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Advances in Facial Trauma Surgery
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Advances in Facial Trauma Surgery

A special issue of Craniomaxillofacial Trauma & Reconstruction (ISSN 1943-3883).

Deadline for manuscript submissions: 31 March 2026 | Viewed by 3642

Special Issue Editors

Prof. Dr. Takahiro Kanno

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Guest Editor
Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Shimane, Japan
Interests: facial trauma; oral and maxiollofacial trauma; oral and maxillofacial surgery; plastic surgery; craniomaxillofacial surgery; surgeons, clinicians, and researchers
Special Issues, Collections and Topics in MDPI journals
Dr. Yeshaswini Thelekkat

E-Mail Website
Guest Editor
PMS College of Dental Sciences and Research, Trivandrum, India
Interests: craniomaxillofacial trauma; internal derangements of TMJ/TMD; benign pathologies; orthognathic surgery; head and neck infections; oral surgery
Prof. Dr. Mohamed Hazem AbdelAzeem

E-Mail Website
Guest Editor
Craniomaxillofacial Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
Interests: minimally invasive and endoscopic; condylar; orbital; trauma and reconstruction; facial plastic surgery; rhinoplasty; nonsurgical cosmetic procedures; computer assisted planing VSP/PSI; intraoperative imaging
Prof. Dr. David Bryan Powers

E-Mail Website
Guest Editor
Department of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, NC, USA
Interests: craniomaxillofacial trauma; facial reconstructive surgery; orthognathic surgery; ballistic injury management

Special Issue Information

Dear Colleagues,

We are excited to announce a forthcoming Special Issue entitled "Advances in Facial Trauma Surgery", which will focus on the latest clinical innovations and technological developments in the diagnosis, management, and surgical treatment of facial trauma.

As the field of facial trauma surgery continues to evolve, new diagnostic modalities, intraoperative imaging systems, surgical techniques, and fixation tools are rapidly transforming the way we approach complex injuries. This Special Issue aims to highlight cutting-edge clinical practices and translational research that are advancing patient care.

We welcome submissions across a broad spectrum of topics, including:

  • Novel diagnostic technologies, such as intraoperative cone-beam CT and real-time surgical navigation
  • Innovative surgical instruments and fixation systems, and their clinical evaluation
  • Updated treatment protocols and decision-making algorithms for maxillofacial trauma
  • Prospective or retrospective clinical studies on outcomes, complications, or comparative techniques
  • Systematic reviews and meta-analyses focused on evidence-based approaches to facial trauma management
  • Emerging technologies and techniques in minimally invasive or patient-specific trauma surgery

Whether you are presenting a novel surgical method, reporting outcomes from clinical research, or synthesizing evidence to inform best practices, we warmly invite you to contribute. This Special Issue seeks to serve as a comprehensive resource for facial trauma surgeons, clinicians, and researchers dedicated to improving care standards and outcomes worldwide.

Be a part of shaping the future of facial trauma surgery. We look forward to your submission!

Prof. Dr. Takahiro Kanno
Dr. Yeshaswini Thelekkat
Prof. Dr. Mohamed Hazem AbdelAzeem
Prof. Dr. David Bryan Powers
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the Special Issue website. Research articles, review articles and short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Craniomaxillofacial Trauma & Reconstruction is an international, peer-reviewed, open access, quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1500 CHF (Swiss Francs). AO CMF members can benefit from a membership discount (subsidized by the AO CMF and MDPI). More information can be found here: https://www.mdpi.com/journal/cmtr/apc. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • facial trauma
  • oral and maxillofacial trauma
  • oral and maxillofacial surgery
  • plastic surgery
  • craniomaxillofacial surgery
  • trauma surgery

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

11 pages, 777 KB  
Article
Injury Patterns and Physiologic Risk Stratification in Facial Trauma Patients with Orbital Fractures: A National Trauma Database Analysis
by Turki Bin Mahfoz
Craniomaxillofac. Trauma Reconstr. 2025, 18(4), 52; https://doi.org/10.3390/cmtr18040052 - 6 Dec 2025
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Abstract
Background: Although orbital fractures are common in trauma care, age-specific mechanisms and admission physiology-based risk stratification have not been systematically characterized. This study aimed to identify age–mechanism interaction patterns and develop an admission-based physiological risk score for orbital fracture patients. Methods: This retrospective [...] Read more.
Background: Although orbital fractures are common in trauma care, age-specific mechanisms and admission physiology-based risk stratification have not been systematically characterized. This study aimed to identify age–mechanism interaction patterns and develop an admission-based physiological risk score for orbital fracture patients. Methods: This retrospective cohort study analyzed 41,464 adult orbital fracture patients from the National Trauma Data Bank (2018–2020). A three-component physiological risk score was developed using admission vital signs: severe hypotension (<90 mmHg, 2 points), tachycardia (>100 bpm, 1 point), and severe traumatic brain injury (GCS ≤ 8, 1 point). Risk stratification performance was validated against composite adverse outcomes. Results: Distinct age–mechanism patterns emerged: 74.0% of elderly patients (≥65 years) sustained falls, while young adults demonstrated a bimodal distribution with motor vehicle crashes (31.2%) and violence (28.4%). Violence-related injuries occurred in younger patients (40.3 vs. 55.0 years) but had lower injury severity scores (10.0 vs. 14.4) and mortality (2.8% vs. 5.2%) than accidental mechanisms. High-/critical-risk patients (8.4% of the cohort) had 16.2% mortality versus 2.1% in stable patients. Complex facial injuries demonstrated 11-fold higher mortality (7.7% vs. 0.7%). The physiologic risk score achieved AUC 0.79 (95% CI: 0.78–0.80). Conclusions: Age–mechanism interactions revealed distinct bimodal injury patterns in young adults. Admission physiologic parameters effectively identify 8.4% of patients requiring intensive resources, while violence-related injuries paradoxically demonstrate better outcomes than accidental mechanisms. Full article
(This article belongs to the Special Issue Advances in Facial Trauma Surgery)
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14 pages, 3809 KB  
Article
Postoperative Complications Following Open Reduction and Internal Fixation of Mandibular Condylar Fractures Using the High Perimandibular Approach: A Multicenter Retrospective Study
by Noriko Sakata, Masako Fujioka-Kobayashi, Yuhei Matsuda, Reon Morioka, Erina Toda, Shinji Ishizuka, Michitaka Somoto, Rie Sonoyama-Osako, Hiroto Tatsumi and Takahiro Kanno
Craniomaxillofac. Trauma Reconstr. 2025, 18(4), 47; https://doi.org/10.3390/cmtr18040047 - 25 Oct 2025
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Abstract
Background: The high perimandibular approach (HPA) is a feasible surgical technique for open reduction and internal fixation (OR-IF) of mandibular condylar fractures, offering reduced complication rates. In this study, we retrospectively evaluated the treatment outcomes and complications associated with HPA use. Patients and [...] Read more.
Background: The high perimandibular approach (HPA) is a feasible surgical technique for open reduction and internal fixation (OR-IF) of mandibular condylar fractures, offering reduced complication rates. In this study, we retrospectively evaluated the treatment outcomes and complications associated with HPA use. Patients and Methods: Patients who underwent OR-IF for mandibular condylar fractures using the HPA at three hospitals in Shimane between June 2019 and March 2024 were included. Data collected included the mechanism of injury, AO classification of the fracture site, fracture type and mode, surgical duration, mouth-opening range at 6 months post-operatively, and peri- and post-operative complications. Results: A total of 42 patients (46 condylar fractures; 18 males and 24 females; mean age, 63.0 years) were included. The fracture pattern included dislocations in 18 cases (42.8%). The mean surgical duration was 75.0 min. Post-operative trismus occurred in 16 patients (38.1%) at 6 months. Longer surgical duration and dislocated fractures were significantly associated with post-operative trismus (p < 0.05). Conclusions: The HPA is safe and effective for managing mandibular condylar fractures. However, post-operative trismus may be influenced by longer surgical duration and fracture types, warranting further investigation and potential post-surgical management. Full article
(This article belongs to the Special Issue Advances in Facial Trauma Surgery)
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