Open research questions in Facial Trauma and Fracture Management
198 gap statements mined from Facial Trauma and Fracture Management papers in our 7.9M-paper local library, which holds 2,774 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
While heterogeneous property assignment based on CT gray values represents a more realistic approach, it requires patient-specific calibration and standardized protocols that are currently lacking.
Three-dimensional finite element analysis for internal fixation of mandibular condylar fractures: a scoping review · 2026 · DOIThere is a lack of research on the relationship between mandibular biotype and condylar fracture patterns.
Anthropometric analysis of the relationship between mandibular biotypes and condylar fracture patterns and degree of condylar displacement in victims of facial trauma · 2026 · DOISimilar trends have been documented in previous trauma research, suggesting the need for further investigation into the intersection of sex, injury severity, and therapeutic decision-making.
While PSO has been widely recognised for its precision and ability to improve surgical outcomes, its application in two-plate anterior fixation has remained underexplored.
Accuracy of Patient-Specific Osteosynthesis in Bimaxillary Surgery: Comparative Feasibility Analysis of Four- and Two-Miniplate Fixation · 2025 · DOIDespite the high risk of bias attributable to the observational nature of studies, small sample sizes and variability of reporting on complications, the observed trends highlighted and synthesised in this review may provide relevant information when treating this under-researched population.
Comparison of Reconstructive Materials in Paediatric Orbital Fractures: A Systematic Review · 2026 · DOIExternal validation in independent cohorts and integration with standardized trauma severity indices are warranted prior to broader clinical implementation.
Systemic injury extension and mechanism of trauma determine ICU admission in CT-confirmed maxillofacial fractures · 2026 · DOIThis study offers critical insights for optimizing surgical outcomes in mandibular fracture treatments, suggesting further research into the long-term clinical implications of both materials.
Evaluation of Stress Distribution in Titanium and Magnesium Mini Plates for Mandibular Fracture Fixation Across Varying Thicknesses and Fracture Orientations in Dental Applications · 2024 · DOIDespite its clinical relevance, standardized treatment protocols and well-defined prognostic factors remain lacking.
Despite its low incidence, the relationship between fracture morphology and RBH remains insufficiently understood.
Correlation between fracture morphology of orbital floor fractures and the incidence of retrobulbar hematoma: A retrospective radiological and clinical study · 2026 · DOIMandibular fractures are common maxillofacial injuries among children and adolescents, but treatment remains controversial.
Multicentre retrospective study on plate osteosynthesis for non-condylar mandibular fractures in paediatric patients with deciduous, mixed, and permanent dentition: A World Oral Maxillofacial Trauma (WORMAT) project · 2025 · DOIThe study is limited to a single case study, which may not be representative of all patients with mandibular fractures. The follow-up period was not specified, which may limit the interpretation of the results.
Repercussões funcionais e estéticas no tratamento de fratura de mandíbula em ramo e mento: relato de caso · 2026 · DOIThere is a lack of direct comparisons between external and internal fixation methods in the ballistic setting. The study identifies a need for further research on the role of external fixation in the management of mandibular fractures.
There is a need for increased awareness and recognition of OCS among emergency physicians. There is a lack of protocols for the management of OCS in hospitals without on-site ophthalmology.
Emergency Lateral Canthotomy for Orbital Compartment Syndrome After a Motor Vehicle Collision at a Nontrauma Hospital · 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 assessment 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 · DOIThe complex anatomy of the orbit and limited surgical exposure. The absence of clear landmarks and the risk of implant malposition. The need for precise anatomical restoration to achieve optimal functional and aesthetic outcomes.
Management of Complex Three-Wall Orbital Fractures with Digital Planning and Patient-Specific Two-Piece Implants · 2026 · DOIThe 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 · DOIMaxillofacial trauma can result from various causes, making it challenging to identify the underlying factors. The lack of region-specific data on maxillofacial trauma in Manipur, India, makes it difficult to develop effective interventions.
Patterns and Determinants of Maxillofacial Trauma in Manipur: Prevalence of Protective Gear Use and Influence of Alcohol Consumption · 2026 · DOIThe lack of a standardized clinical approach for delayed secondary debridement of wounds with extensive soft and hard tissue defects. The need for a technique that can approximate wound edges under significant tension.
CHARACTERISTICS OF DELAYED SECONDARY MANAGEMENT OF GUNSHOT AND SHRAPNEL WOUNDS OF THE FACE AND NECK WITH EXTENSIVE TISSUE DEFECTS · 2026 · DOIRegional variations within Japan could not be assessed because of the aggregated nature of the national data, preventing the identification of geographic disparities in pandemic impact and recovery.
Frequency and patterns of craniomaxillofacial surgery during and after COVID-19: analysis of the Japanese national database · 2026 · DOIOur hypothesis was confirmed, as data mining enabled the identification of potentially underrecognized risk profiles.
Exploring risk groups for concomitant injuries in facial fracture patients: a data-driven analysis · 2026 · DOIThe study had a small sample size of 17 patients. The study was retrospective in nature. The follow-up period was limited to 12 months.
Management of Complex Three-Wall Orbital Fractures with Digital Planning and Patient-Specific Two-Piece Implants · 2026 · DOIThe study had a small sample size of 44 participants. The study was conducted over a limited period of two months. The study did not calculate a predetermined sample size.
Patterns and Determinants of Maxillofacial Trauma in Manipur: Prevalence of Protective Gear Use and Influence of Alcohol Consumption · 2026 · DOIReport-based ascertainment may undercount findings omitted from the original report, - The 65 exclusions with unknown fracture status could conceal eligible fractures, - Complete image rereading and independent duplicate report extraction were not…
Paranasal Sinus Fractures in Pediatric Head Trauma: A Retrospective CT-Based Analysis of Pattern Distribution, Mechanism Correlation and Associated Intracranial Injury · 2026 · DOIIn-depth evaluation of the potential of modified button suture techniques in the management of extensive facial and cervical soft tissue defects. Prospective clinical studies involving larger patient cohorts to assess the efficacy of the technique. Investigation of the optimal selection of suture materials, fixation elements, and instruments for suture placement.
CHARACTERISTICS OF DELAYED SECONDARY MANAGEMENT OF GUNSHOT AND SHRAPNEL WOUNDS OF THE FACE AND NECK WITH EXTENSIVE TISSUE DEFECTS · 2026 · DOI
Most-cited papers in Facial Trauma and Fracture Management
- Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries · Journal of Cranio-Maxillofacial Surgery · 2003 · 632 citations
- The radiological prediction of inferior alveolar nerve injury during third molar surgery · British Journal of Oral and Maxillofacial Surgery · 1990 · 473 citations
- Distraction osteogenesis in maxillofacial surgery using internal devices: Review of five cases · Journal of Oral and Maxillofacial Surgery · 1996 · 462 citations
- The Accuracy of Virtual Surgical Planning in Free Fibula Mandibular Reconstruction: Comparison of Planned and Final Results · Journal of Oral and Maxillofacial Surgery · 2010 · 377 citations
- Three-Dimensional Treatment Planning of Orthognathic Surgery in the Era of Virtual Imaging · Journal of Oral and Maxillofacial Surgery · 2009 · 374 citations
- Indications for open reduction of mandibular condyle fractures · Journal of Oral and Maxillofacial Surgery · 1983 · 356 citations
- An epidemiologic survey of facial fractures and concomitant injuries · Journal of Oral and Maxillofacial Surgery · 1990 · 317 citations
- Resorbable poly(L-lactide) plates and screws for the fixation of zygomatic fractures · Journal of Oral and Maxillofacial Surgery · 1987 · 290 citations
- Fractures of the mandibular condyle: A review of 466 cases. Literature review, reflections on treatment and proposals · Journal of Cranio-Maxillofacial Surgery · 2006 · 287 citations
- A prospective study of complications related to mandibular third molar surgery · Journal of Oral and Maxillofacial Surgery · 1985 · 282 citations
Most recent work
- Epidemiology of Facial Fractures Encountered in the Emergency Department Setting in the United States: An Update of Nationwide Estimates · Journal of Oral and Maxillofacial Surgery · 2026
- Did the Affordable Care Act Increase Medicaid Coverage for Isolated Facial Trauma? A National Cohort Study · Journal of Oral and Maxillofacial Surgery · 2026
- Virtual reality delivers comparable insights to traditional techniques in maxillofacial trauma education · Journal of Stomatology Oral and Maxillofacial Surgery · 2026
- Virtual surgical planning and 3D custom-made implants in the management of orbital floor fractures: A case control study · Journal of Stomatology Oral and Maxillofacial Surgery · 2026
- Are Le fort fracture lines relevant in modern trauma? · European Journal of Trauma and Emergency Surgery · 2026
- Pediatric mandibular condyle fractures: A decade of experience · Journal of Cranio-Maxillofacial Surgery · 2026
- Assessment of the efficacy of 3D virtual surgical planning compared with traditional planning in maxillofacial reconstruction for facial traumatic deformity · Journal of Cranio-Maxillofacial Surgery · 2026
- Comparison of customized plate navigation and traditional methods in mandibular reconstruction: enhanced accuracy and efficiency · International Journal of Oral and Maxillofacial Surgery · 2026
- Frequency and patterns of craniomaxillofacial surgery during and after COVID-19: analysis of the Japanese national database · European Journal of Trauma and Emergency Surgery · 2026
- Diagnosis and management of orbital compartment syndrome caused by retrobulbar hematoma following orbital fractures · Journal of Cranio-Maxillofacial Surgery · 2026
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