Evidence map›Paper›PMID 40843743›Full record

ArticleMedical sciences (Basel, Switzerland)2025

Risk of Permanent Dysfunction of Facial Nerves After Open Rigid Internal Fixation in the Treatment of Mandibular Condylar Process Fracture.

Paulina Agier, Marcin Kozakiewicz, Szymon Tyszkiewicz, Izabela Gabryelczak

Abstract read
In one paragraph

Article in Medical sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Paulina AgierMultispeciality Dental Clinic, 106/116 Kośćiuszki Av., 90-442 Łódź, Poland.ORCID 0009-0007-5558-8066
Marcin KozakiewiczDepartment of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego St., 90-549 Łódź, Poland.ORCID 0000-0001-9200-2828
Szymon TyszkiewiczDepartment of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego St., 90-549 Łódź, Poland.
Izabela GabryelczakDepartment of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego St., 90-549 Łódź, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacial nerve palsy is a relatively common complication following open rigid internal fixation (ORIF) of a mandibular condylar fracture. The aim of this study was to investigate the risk factors that influence post-operative facial nerve function and the recovery process.

methodsA retrospective study was conducted based on the medical records of 329 patients who underwent ORIF treatment for condyle fractures, with the follow-up period being 24 months long.

resultsDuring the initial post-operative examination, 50.45% of patients exhibited some signs of facial nerve dysfunction, ranging from slight to severe, and 48.63% of patients presented transient palsy, while only 1.82% presented permanent facial nerve palsy. Female patients were found to be more susceptible to post-operative facial nerve palsy. Patients with multiple mandibular fractures and bilateral condyle fractures had a worse prognosis. The preauricular approach and its modifications were identified as posing the greatest risk to the facial nerve. The safest approach was the retromandibular approach. Patients treated for injuries resulting from traffic accidents or falls had a worse prognosis than those treated for assault injuries.

conclusionsPost-operative facial nerve palsy following ORIF of the mandibular condyle is, in most cases, transient and can be effectively treated. However, it is important to choose the safest possible surgical approach. The safer approach, the retromandibular approach, should be considered when possible.

Indexed as

Facial Nerve InjuriesFacial ParalysisFracture Fixation, InternalMandibular CondyleMandibular FracturesPostoperative ComplicationsAdolescentAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsYoung Adultcomplicationcondylefacial nervefracturemandibleopen rigid internal fixationopen treatmentosteosynthesisrehabilitationsurgery

Identifiers

PMID40843743
PMCPMC12372076

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.