ArticleOral and maxillofacial surgery2021
Complications after osteosynthesis of craniofacial fractures-an analysis from the years 2015-2017.
Article in Oral and maxillofacial surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Trauma-related retrobulbar hematoma: predictive risk factors and clinical outcome in 52 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Long-term evaluation of complications after osteosynthesis of the jaws in patients with head and neck trauma: an analysis from a German highest level trauma center 2007-2023.Scientific reports · 2025Article
- Osteosynthesis-associated infection in maxillofacial surgery by bacterial biofilms: a retrospective cohort study of 11 years.Clinical oral investigations · 2023Article
- Mandibular Fractures: Diagnosis and Management.Seminars in plastic surgery · 2021Review
- Long-term evaluation of treatment protocols for isolated midfacial fractures in a German nation-wide craniomaxillofacial trauma center 2007-2017.Scientific reports · 2021Article
- Evaluation of Panfacial Fractures in a German Supraregional Trauma Center between 2015 and 2017 - A Retrospective Study.Annals of maxillofacial surgeryArticle
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
backgroundComplications mean a recurring problem in everyday clinical practice. Complication rates between 6 and 13% are described for the treatment of bony injuries to the head and neck area. This paper aims to provide a detailed analysis of the complications after osteosynthesis in facial skull fractures. MATERIAL AND
methodIn this retrospective study, we reviewed all patient records of injured treated in the Department of Cranial and Maxillofacial Surgery at the Dortmund General Hospital between 2015 and 2017.
resultsOf the 22,031 head and neck injuries, 685 were treated with osteosynthesis. A clinically significant complication was reported in 32 patients (4.76%). The number of total complications was 63. In total, 66.7% of all complications have been identified in the paramedian mandible (44%), median mandible, mandibular angle, and in the collar area (each 12.7%). Eleven implants (in 5 patients) showed a cancellous bone impaction. Broken implants have been recognized in two cases. In 8 cases, there was a pseudarthrosis in the fracture area; in one case, there was a broken implant and pseudarthrosis in combination.
conclusionOsteosynthesis is a safe method of treating facial skull fractures, which is why we consider it the gold standard of therapy. The complication rate is well below 5%. The 3-dimensional adaptation (bending) and shortening of the osteosynthesis implants do not lead to an increase in complications.
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