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Article

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

1
Department of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan
2
Department of Social and Environmental Medicine, Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan
3
Department of Acute Medicine and Critical Care Center, Osaka National Hospital, National Hospital Organization, Osaka 540-0006, Japan
4
Division of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka 558-8558, Japan
5
Department of Food Science, Faculty of Home Economics, Otsuma Women’s University, Tokyo 102-8357, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Dagmar L. Keller
J. Clin. Med. 2022, 11(16), 4852; https://doi.org/10.3390/jcm11164852
Received: 16 July 2022 / Revised: 8 August 2022 / Accepted: 16 August 2022 / Published: 18 August 2022
(This article belongs to the Special Issue Multiple Trauma: Clinical Updates and Perspectives)
Background: Large-scale data on cranial nerve injuries are scarce. Methods: 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. Results: 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 (n = 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. Conclusions: 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. View Full-Text
Keywords: cranial nerve; head trauma; facial trauma; injury; incidence; complication; brain injury; epidemiology; registry cranial nerve; head trauma; facial trauma; injury; incidence; complication; brain injury; epidemiology; registry
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MDPI and ACS Style

Hirose, T.; Kitamura, T.; Katayama, Y.; Tanaka, K.; Tachino, J.; Nakao, S.; Ishida, K.; Ojima, M.; Kiguchi, T.; Umemura, Y.; Kiyohara, K.; Oda, J. Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan. J. Clin. Med. 2022, 11, 4852. https://doi.org/10.3390/jcm11164852

AMA Style

Hirose T, Kitamura T, Katayama Y, Tanaka K, Tachino J, Nakao S, Ishida K, Ojima M, Kiguchi T, Umemura Y, Kiyohara K, Oda J. Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan. Journal of Clinical Medicine. 2022; 11(16):4852. https://doi.org/10.3390/jcm11164852

Chicago/Turabian Style

Hirose, Tomoya, Tetsuhisa Kitamura, Yusuke Katayama, Kenta Tanaka, Jotaro Tachino, Shunichiro Nakao, Kenichiro Ishida, Masahiro Ojima, Takeyuki Kiguchi, Yutaka Umemura, Kosuke Kiyohara, and Jun Oda. 2022. "Incidence and Characteristics of Cranial Nerve Injuries: A Nationwide Observational Study in Japan" Journal of Clinical Medicine 11, no. 16: 4852. https://doi.org/10.3390/jcm11164852

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