D Britton, C Sanapala, I Hashem, S Icel, A Goodall, M Uddin, M Uddin, A Aziz, Do

Peninsula Dental School

Research output: Contribution to journal › Article › peer-review

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Abstract

Introduction

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.

Methods

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.

Results

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.

Discussion

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.

Original language	English
Number of pages	0
Journal	Oral and Maxillofacial Surgery
Volume	0
Issue number	0
Early online date	5 Jul 2022
DOIs	https://doi.org/10.1007/s10006-022-01096-5
Publication status	Published - 5 Jul 2022

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10.1007/s10006-022-01096-5

S10006-022-01096-5

Cite this

Kent, S., Adatia, A., James, P., Bains, K., Henry, A., Blore, C., Dawoud, B., Kumar, D., Jefferies, C., Kyzas, P., Sonigra, D., Botha, E., Ooi, S., Bosov, M., Fish, E., Lin, Y., Aslam-Pervez, B., Fletcher, R., Wright, F., ... Do (2022). Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC). Oral and Maxillofacial Surgery, 0(0). https://doi.org/10.1007/s10006-022-01096-5

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title = "Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)",

abstract = "IntroductionComplications 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.MethodsThe 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.ResultsNine 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.DiscussionWe 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.",

author = "S Kent and A Adatia and P James and K Bains and A Henry and C Blore and B Dawoud and D Kumar and C Jefferies and P Kyzas and D Sonigra and E Botha and S Ooi and M Bosov and E Fish and Y Lin and B Aslam-Pervez and R Fletcher and F Wright and H Khan and T Collins and R Loke and L Niraj and G Dhanjal and A Ghosh and V Kaneria and C McIntosh and M Moksud and O, {Higgins C} and A Taha and A Thompson and G Tow and J Wege and F Sidat and M Sthankiya and D Hughes and S Ng and H Patel and D Smyth and C Craddock and J Douglas and C Gordon and S Iyer and C Jefferies and P Sexton and R Taylor and E Walshaw and C Man and J Sankey and H Wilcock and A Nijamudeen and O Tabbenor and A Davies and T Henderson and N Pigadas and R Rupchandani and D Zakai and Y Coll and B Dunphy and E Gruber and Y Ko and R Kulkarni and R Paul and K Jetty and R Exley and R Pancholi and N Horisk and A Korobczuk and C Chandran and A Dalal and R Shivam and N Allison and G Stonier and F Dylgjeri and J Rooney and T Svoboda and A Ahmed and S Farooq and N Turton and S Clyde and M Ritchie and S Brandsma and H Nazir and Y Mousa and S Choudhury and K Crawley and E Offen and A Iqbal and G Baniulyte and A Pamma and O Yaqoob and D Britton and C Sanapala and I Hashem and S Icel and A Goodall and M Uddin and M Uddin and A Aziz and Do",

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doi = "10.1007/s10006-022-01096-5",

language = "English",

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journal = "Oral and Maxillofacial Surgery",

issn = "1865-1550",

publisher = "Springer Verlag",

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Kent, S, Adatia, A, James, P, Bains, K, Henry, A, Blore, C, Dawoud, B, Kumar, D, Jefferies, C, Kyzas, P, Sonigra, D, Botha, E, Ooi, S, Bosov, M, Fish, E, Lin, Y, Aslam-Pervez, B, Fletcher, R, Wright, F, Khan, H, Collins, T, Loke, R, Niraj, L, Dhanjal, G, Ghosh, A, Kaneria, V, McIntosh, C, Moksud, M, O, HC, Taha, A, Thompson, A, Tow, G, Wege, J, Sidat, F, Sthankiya, M, Hughes, D, Ng, S, Patel, H, Smyth, D, Craddock, C, Douglas, J, Gordon, C, Iyer, S, Jefferies, C, Sexton, P, Taylor, R, Walshaw, E, Man, C, Sankey, J, Wilcock, H, Nijamudeen, A, Tabbenor, O, Davies, A, Henderson, T, Pigadas, N, Rupchandani, R, Zakai, D, Coll, Y, Dunphy, B, Gruber, E, Ko, Y, Kulkarni, R, Paul, R, Jetty, K, Exley, R, Pancholi, R, Horisk, N, Korobczuk, A, Chandran, C, Dalal, A, Shivam, R, Allison, N, Stonier, G, Dylgjeri, F, Rooney, J, Svoboda, T, Ahmed, A, Farooq, S, Turton, N, Clyde, S, Ritchie, M, Brandsma, S, Nazir, H, Mousa, Y, Choudhury, S, Crawley, K, Offen, E, Iqbal, A, Baniulyte, G, Pamma, A, Yaqoob, O, Britton, D, Sanapala, C, Hashem, I, Icel, S, Goodall, A, Uddin, M, Uddin, M, Aziz, A & Do 2022, 'Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)', Oral and Maxillofacial Surgery, vol. 0, no. 0. https://doi.org/10.1007/s10006-022-01096-5

TY - JOUR

T1 - Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)

AU - Kent, S

AU - Adatia, A

AU - James, P

AU - Bains, K

AU - Henry, A

AU - Blore, C

AU - Dawoud, B

AU - Kumar, D

AU - Jefferies, C

AU - Kyzas, P

AU - Sonigra, D

AU - Botha, E

AU - Ooi, S

AU - Bosov, M

AU - Fish, E

AU - Lin, Y

AU - Aslam-Pervez, B

AU - Fletcher, R

AU - Wright, F

AU - Khan, H

AU - Collins, T

AU - Loke, R

AU - Niraj, L

AU - Dhanjal, G

AU - Ghosh, A

AU - Kaneria, V

AU - McIntosh, C

AU - Moksud, M

AU - O, Higgins C

AU - Taha, A

AU - Thompson, A

AU - Tow, G

AU - Wege, J

AU - Sidat, F

AU - Sthankiya, M

AU - Hughes, D

AU - Ng, S

AU - Patel, H

AU - Smyth, D

AU - Craddock, C

AU - Douglas, J

AU - Gordon, C

AU - Iyer, S

AU - Jefferies, C

AU - Sexton, P

AU - Taylor, R

AU - Walshaw, E

AU - Man, C

AU - Sankey, J

AU - Wilcock, H

AU - Nijamudeen, A

AU - Tabbenor, O

AU - Davies, A

AU - Henderson, T

AU - Pigadas, N

AU - Rupchandani, R

AU - Zakai, D

AU - Coll, Y

AU - Dunphy, B

AU - Gruber, E

AU - Ko, Y

AU - Kulkarni, R

AU - Paul, R

AU - Jetty, K

AU - Exley, R

AU - Pancholi, R

AU - Horisk, N

AU - Korobczuk, A

AU - Chandran, C

AU - Dalal, A

AU - Shivam, R

AU - Allison, N

AU - Stonier, G

AU - Dylgjeri, F

AU - Rooney, J

AU - Svoboda, T

AU - Ahmed, A

AU - Farooq, S

AU - Turton, N

AU - Clyde, S

AU - Ritchie, M

AU - Brandsma, S

AU - Nazir, H

AU - Mousa, Y

AU - Choudhury, S

AU - Crawley, K

AU - Offen, E

AU - Iqbal, A

AU - Baniulyte, G

AU - Pamma, A

AU - Yaqoob, O

AU - Britton, D

AU - Sanapala, C

AU - Hashem, I

AU - Icel, S

AU - Goodall, A

AU - Uddin, M

AU - Aziz, A

AU - Do, null

PY - 2022/7/5

Y1 - 2022/7/5

N2 - IntroductionComplications 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.MethodsThe 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.ResultsNine 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.DiscussionWe 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.

AB - IntroductionComplications 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.MethodsThe 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.ResultsNine 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.DiscussionWe 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.

U2 - 10.1007/s10006-022-01096-5

DO - 10.1007/s10006-022-01096-5

M3 - Article

SN - 1865-1550

VL - 0

JO - Oral and Maxillofacial Surgery

JF - Oral and Maxillofacial Surgery

IS - 0

ER -

Risk factors associated with short-term complications in mandibular fractures: the MANTRA study—a Maxillofacial Trainee Research Collaborative (MTReC)

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