Evidence map›Paper›PMID 41293769›Full record

ReviewCraniomaxillofacial trauma & reconstruction2025

The Importance of Antibiotics in Facial Fracture Treatment-A Systematic Meta-Review.

Martin Bengtsson, Aron Naimi-Akbar, Joakim Johansson-Berggren, Sebastian Dybeck-Udd, Mikael Magnusson, Bodil Lund

Abstract readReview
In one paragraph

Review in Craniomaxillofacial trauma & reconstruction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Martin BengtssonDepartment of Oral and Maxillofacial Surgery, University Hospital of Skåne, 221 85 Lund, Sweden; joakim.johanssonberggren@skane.se.ORCID https://orcid.org/0000-0003-0838-5737
Aron Naimi-AkbarHealth Technology Assessment-Odontology (HTA-O), Faculty of Odontology, Malmö University, 205 06 Malmö, Sweden; aron.naimi-akbar@mau.se.ORCID https://orcid.org/0000-0002-5248-9202
Joakim Johansson-BerggrenDepartment of Oral and Maxillofacial Surgery, University Hospital of Skåne, 221 85 Lund, Sweden; joakim.johanssonberggren@skane.se.
Sebastian Dybeck-UddMedical Unit of Plastic Surgery and Oral and Maxillofacial Surgery, Department for Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, 171 65 Stockholm, Sweden; sebastian.dybeck-udd@regionstockholm.se (S.D.-U.); bodil.lund@ki.se (B.L.).ORCID https://orcid.org/0000-0001-5994-299X
Mikael MagnussonDepartment of Specialist Dentistry, Oral and Maxillofacial Surgery, Colloseum and Smile AB, 167 51 Stockholm, Sweden; magnusson.mikael@telia.com.
Bodil LundMedical Unit of Plastic Surgery and Oral and Maxillofacial Surgery, Department for Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, 171 65 Stockholm, Sweden; sebastian.dybeck-udd@regionstockholm.se (S.D.-U.); bodil.lund@ki.se (B.L.).ORCID https://orcid.org/0000-0002-7008-3126

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-review evaluated the possibility of more specified recommendations in antibiotic treatment through a narrowed focus on facial trauma. The aim was to analyze the effect of different regimens of antibiotic in treatment of skeletal trauma to the face. The knowledge mapping was based on existing systematic reviews (SRs) on trials specified in a PICO: Participants (P): Adults and children, diagnosed with fractures to the facial skeleton. Interventions (I): Antibiotic intervention. Comparator (C): Placebo, no antibiotics. Outcomes (O): Postoperative infection, pain, re-operation, other complications, healing deficiencies, (Oral) Health related Quality of Life, removal of osteosynthesis, adverse reactions. The literature search in PubMed, The Cochrane Library, and Web of Science according to PRISMA resulted in 1487 records. A COVIDENCE selection process resulted in 29 articles retrieved and read in full text revealing 10 articles eligible for evaluated according to ROBIS. Three SRs were considered to have low risk of bias and constituted the final evidence evaluation. The meta-review of these SRs did not provide sufficient support for prolonged antibiotic treatment after surgical intervention of midfacial fractures in comparison with antibiotics only the first day postoperatively. No support for antibiotic treatment for conservatively managed fractures alone was found. This review is limited by a relatively low number of included SRs. However, tendencies in outcomes suggests a restricted duration of antibiotics in treatment of facial fractures.

Indexed as

antibiotic prophylaxis E02.319.162.150C26.404.750C26.915.300.425.500C26.915.300.745E02.319.703.150maxillofacial injuries C10.900.300.284.500skull fractures C10.900.300.918systematic review V02.912.875V03.850

Identifiers

PMID41293769
PMCPMC12641708

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.