Open research questions in Facial Trauma and Fracture Management
43 unresolved questions extracted from the limitations and future-work sections of 1,911 Facial Trauma and Fracture Management papers in our library. Each links back to the study that raised it.
What the literature leaves open
While individual structural deformities are known to impede sinus drainage, the cumulative "dose-response" impact of concurrent OMC variants on microscopic mucosal remodeling remains under-investigated.
Impact of Ostiomeatal Complex Anatomical Variants on Histological Remodeling and Radiological Severity: A Retrospective Cross-Sectional Study · 2026 · DOI1,6,11,15 The findings of this study provide additional real-world evidence supporting the effectiveness and safety of miniplate fixation in the management of tooth-bearing mandibular fractures, particularly in the local clinical setting where data remain limited.
Surgical outcomes of mandibular fractures treated with miniplate fixation and management of teeth in the line of fracture · 2026 · DOIDespite these limitations, this study adds prospective clinical and radiological data to the limited literature on TMJ dysfunction after non-condylar mandibular fractures by integrating clinical and multi-modal radiological assess- ment in a prospective design.
Do non-condylar mandibular fractures affect the temporomandibular joint? a prospective clinical and radiologic follow-up study · 2026 · DOIWhile traditional tobacco usage is an established risk factor for impaired wound healing and infection, there is limited evidence defining the specific impact of non-tobacco nicotine dependence (NTND) in mandibular fracture repair.
Non-Tobacco Nicotine Dependence Increases Risk Of Osteomyelitis And Hardware Infection In Mandibular Fractures · 2026 · DOIDespite the relatively large study sample, there are limi- tations to the study. Seasonal workers and other non- residents were not included in the data, as they do not usually have a permanent residency in Finland, and therefore FOLK-data was not recorded in the Statistics Finland database. This most likely underestimates the number of non-natives in the population. Income sta- tus was classified based on the tax payment data from the previous year of interest. If a person did not pay any income tax, they were classified in the lowest income quartile. It is therefore possible that some study subjects received other forms of income (for example investment income), which is not shown on the data. However, this is unlikely to change the interpretation of the results.
Faces of inequality: social determinants of health in interpersonal violence–related facial fractures – a case-control study · 2026 · DOIVenkatesh Anehosur1 · S. Shivani2 · Uday Juturu2 Received: 26 June 2025 / Accepted: 13 May 2026 © The Association of Oral and Maxillofacial Surgeons of India…
Management of Recurrent Condylar Dislocation Using a Minimal Soft Tissue Anchorage Technique: A Case Report and Biomechanical Perspective · 2026 · DOIBACKGROUND/AIMS: There is a lack of data regarding the mechanical responses of the temporo-mandibular joints during an impact to the orofacial region.
Mouthguard use and TMJ injury prevention with different occlusions: A three‐dimensional finite element analysis · 2020 · DOIBecause of the fact that neuropathic pain can develop in orthodontic treatment, as well as when partial and complete removable dentures are used, the administration of drug product Nucleo CMP Forte is warranted in combined therapy of both mandibular fractures followed by the clinical manifestations of inferior alveolar nerve damage, and neuropathic pain management in orthodontics and orthopedic stomatology.
Comprehensive Analysis of Pain Syndrome in Patients With Mandibular Fractures Treated With Nucleo CMP Forte · 2018 · DOIFew reports exist of this clinical entity following traditional open techniques of repair, and none have been associated with endoscopic-assisted open reduction and internal fixation (ORIF) of a subcondylar fracture.
Although a definitive cut-off value has not been established, our findings suggest that a PVR approaching 0.
Evaluation of the extent of bone healing in mandibular distraction osteogenesis using pre-operative and post-operative imaging pixel value ratio: a cohort study · 2026 · DOIExternal fixation, the earliest form of mandibular stabilization, preserves periosteal blood supply by avoiding open dissection, yet direct comparisons between the 2 approaches in the ballistic setting are scarce.
Within the limitations this study, customized Z-shaped miniplates appear to represent a promising and efficient fixation strategy for unilateral parasymphyseal/body mandibular fractures.
Accuracy of reduction and postoperative symmetry assessment of customized z-shaped miniplates versus conventional miniplates in mandibular fractures treatment: a randomized controlled clinical trial · 2026 · DOIHowever, post-operative trismus may be influenced by longer surgical duration and fracture types, warranting further investigation and potential post-surgical management.
Postoperative Complications Following Open Reduction and Internal Fixation of Mandibular Condylar Fractures Using the High Perimandibular Approach: A Multicenter Retrospective Study · 2025 · DOIHowever, this system does not account for direction of bony displacement (in-fracture vs out-fracture), which can greatly affect symptomatology and management.
There exists no consensus "gold standard" treatment for condylar fractures, and there is continued debate on whether condylar fractures should undergo surgical or conservative management.
CONCLUSION: Mandibular symphyseal distraction osteogenesis is a reliable therapy whose exact limits and reproducibility remain to be defined by future prospective studies.
Distraction osseuse symphysaire (volet 1) : rapport bénéfice / risque. Une revue systématique · 2018 · DOIHowever, no consensus has been reached regarding the level of risk associated with the status of the third molar and its predisposition to mandibular angle or condyle fracture.
The relationship between the lower third molar (M3) and mandibular angle/condyle fractures – a systematic review · 2017 · DOIDespite many reports about the incidence, diagnosis and treatment of mandibular fracture there is limited knowledge about the specific type or pattern of mandibular fractures in South Asian countries.
Most-cited papers in Facial Trauma and Fracture Management
- Global Trends in Maxillofacial Fractures · Craniomaxillofacial Trauma & Reconstruction · 2012 · 84 citations
- Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to <scp>PRISMA</scp> guidelines and the Cochrane Handbook for Systematic Reviews of Interventions · Journal of Oral Rehabilitation · 2023 · 64 citations
- Frontal Sinus Fractures: Current Concepts · Craniomaxillofacial Trauma & Reconstruction · 2009 · 60 citations
- Current Management of Zygomaticomaxillary Complex Fractures: A Multidisciplinary Survey and Literature Review · Craniomaxillofacial Trauma & Reconstruction · 2016 · 59 citations
- Predicted and actual outcome of anterior intrusion with Invisalign assessed with cone-beam computed tomography · American Journal of Orthodontics and Dentofacial Orthopedics · 2021 · 58 citations
- An epidemiological analysis of maxillofacial fractures: a 10-year cross-sectional cohort retrospective study of 1007 patients · BMC Oral Health · 2021 · 54 citations
- Characteristics and age‐related injury patterns of maxillofacial fractures in children and adolescents: A multicentric and prospective study · Dental Traumatology · 2022 · 54 citations
- Postoperative Complications of Impacted Mandibular Third Molar Extraction Related to Patient’s Age and Surgical Difficulty Level: A Cross‐Sectional Retrospective Study · International Journal of Dentistry · 2022 · 52 citations
- Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. · Dentomaxillofacial Radiology · 1995 · 49 citations
- Mouthguard use and TMJ injury prevention with different occlusions: A three‐dimensional finite element analysis · Dental Traumatology · 2020 · 49 citations
Most recent work
- Evaluating Appropriateness of Interfacility Transfers for Patients with Facial Trauma Including Acute Orbital Floor Fractures · Facial Plastic Surgery & Aesthetic Medicine · 2026
- A computed tomography (CT) study of the eyeball position and estimation models for craniofacial identification · International Journal of Legal Medicine · 2026
- Mental health of patients with post-traumatic midfacial defects and deformities · Russian Journal of Stomatology · 2026
- Repercussões funcionais e estéticas no tratamento de fratura de mandíbula em ramo e mento: relato de caso · Revista ft · 2026
- Complications in Orthognathic Surgery · Journal of Craniofacial Surgery · 2026
- Overcoming the absence of pre-traumatic imaging: a multiplanar three-dimensional virtual reduction workflow for mandibular condylar fractures · BMC Surgery · 2026
- External Fixation for Ballistic Mandibular Trauma · Annals of Plastic Surgery · 2026
- Accuracy of reduction and postoperative symmetry assessment of customized z-shaped miniplates versus conventional miniplates in mandibular fractures treatment: a randomized controlled clinical trial · BMC Oral Health · 2026
- Early versus delayed management of maxillofacial fractures: a systematic review and meta-analysis with context-based subgroup analysis · Oral and Maxillofacial Surgery · 2026
- Comparative Evaluation of Preclinical Surgical Performance of Mandibular Angle Fracture Plating by Intraoral Approach with and Without Virtual Reality: A Randomized Controlled Trial · Journal of Maxillofacial and Oral Surgery · 2026
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