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N Z Med J 2022 Jul 1;135(1557):76-87. Epub 2022 Jul 1.

Professor of Oral Diagnostic and Surgical Sciences, University of Otago Faculty of Dentistry, Dunedin, New Zealand.

Aims: Fractures to the maxillofacial region can have a serious impact on quality of life. The over-representation of males in the occurrence of almost all types and mechanisms of these injuries has tended to divert attention away from maxillofacial fractures in females. This study aimed to describe trends in maxillofacial trauma in a New Zealand tertiary trauma centre over a 12 year period, with a particular focus on gender differences. Read More

J Korean Assoc Oral Maxillofac Surg 2022 Jun;48(3):182-187

Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University, Jeonju, Korea.

Superolateral dislocation of the condyle is a rare mandibular fracture. The treatment goal is to return the dislocated condyle to its original position to recover normal function. This study reports on superolateral dislocation of the condyle with mandibular body fracture. Read More

J Craniofac Surg 2022 Jun 28. Epub 2022 Jun 28.

California University of Science & Medicine SOM, Colton.

Background: There exists a paucity of data on which pediatric facial fractures should be surgically repaired and when. In this study, the authors used a California state-wide database to determine the prevalence of facial fractures in the pediatric population and examine, which fractures are repaired. in addition to the timing of the repair, complications and resource utilization of the healthcare system were analyzed. Read More

J Zoo Wildl Med 2022 Jun;53(2):448-454

University of Veterinary Medicine Budapest, 1078 Budapest, Hungary.

Following a case of mandibular fracture in a giraffe () at the Budapest Zoo, a survey was conducted across European zoological institutions with the support of the European Association of Zoos and Aquariums Giraffe Ex situ Programme (EAZA Giraffe EEP) to help identify the incidence, potential causes, and management of such injuries. Two hundred sixteen zoos keeping giraffes were invited to participate in the survey. Eighty-six responses were received, 14 of which (16. Read More

SAGE Open Med Case Rep 2022 14;10:2050313X221103733. Epub 2022 Jun 14.

Department of Oral and Maxillofacial Surgery, Royal Perth Hospital, Perth, WA, Australia.

Application of load-bearing osteosynthesis plates is the current gold-standard management for complex mandibular fractures. Traditionally, this has required a transcutaneous submandibular approach, carrying with it the risk of damage to the facial nerve and obvious extraoral scarring. The existing literature describes the use of computer-assisted design and manufacturing technology through external vendors to aid transoral mandibular reconstruction. Read More

J Maxillofac Oral Surg 2022 Jun 10;21(2):379-385. Epub 2020 Aug 10.

Goa Dental College and Hospital, Panaji, Goa India.

Aim: To carry out clinical in vivo evaluation of efficiency of the 2-mm lambda plate for open reduction and internal fixation of condylar fractures.

Materials And Methods: This prospective clinical study was conducted on a group of 16 patients who underwent open reduction for subcondylar fractures of the mandible and fixation using a 2-mm 7-holed titanium lambda miniplate.

Results: The average surgical time was found to be 79. Read More

J Maxillofac Oral Surg 2022 Jun 31;21(2):413-419. Epub 2020 Oct 31.

Department of Conservative Dentistry and Endodontics, People's College of Dental Sciences and Research Center, People's University, Bhanpur, Bhopal, Madhya Pradesh 462037 India.

Purpose: Trauma is a major cause for facial fractures commonly encountered by maxillofacial surgeons. Mandible is commonly involved in facial trauma resulting in an isolated fracture or associated with other facial bones due to its prominent location in the facial skeleton. This study was undertaken to investigate the quality of life (QoL) post-operatively in patients diagnosed with undisplaced parasymphysis fracture who underwent open reduction and internal fixation (ORIF) under local anesthesia (LA) using the twin mix (TM) solution. Read More

J Craniomaxillofac Surg 2022 Jun 1;50(6):473-477. Epub 2022 Jun 1.

Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe Cleft and Craniofacial Center, Ankara, Turkey. Electronic address:

The aim of this study was to present a novel ultrasound-guided minimally invasive technique for the treatment of extracapsular condylar fractures and evaluate its long-term outcomes. Seven patients with isolated extracapsular condylar fractures with a noncomminuted proximal segment were included in this study. Ultrasound was used for identification of the position of the bone segments and intraoperative confirmation of appropriate reduction. Read More

Plast Reconstr Surg Glob Open 2022 Jun 6;10(6):e4359. Epub 2022 Jun 6.

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.

Extremely atrophic mandibles are difficult to treat. Most patients choose to live with removable dentures. However, what if the atrophy is so extreme that spontaneous fractures occur? The objective of this report is to offer a single-stage augmentation method, which uses patient-specific crib-shaped implants (PSI) combined with autogenous free bone grafts. Read More

Oral Maxillofac Surg 2022 Jun 9. Epub 2022 Jun 9.

Australian Craniofacial Unit, North Adelaide, 72 King William St, Adelaide, SA, 5006, Australia.

Purpose: Facial trauma in women is complex with physical, psychosocial, and cultural influences impacting clinical presentations. Although multifactorial, assaults and falls are principally reported as the main causes.

Methods: A retrospective review was conducted from January 2012 to January 2017 at the Women and Children's Hospital and Royal Adelaide Hospital, Adelaide. Read More

J Stomatol Oral Maxillofac Surg 2022 Jun 1. Epub 2022 Jun 1.

Chirurgie Maxillo-Faciale, stomatologie et odontologie hospitalière, CHU Besançon, 25000, Besançon, France.

Introduction: The elderly population, which is more active than before, is increasingly suffering from trauma (loss of reflexes and systemic pathologic conditions). Surgical management may be more controversial due to the potential consequences of general anesthesia and the sometimes negligible consequences of functional management. The main objective of this study was to analyze the causes and location of facial fractures in subjects older than 65 years. Read More

Laryngoscope 2022 May 31. Epub 2022 May 31.

Department of Otolaryngology, Head & Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Objectives: Open repair of mandibular fractures are frequently performed surgical procedures. Increasing rates of such fractures are seen in older adults following falls. This study assesses the impact of older age on early complications following mandible fracture repair. Read More

Ann Med Surg (Lond) 2022 May 12;77:103622. Epub 2022 Apr 12.

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, B15 2GW, UK.

Introduction: Approximately 3 million facial injuries occur annually, some of which result in maxillofacial fractures. The aim of our study was to evaluate the aetiology and characteristics of maxillofacial fractures presenting to the Queen Elizabeth Hospital in Birmingham.

Methods: The medical records for 809 patients treated for maxillofacial fractures were retrospectively reviewed between the dates of 01/01/2016 to 30/06/2017. Read More

Craniomaxillofac Trauma Reconstr 2022 Jun 9;15(2):104-110. Epub 2021 May 9.

Division of Plastic Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.

Study Design: Cross-sectional study.

Objective: Childhood participation in boxing and martial arts has increased over the past decade, and these activities are well-known causes of traumatic injury. We hypothesized that the face is frequently injured in the setting of pediatric boxing and martial arts trauma in the United States and that there are identifiable injury patterns. Read More

Craniomaxillofac Trauma Reconstr 2022 Jun 1;15(2):122-127. Epub 2021 Jun 1.

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, LSU Health Sciences Center, Shreveport, LA, USA.

Study Design: Retrospective, observational, cross-sectional study.

Objective: To determine the incidence of skiing-related facial trauma and to identify their patterns in terms of potential risk factors, mechanism of injury, anatomical location, and degree of severity.

Methods: Data was collected using the National Electronic Injury Surveillance System and included snow skiing-related incidents during the years 2009 to 2018. Read More

Br J Oral Maxillofac Surg 2021 Nov 16. Epub 2021 Nov 16.

Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medecine, South Valley University, Egypt. Electronic address:

The aim of this study was to evaluate the efficacy of magnesium plates for the management of fractures of the mandibular angle. Fresh sheep hemimandibles were divided into 7 groups and a biomechanical cantilever bending test was used for the groups: Group 1 included fractured hemimandibles fixed at the angle with a single 1mm magnesium miniplate; Group 2 had fixation with a 1mm double magnesium miniplate; Group 3 used a 2mm thick single magnesium miniplate; Group 4 used double 2mm magnesium plates; Group 5 each had a single 1mm thick titanium plate; Group 6 used 1mm thick double titanium plates; and Group 7 comprised intact hemimandibles. Each group was tested using universal testing machine yield loads; yield displacements and stiffness were compared using one way analysis of variance (ANOVA) Group 1 (1mm single magnesium plate) and Group 2 (1mm double magnesium plates) showed lower stability than other groups, while the 2mm magnesium plate showed stability similar to the corresponding 1mm titanium plate. Read More

Eplasty 2022 5;22:e11. Epub 2022 May 5.

Creighton University School of Medicine, Omaha, NE.

Background: The relationship between craniofacial fracture and vitamin D status has not been studied. Given the important role vitamin D status plays in postfracture prognosis, a deep investigation into this relationship is due. The primary objective of this study was to assess the demographic discrepancies in the vitamin D status of patients with craniofacial fracture. Read More

Eplasty 2022 5;22:e12. Epub 2022 May 5.

Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL.

Background: Osteogenesis imperfecta (OI) is a rare metabolic bone disorder in which collagen production is impaired. Patients have brittle bones that are prone to fracture with minor trauma. Whereas most of the fractures occur in the spine and extremities, fractures of the craniofacial bones are less common. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):587-591

Department of Stomatology, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233004, P. R. China.

Objective: To investigate the effectiveness of disc reduction and anchorage in treatment of diacapitular condylar fracture with disc displacement.

Methods: Between June 2019 and June 2021, 20 patients (27 sides) with diacapitular condylar fractures with disc displacement were treated with disc reduction and anchorage combined with internal fixation. There were 15 males and 5 females with a median age of 40 years (range, 8-65 years). Read More

J Stomatol Oral Maxillofac Surg 2022 May 8. Epub 2022 May 8.

Rouen University Hospital, Department of Oral and Maxillofacial Surgery, F 76000 Rouen, France; Laboratory of Anatomy, Faculty of Medicine-Pharmacy, Rouen-Normandie University, 22 Boulevard Gambetta, 76183, Rouen, France.

The purpose of this study was to evaluate the reliability and reproducibility of a novel approach for base and neck fractures of the mandible. An anatomical study was conducted on 22 given to Science subjects. A rhytidectomy-like approach was performed, followed by a transmasseteric anteroparotid dissection. Read More

Emerg Radiol 2022 May 3. Epub 2022 May 3.

Trauma Imaging Research and Innovation Center, Brigham and Women's Hospital, Boston, MA, USA.

Purpose: To evaluate the imaging findings of facial injuries in patients reporting intimate partner violence (IPV).

Methods: A retrospective review of radiology studies performed for 668 patients reporting IPV to our institution's violence prevention support program identified 96 patients with 152 facial injuries. Demographics, imaging findings, and clinical data obtained from a review of the electronic medical records (EMR) were analyzed to categorize injury patterns. Read More

Dent Traumatol 2022 Apr 28. Epub 2022 Apr 28.

KVGDCH, India.

Background/aims: The frequency and patterns of maxillofacial fractures vary by country, based on demographic, socioeconomic, cultural and environmental factors. Wearing a helmet is an efficient form of head protection for two-wheeler drivers and is now required in the vast majority of countries. The aim of this study was to compare the patterns of maxillofacial trauma in patients who wore helmets and those who did not. Read More

Dent Traumatol 2022 Apr 28. Epub 2022 Apr 28.

Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, Oslo, Norway.

Background/aim: The mandible makes up a substantial part of the lower face, and is susceptible to injury. Even in helmeted cyclists, accidents may lead to fractures of the mandible because conventional helmets provide little protection to the lower part of the face. In addition, some studies indicate that helmets may lead to an increased risk of mandibular fractures. Read More

Int J Pediatr Otorhinolaryngol 2022 Jun 14;157:111133. Epub 2022 Apr 14.

Division of Otolaryngology, University of Utah Health, 50N Medical Drive, SOM 3C120, Salt Lake City, UT, 84132, United States.

Objective: Repair of pediatric mandibular fractures (PMFs) can be challenging due to the lack of permanent dentition for immobilization, and the presence of unerupted teeth and growth plates in the mandible limiting the space for fixation. Interdental splinting (IDS) has been advocated to provide temporary fixation without the need for mandibular plating; however, there is sparse description of the surgical methodology, and data on long term outcomes are even more limited. The aim of this study is to present our technique and outcomes using a novel technique for IDS repair of pediatric mandible fractures. Read More

Emerg Radiol 2022 Apr 15. Epub 2022 Apr 15.

Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, 2 Dudley Street, MOC 180, Providence, RI, 02905, USA.

Background: Mandibular fractures are frequent indications for computed tomography (CT) and orthopantomography (OPG) scans in emergency rooms. Numerous studies found CT to have higher sensitivity and enhanced accuracy compared to OPG in diagnosing mandible fractures. Controversy exists regarding additional need for OPG when evaluating dental trauma. Read More

BMC Oral Health 2022 04 12;22(1):123. Epub 2022 Apr 12.

Administrative Department, Yerevan State Medical University, 2 Koryun Str., 0025, Yerevan, Armenia.

Background: The aim of this study was to perform a retrospective analysis of the prevalence, etiologies, types of maxillofacial injuries (MFIs), sites of maxillofacial fractures (MFFs) and their management in Yerevan, Armenia.

Methods: A retrospective cross-sectional study was conducted. The extracted data included age, sex, date of referral, mode of injury, etiology, radiology records and treatment methods. Read More

J Clin Med 2022 Apr 5;11(7). Epub 2022 Apr 5.

Department of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego Str., 90-549 Lodz, Poland.

Currently, an increasing number of medical centers are treating mandibular head fractures surgically. Dedicated screws for compression osteosynthesis have been developed. However, due to the very limited size of the fractured bones and the considerable technical difficulties accompanying the execution of the fixation, there is little room for correction of the positioning and reinsertion of the screws. Read More

J Maxillofac Oral Surg 2022 Mar 24;21(1):283-289. Epub 2021 Sep 24.

Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana India.

Purpose: The aim of this study is to clinically and radiographically evaluate the stability of parasymphysis fracture managed with lag screws, miniplates and 3D miniplates.

Materials And Method: Ninety- eight patients diagnosed with parasymphysis fracture were treated using lag screws in group 1, two 4-hole miniplates in group 2 and 3D miniplates in group 3. Intraoperative stability and duration of fixation was assessed. Read More

J Maxillofac Oral Surg 2022 Mar 4;21(1):124-128. Epub 2021 Oct 4.

Oral and Maxillofacial Surgery Residency Program, Universidad El Bosque, Bogotá, Colombia.

Purpose: The objective of this article is to report the case of an edentulous patient with a diagnosis of bilateral condylar fracture, who was treated using virtual planning.

Methods: CAD/CAM technology was used for the design and manufacture of a Gunning splint, which was employed for open reduction of the right fracture and closed management of the left side.

Results: The reduction of the right condylar fracture projected in the planning was achieved, as well as the return of the vertical dimension and the restoration of function, after 28 months of observation. Read More

J Craniofac Surg 2022 Mar-Apr 01;33(2):e217-e218

Department of Oral and Maxillofacial Surgery, Capital Medical University School of Stomatology, Beijing, China.

Abstract: In this study, we introduced a small "V" shaped incision around the ear lobe modified from fact-lift approach to treat the mandibular condylar neck and subcondylar fractures to further minimize and hide the postsurgical scars. A total of 15 cases with mandibular condylar fractures from low levels of condylar neck to high levels of subcondylar region were treated by this approach. An incision was designed from the posterior rim of the tragus down to the anterior skin wrinkle to the ear lobe, surrounding it, continually up and backward for a little distance, forming a "V"-like shape. Read More