Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan

<b>Background:</b> Large-scale data on cranial nerve injuries are scarce. <b>Methods</b>: This study enrolled 361,706 patients registered in the Japanese Trauma Data Bank from 2004 to 2018. We selected patients with cranial nerve injury using the corresponding Abbreviated Inj...

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Main Authors: Tomoya Hirose, Tetsuhisa Kitamura, Yusuke Katayama, Kenta Tanaka, Jotaro Tachino, Shunichiro Nakao, Kenichiro Ishida, Masahiro Ojima, Takeyuki Kiguchi, Yutaka Umemura, Kosuke Kiyohara, Jun Oda
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/16/4852
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author Tomoya Hirose
Tetsuhisa Kitamura
Yusuke Katayama
Kenta Tanaka
Jotaro Tachino
Shunichiro Nakao
Kenichiro Ishida
Masahiro Ojima
Takeyuki Kiguchi
Yutaka Umemura
Kosuke Kiyohara
Jun Oda
author_facet Tomoya Hirose
Tetsuhisa Kitamura
Yusuke Katayama
Kenta Tanaka
Jotaro Tachino
Shunichiro Nakao
Kenichiro Ishida
Masahiro Ojima
Takeyuki Kiguchi
Yutaka Umemura
Kosuke Kiyohara
Jun Oda
author_sort Tomoya Hirose
collection DOAJ
description <b>Background:</b> Large-scale data on cranial nerve injuries are scarce. <b>Methods</b>: This study enrolled 361,706 patients registered in the Japanese Trauma Data Bank from 2004 to 2018. We selected patients with cranial nerve injury using the corresponding Abbreviated Injury Scale codes and examined the incidence and characteristics. <b>Results:</b> In total, 347,101 patients were eligible for inclusion in our analysis. By mechanism of trauma, all cranial nerve injuries occurred in <1% of registered cases. The highest incidence was 0.2190% (55/25,117) for facial nerve injury in bicycle crash. By cause of trauma, all cranial nerve injuries occurred in <1% of registered cases. The highest incidence was 0.1943% (37/19,044) for facial nerve injury in occupational injury. No patients with spinal accessory nerve injury were observed. The most common cranial nerve injury was to the facial nerve (<i>n</i> = 278). Most cranial nerve injury patients are in the 30s to 50s age range, and there was a male predominance. Multiple cranial nerve injuries were observed in 81 patients. Many cranial nerve injury cases are complicated by skull base fractures. <b>Conclusions:</b> We revealed the incidence and characteristics of cranial nerve injury. Our findings may help physicians detect these injuries at an early stage in patients at risk.
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spelling doaj.art-89bcf12b3dd440aba6f6519d9f151b842023-11-30T21:41:40ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011116485210.3390/jcm11164852Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in JapanTomoya Hirose0Tetsuhisa Kitamura1Yusuke Katayama2Kenta Tanaka3Jotaro Tachino4Shunichiro Nakao5Kenichiro Ishida6Masahiro Ojima7Takeyuki Kiguchi8Yutaka Umemura9Kosuke Kiyohara10Jun Oda11Department of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Social and Environmental Medicine, Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Social and Environmental Medicine, Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, JapanDepartment of Acute Medicine and Critical Care Center, Osaka National Hospital, National Hospital Organization, Osaka 540-0006, JapanDepartment of Acute Medicine and Critical Care Center, Osaka National Hospital, National Hospital Organization, Osaka 540-0006, JapanDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, JapanDivision of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, JapanDepartment of Food Science, Faculty of Home Economics, Otsuma Women’s University, Tokyo 102-8357, JapanDepartment of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan<b>Background:</b> Large-scale data on cranial nerve injuries are scarce. <b>Methods</b>: This study enrolled 361,706 patients registered in the Japanese Trauma Data Bank from 2004 to 2018. We selected patients with cranial nerve injury using the corresponding Abbreviated Injury Scale codes and examined the incidence and characteristics. <b>Results:</b> In total, 347,101 patients were eligible for inclusion in our analysis. By mechanism of trauma, all cranial nerve injuries occurred in <1% of registered cases. The highest incidence was 0.2190% (55/25,117) for facial nerve injury in bicycle crash. By cause of trauma, all cranial nerve injuries occurred in <1% of registered cases. The highest incidence was 0.1943% (37/19,044) for facial nerve injury in occupational injury. No patients with spinal accessory nerve injury were observed. The most common cranial nerve injury was to the facial nerve (<i>n</i> = 278). Most cranial nerve injury patients are in the 30s to 50s age range, and there was a male predominance. Multiple cranial nerve injuries were observed in 81 patients. Many cranial nerve injury cases are complicated by skull base fractures. <b>Conclusions:</b> We revealed the incidence and characteristics of cranial nerve injury. Our findings may help physicians detect these injuries at an early stage in patients at risk.https://www.mdpi.com/2077-0383/11/16/4852cranial nervehead traumafacial traumainjuryincidencecomplication
spellingShingle Tomoya Hirose
Tetsuhisa Kitamura
Yusuke Katayama
Kenta Tanaka
Jotaro Tachino
Shunichiro Nakao
Kenichiro Ishida
Masahiro Ojima
Takeyuki Kiguchi
Yutaka Umemura
Kosuke Kiyohara
Jun Oda
Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
Journal of Clinical Medicine
cranial nerve
head trauma
facial trauma
injury
incidence
complication
title Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
title_full Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
title_fullStr Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
title_full_unstemmed Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
title_short Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan
title_sort incidence and characteristics of cranial nerve injuries a nationwide observational study in japan
topic cranial nerve
head trauma
facial trauma
injury
incidence
complication
url https://www.mdpi.com/2077-0383/11/16/4852
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