Evidence map›Paper›PMID 41139708›Full record

ArticleOral and maxillofacial surgery2025

A comparison of isolated mandibular fractures and pattern of fractures of the mandible in cases with panfacial fractures - A study from 2007 to 2024 in a highest-level German trauma centre on 2056 patients with mandibular fractures.

Lars Bonitz, Leonie Koch, Stefan Hassfeld, Ákos Bicsák

Abstract readComparative Study
In one paragraph

Article in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Lars BonitzUniversity of Witten/Herdecke, Alfred-Herrhausen-Strasse 45, D-58453, Witten, Germany.
Leonie KochClinic for Cranial- and Maxillofacial Surgery, Regional Plastic Surgery, Dortmund General Hospital, Muensterstrasse 240, D-44145, Dortmund, Germany.
Stefan HassfeldUniversity of Witten/Herdecke, Alfred-Herrhausen-Strasse 45, D-58453, Witten, Germany.
Ákos BicsákUniversity of Witten/Herdecke, Alfred-Herrhausen-Strasse 45, D-58453, Witten, Germany. akos.bicsak@klinikumdo.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study investigates mandibular fractures focusing on long-term trends and fracture patterns of mandibular fractures as isolated fractures and as part of panfacial fractures.

methodsIn addition to descriptive demographics, the fracture site distribution was statistically compared with the Wilcoxon rank test and compared in groups with the χ2-test.

results2,699 mandibular fracture cases were analyzed: 1847 patients were isolated, and 852 with panfacial fractures involving the mandible. The male-to-female ratio was 3:1. Males were significantly younger than females in isolated and panfacial fractures. The yearly patient numbers decreased in panfacial cases and remained approximately the same - with high volatility - in isolated cases. Isolated fractures peaked in young males (20-30 years), while older females showed a secondary peak in panfacial fractures. Fracture distribution differed significantly between groups. A heatmap presents the fracture pattern in a schematic mandible, presenting both patient groups parallelly for better comparison. It highlights the cranialisation of the distribution pattern in the panfacial injury group. The distribution of mandibular fractures is different in isolated and panfacial fracture cases. The findings emphasize the importance of tailored diagnostic and treatment strategies for high-risk groups, including older females and patients with complex craniofacial injuries.

Indexed as

Facial BonesMandibular FracturesSkull FracturesAdolescentAdultAgedChildFemaleGermanyHumansMaleMiddle AgedRetrospective StudiesTrauma CentersYoung AdultDemographicsFacial bone fractureFractureHead and neck injuryMandible

Identifiers

PMID41139708
PMCPMC12554820

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