Craniomaxillofacial Trauma & Reconstruction最新文献

{"title":"A Retrospective Cohort Outcome Study Comparing Gingival Margin and Buccal Sulcus Incisions for Mandibular Fracture Access.","authors":"Nivetha Saravanan, Millie Windram, Rory O'Connor","doi":"10.3390/cmtr19030038","DOIUrl":"10.3390/cmtr19030038","url":null,"abstract":"<p><p>(1) Background: The main intraoral incisions used in the operative management of mandibular fractures are gingival margin incisions and buccal sulcus incisions. The aim of this retrospective cohort study was to compare postoperative outcomes between incision types and guide future operative protocols. (2) Methods: Data was collected from Queen's Medical Centre in Nottingham, a level I major trauma centre. BlueSpier was used to identify mandibular fracture patients operated on between January 2023 and January 2025. Digital health records were used to obtain patient demographics and postoperative outcomes. Primary outcome measures were postoperative infection and wound dehiscence. Secondary outcome measures were return to theatre and new numbness or paraesthesia. (3) Results: In this cohort, 138 patients underwent operative management for a mandibular fracture through an intraoral incision; 60 patients had a gingival margin incision and 78 patients had a buccal sulcus incision. No statistically significant difference was found between the gingival margin and buccal sulcus incision groups for the primary and secondary outcome measures. (4) Conclusions: Incision choice is dependent on mandibular fracture location and surgeon preference. Both incisions were used by most of the operating surgeons. This study was not designed as an equivalence or non-inferiority study. Further larger-scale studies are needed to identify superior outcomes of one approach.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13604970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual Factors Associated with Health-Related Quality of Life in Facial Cutaneous Squamous Cell Carcinoma-A Pilot Study.","authors":"Oliver Wagendorf, Forogh Miethe, Jonas Wüster, Meikel Vesper, Steffen Koerdt, Carsten Rendenbach, Max Heiland, Susanne Nahles, Norbert Neckel","doi":"10.3390/cmtr19030037","DOIUrl":"10.3390/cmtr19030037","url":null,"abstract":"<p><strong>Purpose: </strong>Facial expressions and aesthetics are vital for communication, self-expression, and social interaction. Therefore, this study aimed to evaluate the impact of localization and size of facial cutaneous squamous cell carcinoma (cSCC) on changes in perceived pre- and postoperative health-related quality of life (HR-QoL).</p><p><strong>Methods: </strong>This retrospective study included patients who had undergone surgery for facial cSCC. Size, localization and stage were assessed. Pre- and postoperative HR-QoL were evaluated using the Skindex-29. Statistical analyses, including descriptive statistics, the X2 Test, Wilcoxon Test, and repeated-measures ANOVA, were performed to analyze demographic data, tumor characteristics, and changes in HR-QoL.</p><p><strong>Results: </strong>Forty patients (mean age of 78.5 years) were included. Postoperatively, significant improvements were observed in the overall, emotional, and symptomatic HR-QoL. Tumor dimensions had an impact on presurgical emotional distress. For tumor sizes from 6 to 15 mm, significant release in symptom burden and improvement in general HR-QoL were observed. While women experienced notable improvement only in emotional distress, men also exhibited improvement in symptoms, and overall HR-QoL. All age groups showed improvements in emotional distress, symptoms and overall HR-QoL. No significant differences were found in terms of age or localization.</p><p><strong>Conclusions: </strong>This study suggests that sex, tumor localization, and tumor size may interact in influencing postoperative HR-QoL outcomes in patients with cSCC. While surgical treatment by experienced specialists was associated with an overall improvement in HR-QoL following successful tumor eradication, these findings should be interpreted with caution given the limited sample size. The results indicate that surgery remains an important first-line treatment option, particularly for medium-sized tumors. In this cohort, TNM classification was not associated with postoperative HR-QoL changes; however, interpretation is limited by the predominance of early-stage tumors. Further studies with larger patient populations are required to confirm these observations and to better elucidate the relationship between clinical staging and HR-QoL outcomes.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial for the Special Issue \"Innovation in Oral- and Cranio-Maxillofacial Reconstruction\".","authors":"Susana Heredero-Jung, Richard Yuxiong Su, Satyesh Parmar","doi":"10.3390/cmtr19030036","DOIUrl":"10.3390/cmtr19030036","url":null,"abstract":"<p><p>We are delighted to present this Special Issue on Innovations in Oral and Cranio-Maxillofacial Reconstruction, which collects a broad range of contemporary research and emerging technologies shaping the future of reconstructive surgery and improving patient care [...].</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol-Only and Drug/Medication-Only Product-Associated Facial Injury Encounters Across COVID-19 Periods: A Public CPSC NEISS Study, 2019-2023.","authors":"David M Kachar, Christopher T George, Andrea Ziegler, Eric Thorpe","doi":"10.3390/cmtr19030035","DOIUrl":"10.3390/cmtr19030035","url":null,"abstract":"<p><p>Previous analyses of substance-involved craniofacial trauma have often combined alcohol and drug/medication involvement. We conducted a cross-sectional analysis comparing alcohol-only and drug/medication-only facial injury encounters in the public Consumer Product Safety Commission National Electronic Injury Surveillance System (NEISS), 2019-2023. Primary facial injuries (Body_Part = 76) were classified using the released Alcohol_Involved and Drug_Involved fields. Survey-weighted estimates and Taylor-linearized 95% confidence intervals incorporated the released PSU, stratum, and weight variables; design-based logistic regression evaluated code-4 hospitalization. Among 146,857 observed facial injury encounters, 4117 were alcohol-only and 2302 were drug/medication-only. Weighted annual alcohol-only proportions were stable (trend odds ratio [OR] per year, 0.99; 95% CI, 0.96-1.03; <i>p</i> = 0.716), whereas drug/medication-only proportions increased (OR, 1.15; 95% CI, 1.04-1.27; <i>p</i> = 0.009). Compared with alcohol-only encounters, drug/medication-only encounters involved older patients (weighted mean age, 63.1 vs. 47.6 years) and a lower weighted male proportion (55.6% vs. 67.5%). Weighted code-4 hospitalization was 23.1% versus 11.8%; the adjusted OR was 1.91 (95% CI, 1.45-2.53; <i>p</i> < 0.001). Adult-only and alternative-period sensitivity analyses supported the main conclusions. Separate classification of alcohol and drug/medication involvement revealed distinct demographic, temporal, and disposition patterns among NEISS-captured product-associated ED encounters.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Lockdown to Knockdown: The Return of Violence and Sport in Post-COVID Nasal Fractures.","authors":"Anna Aydin, Lawik Revend, Doha Revend, Thomas Beikler, Oliver Schuck, Manfred Giese, Florian Dudde","doi":"10.3390/cmtr19030034","DOIUrl":"10.3390/cmtr19030034","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic altered nasal fracture epidemiology, with fewer outdoor injuries and more domestic accidents. This study compared intra-pandemic and post-pandemic nasal fracture patterns and their prevention implications.</p><p><strong>Materials and methods: </strong>This retrospective study included patients treated for nasal fractures during February 2020-January 2021 (intra-pandemic) and February 2023-January 2024 (post-pandemic). The post-pandemic cohort was identified using the same eligibility criteria, variable definitions, coding framework, and electronic-record retrieval procedure as the previously published intra-pandemic cohort. The predefined objective was a direct comparison of these two matched periods; no pre-pandemic control group was included.</p><p><strong>Results: </strong>A total of 290 patients were analyzed (184 post-pandemic and 106 intra-pandemic). In exploratory unadjusted comparisons, sports accidents occurred in 29/184 (15.8%) post-pandemic versus 7/106 (6.6%) intra-pandemic cases (<i>p</i> = 0.023), road traffic incidents in 31/184 (16.8%) versus 7/106 (6.6%) (<i>p</i> = 0.041), interpersonal violence in 60/184 (32.6%) versus 20/106 (18.9%) (<i>p</i> = 0.009), and alcohol-related events in 37/184 (20.1%) versus 7/106 (6.6%) (<i>p</i> = 0.009). Falls, virus- or flu-associated syncope, and accidents at home were more frequent intra-pandemic. Because multiple comparisons were performed, findings with <i>p</i>-values near 0.05 should be regarded as nominal and hypothesis-generating. The unadjusted mean hospital stay was shorter post-pandemic; however, the study period was not independently associated with length of stay after adjustment. The post-pandemic period showed a borderline, non-significant association with violence-related fractures (odds ratio 1.76, 95% confidence interval 0.99-3.12; <i>p</i> = 0.051).</p><p><strong>Conclusion: </strong>The observed changes are compatible with a return of social, recreational, and traffic-related trauma patterns, although the absence of a pre-pandemic control group and the exploratory nature of subgroup analyses limit causal interpretation. Differences in hospital stay appear to be more closely related to patient-level characteristics than to the study period itself.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13511575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Computer-Assisted Surgery to Extended Reality: Research Trends, Global Collaboration, and Future Directions in Craniomaxillofacial Surgery.","authors":"Neha Sharma, Sylvia Kempter, Jokin Zubizarreta Oteiza, Florian M Thieringer","doi":"10.3390/cmtr19030033","DOIUrl":"10.3390/cmtr19030033","url":null,"abstract":"<p><p><b>Background</b>: Extended reality (XR) technologies, including augmented reality (AR), mixed reality (MR), and virtual reality (VR), are increasingly used in craniomaxillofacial (CMF) surgery; yet, no study has systematically mapped the global development of this research. This study provides the first comprehensive evidence mapping of XR and related computational technologies in CMF surgery, identifying research trends, collaborative networks, and future directions. <b>Methods</b>: A systematic search of the Web of Science (WoS) Core Collection (data extracted April 2025) combined XR terms (AR, MR, VR, image-guided surgery, and computer-assisted surgery) with CMF surgery terminology. After applying the inclusion criteria, 778 English-language articles published between 1988 and 2024 were analyzed using performance analysis and science mapping tools, including HistCite and VOSviewer. <b>Results</b>: Publication output grew exponentially, accelerating markedly after 2010. The <i>Journal of Cranio-Maxillofacial Surgery</i> led in both volume and internal citation impact. The USA, Germany, and China accounted for most of the output, with Germany showing a disproportionately high internal citation impact relative to its publication volume. Three developmental phases were identified: foundational computer-assisted surgery (1990s-2000s), technological development and validation (2000s-2010s), and clinical application optimization centered on AR and VR (2010s-present). Co-authorship networks revealed strong regional clusters with limited cross-cluster connectivity. No publications were identified from African countries other than Egypt. <b>Conclusions</b>: XR research in CMF surgery has grown substantially over 36 years, with a clear shift toward AR and VR applications. Geographic concentration limited international collaboration, and a focus on technical rather than patient-centered outcomes remains a key challenge. Future work should prioritize global participation, comparative clinical evidence, and patient-reported outcomes to support wider surgical adoption.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Craniomaxillofacial Trauma in Chile: A Systematic Review and 24-Year Nationwide Interrupted Time-Series Analysis.","authors":"Gustavo Sáenz-Ravello, Paula Carrasco García, Laura Sáenz-Ravello, Elda L Fisher","doi":"10.3390/cmtr19030032","DOIUrl":"10.3390/cmtr19030032","url":null,"abstract":"<p><p>Craniomaxillofacial trauma (CMFt) poses a significant burden, yet in many countries the evidence base is fragmented across single-center hospital series without specialized registry. Using Chile as a case study, we demonstrate a dual-synthesis approach to construct a national CMFt profile. Six databases were searched through February 2026 (PROSPERO: CRD420261290860). Two reviewers independently screened studies. Risk of bias was assessed with the JBI critical appraisal tool. Fracture-site proportions were pooled via random-effects meta-analysis and synthesized using GRADE. DEIS trauma discharges (2001-2024) were analyzed with negative binomial interrupted time-series. Nineteen studies were included. CMFt represented 2.6-6.1% of emergency consultations. CMFt admissions were 54.2/1000 trauma discharges; this rate dropped during 2020-2021 and rebounded post-2022. Pooled fracture-site distributions were highest for mandibular (45.3%) and zygomatic (24.2%) fractures. CMFt disproportionately affected males across both hospital series and national discharge data. According to DEIS, low-energy accidental injuries were the predominant etiology, followed by transport-related high-energy injuries and interpersonal violence, contrasting with hospital series where interpersonal violence predominated among adult surgical cohorts. Fracture admissions had longer length of stay (LOS) than soft-tissue CMFt (+0.94 days), with mean LOS ranging from 2.08 (nasal) to 8.35 days (multiple skull/facial fractures). These findings support prioritizing surgical preparedness and training in common fracture patterns, while strengthening trauma surveillance, referral pathways, and service planning in health systems without dedicated CMFt registries.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Traumatic Brain Injury on Bone Healing Rate in Mandibular Fractures: A Prospective Comparative Study Using Ultrasonographic Assessment.","authors":"Kannan Balaraman, Vimal Kumar Kummari, S Raja Sabapathy","doi":"10.3390/cmtr19030031","DOIUrl":"10.3390/cmtr19030031","url":null,"abstract":"<p><strong>Background: </strong>Accelerated bone healing in patients with traumatic brain injury (TBI) is well documented in long bone fractures but remains poorly studied in mandibular fractures. This study compared mandibular fracture healing rates in patients with and without TBI using high-frequency ultrasonography.</p><p><strong>Methods: </strong>A prospective comparative study was conducted from June 2020 to November 2021 at a single tertiary care center. All patients with mandibular fractures were enrolled in the study. They were divided into two groups as Group 1-with TBI-and Group 2-without TBI. All patients underwent either open reduction and internal fixation or intermaxillary fixation. Fracture healing was assessed weekly for four weeks using high-frequency ultrasonography (6-15 MHz) to evaluate callus formation patterns.</p><p><strong>Results: </strong>A total of 77 patients were enrolled in the study, of which 22 were in Group 1 and 55 in Group 2. Groups were comparable for age (33.23 ± 13.48 vs. 35.80 ± 13.65 years, <i>p</i> = 0.391) and gender distribution (<i>p</i> = 0.977). Mean time to initial callus formation was significantly shorter in Group 1 (15.45 ± 1.96 days) compared to Group 2 (19.98 ± 3.04 days, <i>p</i> < 0.001). By the second week, soft callus was evident in 27.3% of TBI patients versus 9.1% without TBI (<i>p</i> = 0.007). By the fourth week, 72.7% of Group 1 showed hard callus formation compared to 27.3% in Group 2 (<i>p</i> < 0.001). Glasgow Coma Scale scores showed significant inverse correlation with callus formation timing (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Mandibular fractures demonstrate accelerated healing in patients with TBI, with callus formation occurring approximately 4.5 days earlier. Ultrasonography provides an effective, radiation-free method for serial fracture assessment. These findings may inform surgical timing and follow-up protocols in polytrauma patients.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes in Frontal Sinus Fracture Repair: A Comparative Analysis Between Plastic Surgery and Otolaryngology (ENT).","authors":"Lasya P Marla, Caroline E Baker, Macy E Mitchell, Samuel Girian, John A Girotto, Anna R Carlson","doi":"10.3390/cmtr19030030","DOIUrl":"10.3390/cmtr19030030","url":null,"abstract":"<p><p>This study conducts a comparative analysis of surgical outcomes in patients who underwent FSF repair by a plastic surgeon versus an ENT using a national database. A retrospective analysis was conducted on patients who underwent surgical treatment of FSFs by a plastic or ENT surgeon using the de-identified American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Patients were identified based on surgical CPT codes. Data extracted included primary surgeon specialty and patient demographics, comorbidities, and surgical outcomes. Statistical analysis was performed using Fisher's Exact test and the Wilcoxon Rank-Sum test, with a <i>p</i>-value < 0.05 representing statistical significance. A total of 111 patients were analyzed, of which 85.6% were male. The mean age was 30.0 years [22.0, 48.0]. There were 70 patients (63.1%) treated by an ENT and 41 (36.9%) by a plastic surgeon. The median operative time was 131.0 min for ENT and 115.0 min for plastic surgery (<i>p</i> = 0.19). The median length of postoperative stay was 1.0 day for both groups. Postoperative complications included surgical site infection (SSI), wound disruption, and sepsis in five patients (4.5%). There was no statistically significant difference in the rate of complications between patients who underwent surgery with an ENT surgeon versus a plastic surgeon (<i>p</i> = 0.16). There were no statistically significant differences in operative time, length of stay, or complications between patients who underwent FSF repair by an ENT or by a plastic surgeon. Surgeon specialty training does not appear to influence intraoperative or postoperative outcomes. Studies with larger sample sizes may demonstrate statistically significant differences in outcomes.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Study on Injury Patterns and Clinical Characteristics of Sports-Related Oral and Maxillofacial Trauma: A Single-Center Retrospective Study.","authors":"Kentaro Ayasaka, Yuhei Matsuda, Hiroto Tatsumi, Masako Fujioka-Kobayashi, Shota Norioka, Reon Morioka, Michitaka Somoto, Rie Sonoyama-Osako, Takahiro Kanno","doi":"10.3390/cmtr19020029","DOIUrl":"10.3390/cmtr19020029","url":null,"abstract":"<p><p>Sports-related oral and maxillofacial trauma exhibits distinct injury mechanisms depending on the type of sport; however, comprehensive analyses integrating these characteristics remain limited. This study aimed to elucidate the clinical features of sports-related oral and maxillofacial trauma. This single-center retrospective study included 1615 patients (mean age 41.04 years; 64.8% male) treated between 2012 and 2025 in Shimane University Hospital, Department of Oral and Maxillofacial Surgery/Maxillofacial Trauma Center, Shimane, Japan. Among them, 239 (14.8%) had sports-related injuries and were significantly younger and more frequently male (<i>p</i> < 0.001). Multivariable analysis showed that nasal bone (odds ratio [OR] 5.900, 95% confidence interval [CI] 3.309-10.521), orbital wall (OR: 8.044, 95% CI: 4.664-13.874), zygomatic and zygomatic arch (OR: 3.239, 95% CI: 1.455-7.213), and naso-orbito-ethmoidal fractures (OR: 6.507, 95% CI: 1.971-21.483), as well as contusions (OR: 2.601, 95% CI: 1.385-4.885), were positively associated, whereas mucosal lacerations (OR: 0.485, 95% CI: 0.290-0.811) and referral from dental/medical clinics (OR: 0.312, 95% CI: 0.178-0.546) were negatively associated (all <i>p</i> < 0.01). However, panfacial fractures occurred less frequently. Sports-related trauma was primarily associated with nasal, orbital wall, zygoma and zygomatic arch, and naso-orbito-ethmoidal fractures. These findings indicate that sports-related oral and maxillofacial trauma is characterized by distinct and predominantly midfacial fracture patterns.</p>","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 2","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13297845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}