Craniomaxillofacial Trauma & Reconstruction最新文献_第4页

Over a Decade of Maxillofacial PEEK Patient-Specific Innovation: A Retrospective Review of the Evolution from In-House Craft to Virtual Design and Remote Manufacturing. 超过十年的颌面PEEK患者特异性创新：从内部工艺到虚拟设计和远程制造的演变回顾。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2026-01-21 eCollection Date: 2026-03-01 DOI: 10.3390/cmtr19010008

Nicholas J Lee, Gareth Honeybone, Mohammed Anabtawi, Mathew Thomas, Sachin M Salvi

{"title":"Over a Decade of Maxillofacial PEEK Patient-Specific Innovation: A Retrospective Review of the Evolution from In-House Craft to Virtual Design and Remote Manufacturing.","authors":"Nicholas J Lee, Gareth Honeybone, Mohammed Anabtawi, Mathew Thomas, Sachin M Salvi","doi":"10.3390/cmtr19010008","DOIUrl":"10.3390/cmtr19010008","url":null,"abstract":"Maxillofacial skeletal reconstruction presents significant challenges due to anatomical complexity, functional requirements, and aesthetic demands. Traditional materials such as titanium and autogenous bone grafts have limitations, prompting interest in Polyetheretherketone (PEEK), a versatile thermoplastic polymer with advantages like biocompatibility, radiolucency, and elasticity similar to human bone. This multi-year case series evaluates the clinical outcomes of PEEK implants used in 56 cases on 53 patients for maxillofacial reconstruction, primarily for trauma (44 patients) and deformity (9 patients). PEEK implants were applied to various facial regions including the orbit, zygoma, mandible, and maxilla. The majority of surgeries utilised virtual surgical planning. Patient-specific implants were fabricated using 3D imaging technologies, allowing customisation for optimal fit and functionality. The mean patient age was 37 years with a split of 37 to 16 females. Some complications were noted such as infection and paraesthesia. However, the majority of patients experienced positive outcomes. The findings support PEEK implants as a safe, effective, and adaptable material for maxillofacial surgery, with potential for further advancements in material properties and surgical technologies to improve long-term outcomes.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 1","pages":"8"},"PeriodicalIF":1.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272269","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}

引用次数: 0

Minne Ties Hybrid Arch Bar System vs. Erich Arch Bars: A Cadaveric Comparison Study. Minne Ties混合拱杆系统与Erich拱杆：尸体比较研究。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2026-01-20 eCollection Date: 2026-03-01 DOI: 10.3390/cmtr19010007

Jeffrey Mella, François E Proulx, Alan W Johnson

{"title":"Minne Ties Hybrid Arch Bar System vs. Erich Arch Bars: A Cadaveric Comparison Study.","authors":"Jeffrey Mella, François E Proulx, Alan W Johnson","doi":"10.3390/cmtr19010007","DOIUrl":"10.3390/cmtr19010007","url":null,"abstract":"Jaw fracture management significantly advanced with the introduction of Erich Arch Bars (EABs) during World War II, becoming the gold standard for maxillomandibular fixation (MMF). EABs, however, are time-consuming, pose risks of sharps injuries, and hinder oral hygiene and patient comfort. This study tested the Minne Ties Hybrid Arch Bar System (MTHAB), a novel MMF technology. This cadaveric study used specimens with near-complete dentition to compare MTHAB and EABs. The technologies were applied by trained surgeons to measure occlusal forces, increasing elastic loads, and application and removal times. Surgeons completed structured usability surveys. The results indicated that MTHAB significantly reduced application time (19.8 ± 4.1 min versus 35.2 ± 5.7 min, p = 0.0027) and removal time (1.6 ± 0.4 min versus 5.1 ± 2.1 min, p = 0.0465) compared to EABs, while also being rated higher for ease of use and safety. Both technologies achieved acceptable occlusion forces, although MTHAB needed more elastics to achieve comparable forces to EABs. While MTHAB appears promising, future clinical trials are needed to evaluate long-term outcomes, fixation stability, and patient selection. MTHAB represents a potential advancement in MMF technology, balancing surgical efficiency, safety, and fixation strength.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 1","pages":"7"},"PeriodicalIF":1.0,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272350","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}

引用次数: 0

Professional Perspectives and Research Challenges Among AO CMF Surgeons in the Middle East and North Africa. 中东和北非AO CMF外科医生的专业前景和研究挑战。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2026-01-19 eCollection Date: 2026-03-01 DOI: 10.3390/cmtr19010005

Khalid Abdel-Galil, Ammar Khalafalla, Mohamed Amir

{"title":"Professional Perspectives and Research Challenges Among AO CMF Surgeons in the Middle East and North Africa.","authors":"Khalid Abdel-Galil, Ammar Khalafalla, Mohamed Amir","doi":"10.3390/cmtr19010005","DOIUrl":"10.3390/cmtr19010005","url":null,"abstract":"Purpose: Research drives clinical advancement in oral and craniomaxillofacial surgery by generating evidence that guides practice and innovation. However, limited literature exists describing research engagement among surgeons within AO CMF in the Middle East and North Africa. This study evaluated awareness, participation, and perceived barriers to research among AO CMF members and affiliated surgeons in the MENA region.Methods: A cross-sectional, questionnaire-based survey was distributed electronically to AO CMF members, affiliates, and professional CMF surgeon networks between October and December 2024. The 14-item survey assessed demographics, research awareness, attitudes, productivity, and barriers. Responses were anonymized and analyzed descriptively using SurveyPlanet analytics.Results: A total of 144 surgeons from 21 countries completed the survey. Pakistan (35%), Morocco (9.8%), Kuwait (7.7%), and the United Arab Emirates (7%) contributed the largest proportions. Most respondents (47.6%) expressed strong interest in research but reported difficulty initiating projects, while 32.2% cited lack of time as a major constraint. The most frequently reported barriers included challenges in research methodology (14.6%), publishing (14.6%), and manuscript writing (14.1%). Only 18.9% of participants had published more than ten articles, while 29.4% had none. Mentorship demand was high (94.4%), but awareness of the AO PEER program remained limited (37.8%).Conclusion: Surgeons expressed strong enthusiasm for research yet face substantial barriers. Strengthening research methodology training, establishing structured mentorship, expanding AO PEER engagement, and facilitating multicenter collaboration are key strategies to enhance research productivity across the region.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 1","pages":"5"},"PeriodicalIF":1.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272275","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}

引用次数: 0

Sterile Versus Non-Sterile Gloves in Dental Extractions: A Systematic Review and Meta-Analysis. 拔牙时无菌手套与非无菌手套：系统回顾和荟萃分析。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2026-01-19 eCollection Date: 2026-03-01 DOI: 10.3390/cmtr19010006

Mustafa Mohammad Ali Saffar, E Krabbendam, E B Wolvius, J T van der Tas

{"title":"Sterile Versus Non-Sterile Gloves in Dental Extractions: A Systematic Review and Meta-Analysis.","authors":"Mustafa Mohammad Ali Saffar, E Krabbendam, E B Wolvius, J T van der Tas","doi":"10.3390/cmtr19010006","DOIUrl":"10.3390/cmtr19010006","url":null,"abstract":"Healthcare-associated infections remain an ongoing concern across medical and dental practice, prompting continuous evaluation of infection prevention measures. In dental extractions, the necessity of sterile gloves is debated, as the oral cavity represents an inherently contaminated environment. This systematic review and meta-analysis evaluated whether the use of sterile gloves reduces postoperative socket infections compared with non-sterile gloves. A search of MEDLINE, Embase, Web of Science, Cochrane CENTRAL, and Google Scholar identified randomized controlled trials, clinically controlled trials, and observational trials directly comparing sterile versus non-sterile glove use during dental extractions. The primary outcome of this study was extraction socket infection at day 7 post-surgery. A meta-analysis using relative risk (RR) was performed for dichotomous data. Of the initial 7170 publications found, seven articles met inclusion criteria. Infection rates ranged from 0% to 3.9%, with an overall infection rate of 0.3% in the sterile glove group (672 patients) and 1.3% in the non-sterile glove group (758 patients). Three studies qualified for meta-analysis, resulting in an RR of 0.30 (95% CI 0.07-1.24), indicating no significant difference in postoperative infections between sterile and non-sterile glove usage. Given the limitations of small sample sizes, low event rates, incomplete reporting, and lack of subgroup data for surgical versus non-surgical extractions, no difference in postoperative infection was found between sterile and non-sterile glove use. Additional research is needed to determine whether glove sterility influences infection risk, particularly in surgical procedures.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"19 1","pages":"6"},"PeriodicalIF":1.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272374","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}

引用次数: 0

Naso-Orbito-Ethmoid Fractures: Refining the Role of Wires and Plates. 鼻眶筛骨骨折：钢丝和钢板的作用。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-12-18 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040053

Preston Leader, Kelsey Karnik, Anthony Mangino, Clayton Bobo, Thomas Gal

{"title":"Naso-Orbito-Ethmoid Fractures: Refining the Role of Wires and Plates.","authors":"Preston Leader, Kelsey Karnik, Anthony Mangino, Clayton Bobo, Thomas Gal","doi":"10.3390/cmtr18040053","DOIUrl":"10.3390/cmtr18040053","url":null,"abstract":"Background: Naso-orbital-ethmoid (NOE) fractures represent complex midface injuries that challenge aesthetic and functional reconstruction. This study evaluates the efficacy of techniques restoring intercanthal distance following operative repair of NOE fractures.Methods: A retrospective case series was conducted of adults undergoing NOE fracture repair between 2010 and 2022. CPT codes were used to identify patients, with inclusion based on radiographic confirmation of NOE fractures. Demographic data, fracture classification, operative techniques, and pre- and post-operative CT measurements of intercanthal distance were analyzed by fracture type and type of repair.Results: 191 patients were identified, mostly male (80%), with Type I fractures being most common (66%). Intercanthal wiring was used in 14% of cases, most frequently for Type II and III fractures. Of the 100 patients with post-operative comparison imaging, the median intercanthal distance improved from 34 mm to 31 mm. Intercanthal wiring yielded greater median distance correction. All patients achieved restoration of intercanthal distance within normal limits regardless of repair technique.Conclusions: Operative repair of NOE fractures using either plating or intercanthal wiring effectively restores normal intercanthal distance. While intercanthal wiring remains valuable in severe fractures, it may not be universally necessary. Further study is needed to refine the role of these repair techniques.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"18 4","pages":"53"},"PeriodicalIF":0.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12731304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835045","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}

引用次数: 0

Injury Patterns and Physiologic Risk Stratification in Facial Trauma Patients with Orbital Fractures: A National Trauma Database Analysis. 颜面外伤合并眶部骨折患者的损伤模式和生理风险分层：一项全国外伤数据库分析。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-12-06 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040052

Turki Bin Mahfoz

{"title":"Injury Patterns and Physiologic Risk Stratification in Facial Trauma Patients with Orbital Fractures: A National Trauma Database Analysis.","authors":"Turki Bin Mahfoz","doi":"10.3390/cmtr18040052","DOIUrl":"10.3390/cmtr18040052","url":null,"abstract":"Background: Although orbital fractures are common in trauma care, age-specific mechanisms and admission physiology-based risk stratification have not been systematically characterized. This study aimed to identify age-mechanism interaction patterns and develop an admission-based physiological risk score for orbital fracture patients.Methods: This retrospective cohort study analyzed 41,464 adult orbital fracture patients from the National Trauma Data Bank (2018-2020). A three-component physiological risk score was developed using admission vital signs: severe hypotension (<90 mmHg, 2 points), tachycardia (>100 bpm, 1 point), and severe traumatic brain injury (GCS ≤ 8, 1 point). Risk stratification performance was validated against composite adverse outcomes.Results: Distinct age-mechanism patterns emerged: 74.0% of elderly patients (≥65 years) sustained falls, while young adults demonstrated a bimodal distribution with motor vehicle crashes (31.2%) and violence (28.4%). Violence-related injuries occurred in younger patients (40.3 vs. 55.0 years) but had lower injury severity scores (10.0 vs. 14.4) and mortality (2.8% vs. 5.2%) than accidental mechanisms. High-/critical-risk patients (8.4% of the cohort) had 16.2% mortality versus 2.1% in stable patients. Complex facial injuries demonstrated 11-fold higher mortality (7.7% vs. 0.7%). The physiologic risk score achieved AUC 0.79 (95% CI: 0.78-0.80).Conclusions: Age-mechanism interactions revealed distinct bimodal injury patterns in young adults. Admission physiologic parameters effectively identify 8.4% of patients requiring intensive resources, while violence-related injuries paradoxically demonstrate better outcomes than accidental mechanisms.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"18 4","pages":"52"},"PeriodicalIF":0.4,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12731463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835028","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}

引用次数: 0

Impact of Illicit Drug Use on Facial Fracture Patterns and Hospital Resource Utilization. 吸毒对面部骨折形态及医院资源利用的影响

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-12-05 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040051

Arya Sherafat, Aishwarya Suresh, Ian Waldrop, Jared Inman

{"title":"Impact of Illicit Drug Use on Facial Fracture Patterns and Hospital Resource Utilization.","authors":"Arya Sherafat, Aishwarya Suresh, Ian Waldrop, Jared Inman","doi":"10.3390/cmtr18040051","DOIUrl":"10.3390/cmtr18040051","url":null,"abstract":"Introduction: Facial trauma is a public health concern, with reports of about 25% of all traumas having a component of facial injury. Alcohol and illicit drug use have previously been shown to exacerbate the severity of trauma injuries. This study investigates the relationship between illicit drug use and clinical outcomes amongst patients presenting with facial fracture injuries.Methods: A retrospective multicenter cohort study through the TriNetX database was performed. Drug Involved Facial fracture injury with illicit drug use (DIFFI+) was compared to a Non-Drug Involved Facial Fracture Injury group (DIFFI-). After propensity score matching, measures of hospital burden outcomes, surgical intervention, and underlying psychiatric diagnosis outcomes were compared.Results: A total of 27,863 propensity score-matched DIFFI+ cases were used for analysis. DIFFI+ patients were younger (mean age 33.8 vs. 42.0 years, p < 0.001), more often male (75% vs. 56%, p < 0.001), and more likely to be Black/African American (21% vs. 14%, p < 0.001), with cannabis and opioid use most common. DIFFI+ patients had a significantly higher odds of hospital burden outcomes, including psychiatry services (OR = 8.40), ventilator management (OR = 5.18), and critical care services (OR = 3.83).Conclusions/discussion: DIFFI+ was significantly correlated with greater hospital burden in all analyzed clinical outcomes. DIFFI+ patients have a higher odds of receiving surgery but lower odds of receiving a fracture diagnosis. Having a psychiatric diagnosis increases risk for DIFFI+ injury.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"18 4","pages":"51"},"PeriodicalIF":0.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835019","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}

引用次数: 0

Surgical Management of Isolated Zygomaticomaxillary Complex Fractures: Role of Objective Morphometric Analysis in Decision-Making. 孤立性颧颌复合体骨折的外科治疗：客观形态计量学分析在决策中的作用。

IF 0.4

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-11-29 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040050

Saša Mijatov, Ivana Mijatov, Denis Brajković, Dušan Rodić, Jagoš Golubović

{"title":"Surgical Management of Isolated Zygomaticomaxillary Complex Fractures: Role of Objective Morphometric Analysis in Decision-Making.","authors":"Saša Mijatov, Ivana Mijatov, Denis Brajković, Dušan Rodić, Jagoš Golubović","doi":"10.3390/cmtr18040050","DOIUrl":"10.3390/cmtr18040050","url":null,"abstract":"Zygomaticomaxillary complex (ZMC) fractures are among the most common midfacial injuries, with significant implications for both function and facial esthetics. Optimal management requires restoring the normal anatomical alignment and symmetry of the zygomatic region to prevent long-term deformity and functional deficits. However, the decision-making surrounding surgical intervention, particularly in isolated ZMC fractures with moderate displacement, remains nuanced. This review discusses contemporary surgical approaches for isolated ZMC fractures and examines how objective morphometric analysis can guide critical decisions such as the timing of surgery, choice of surgical approach, and extent of fixation. Conventional assessment tools like computed tomography (CT), cephalometric measurements, and intraoperative imaging provide foundational data on fracture anatomy. Emerging technologies, including three-dimensional (3D) photogrammetry, stereophotogrammetry, artificial intelligence (AI)-based symmetry analysis, and surgical navigation systems, offer advanced means to quantify facial symmetry and bone alignment. By integrating these objective metrics into clinical practice, surgeons can enhance preoperative planning and postoperative outcome evaluation, with a particular focus on achieving facial symmetry for optimal esthetic and functional results. We also outline clinical decision-making frameworks that incorporate quantitative measurements, and we discuss current limitations, future directions, and the potential for standardizing protocols in the management of ZMC fractures.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"18 4","pages":"50"},"PeriodicalIF":0.4,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12731674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835073","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}

引用次数: 0

CMTR-Aims and Scope Update. 目标和范围更新。

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Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-11-27 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040049

Kathleen Fan, Yiu Yan Leung, Florian M Thieringer

引用次数: 0

The Importance of Antibiotics in Facial Fracture Treatment-A Systematic Meta-Review. 抗生素在面部骨折治疗中的重要性——一项系统meta综述。

IF 0.4

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2025-11-03 eCollection Date: 2025-12-01 DOI: 10.3390/cmtr18040048

Martin Bengtsson, Aron Naimi-Akbar, Joakim Johansson-Berggren, Sebastian Dybeck-Udd, Mikael Magnusson, Bodil Lund

{"title":"The Importance of Antibiotics in Facial Fracture Treatment-A Systematic Meta-Review.","authors":"Martin Bengtsson, Aron Naimi-Akbar, Joakim Johansson-Berggren, Sebastian Dybeck-Udd, Mikael Magnusson, Bodil Lund","doi":"10.3390/cmtr18040048","DOIUrl":"10.3390/cmtr18040048","url":null,"abstract":"This meta-review evaluated the possibility of more specified recommendations in antibiotic treatment through a narrowed focus on facial trauma. The aim was to analyze the effect of different regimens of antibiotic in treatment of skeletal trauma to the face. The knowledge mapping was based on existing systematic reviews (SRs) on trials specified in a PICO: Participants (P): Adults and children, diagnosed with fractures to the facial skeleton. Interventions (I): Antibiotic intervention. Comparator (C): Placebo, no antibiotics. Outcomes (O): Postoperative infection, pain, re-operation, other complications, healing deficiencies, (Oral) Health related Quality of Life, removal of osteosynthesis, adverse reactions. The literature search in PubMed, The Cochrane Library, and Web of Science according to PRISMA resulted in 1487 records. A COVIDENCE selection process resulted in 29 articles retrieved and read in full text revealing 10 articles eligible for evaluated according to ROBIS. Three SRs were considered to have low risk of bias and constituted the final evidence evaluation. The meta-review of these SRs did not provide sufficient support for prolonged antibiotic treatment after surgical intervention of midfacial fractures in comparison with antibiotics only the first day postoperatively. No support for antibiotic treatment for conservatively managed fractures alone was found. This review is limited by a relatively low number of included SRs. However, tendencies in outcomes suggests a restricted duration of antibiotics in treatment of facial fractures.","PeriodicalId":46447,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"18 4","pages":"48"},"PeriodicalIF":0.4,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12641708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606950","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}

引用次数: 0