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Medicina
Special Issues
Craniomaxillofacial Surgery: Latest Innovations and Challenges
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Craniomaxillofacial Surgery: Latest Innovations and Challenges

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (25 February 2026) | Viewed by 4015

Special Issue Editors

Dr. Marius Octavian Pricop

E-Mail Website
Guest Editor
Department of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, Universitatea de Medicina si Farmacie Victor Babes din Timisoara, 300041 Timisoara, Romania
Interests: maxillofacial and oral oncology; screening and prevention; maxillofacial infections reconstructive craniomaxillofacial surgery; treatment algorithms in cranio-facial syndromes and congenital anomalies; orthognathic surgery; craniomaxillofacial trauma; tissue and bone regeneration
Dr. Serban Talpos-Niculescu

E-Mail Website
Guest Editor Assistant
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitatea de Medicina si Farmacie Victor Babes din Timisoara, 300041 Timisoara, Romania
Interests: maxillofacial and oral oncology; screening and prevention; maxillofacial infections; reconstructive craniomaxillofacial surgery; treatment algorithms in cranio-facial syndromes and congenital anomalies; orthognathic surgery; craniomaxillofacial trauma; tissue and bone regeneration

Special Issue Information

Dear Colleagues,

Craniomaxillofacial surgery stands at the crossroads of science, art, and innovation, addressing complex conditions that impact not only function and aesthetics, but also quality of life. Over recent decades, remarkable progress has been made in the diagnosis, surgical management, and rehabilitation of complex craniofacial conditions, driven by innovations in technology, materials science, and collaborative approaches across medical specialties.

Technological advancements such as virtual surgical planning, 3D printing, and navigation systems have revolutionised preoperative strategies and postoperative outcomes. Equally significant is the growing emphasis on interdisciplinary collaboration and patient-centred care, especially in addressing the psychosocial aspects of facial deformities and rehabilitation.

We hope that this Special Issue will serve not only as a reflection of current practice, but also as a catalyst for continued inquiry, innovation, and collaboration in the field of craniomaxillofacial surgery.

We invite colleagues around the world to contribute their clinical experience and/or their research in the field of craniomaxillofacial surgery to this collection of our journal, in order to support the work of oral and maxillofacial clinicians worldwide.

Dr. Marius Octavian Pricop
Guest Editor

Dr. Serban Talpos-Niculescu
Guest Editor Assistant

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 as well as 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. Medicina is an international peer-reviewed open access monthly 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 2200 CHF (Swiss Francs). 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

  • maxillofacial and oral oncology
  • infections
  • orthognatic surgery
  • clefts
  • reconstructive surgery
  • bone regeneration
  • trauma

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Published Papers (2 papers)

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9 pages, 2235 KB  
Article
Using the Masseteric Artery to Navigate the Masseteric Nerve in Facial Reanimation Surgery
by Stefan Rössler, Wolfgang Zemann, Niels Hammer and Veronica Antipova
Medicina 2026, 62(1), 82; https://doi.org/10.3390/medicina62010082 - 30 Dec 2025
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Abstract
Background and Objectives: The masseteric artery (Ma) enters the masseter muscle (Mm) together with the masseteric nerve (Mn) via the mandibular notch. Morphological detail on the intramuscular course of the Ma and its relationship to the Mn remains scarce to date. When [...] Read more.
Background and Objectives: The masseteric artery (Ma) enters the masseter muscle (Mm) together with the masseteric nerve (Mn) via the mandibular notch. Morphological detail on the intramuscular course of the Ma and its relationship to the Mn remains scarce to date. When utilizing the Mn in facial reanimation surgery, a constant relationship between the Ma and Mn could be used for intramuscular orientation when preparing the Mn and for an indirect localization via ultrasound. This study examines the intramuscular course of the Ma and its relationship to the Mn. Materials and Methods: Sixty hemicrania obtained from thirty postmortem individuals aged between 54 and 99 years and embalmed using the Thiel methods were examined. Results: Four types of Ma were identified according to their endpoint in the Mm. In 5% of cases, no Ma could be identified (Type 0), 48.3% (Type 1) terminated within the upper third, 41.7% (Type 2) in the middle third, and 5% (Type 3) in the lower third. The Ma consistently entered the Mm inferior and in 85% of cases additionally slightly posterior to the Mn. The main trunk of the Ma crossed the Mn in the upper third of the Mm in 31.7% of cases, in the middle third in 23.3%, and in the lower third in 1.7% of cases. Of these, 13.3% had the Ma crossing the Mn. Smaller branches crossed the Mn in 45% of cases. Conclusions: If an Ma is present, it may be used for intramuscular orientation and indirect location of the Mn via the mandibular notch. Since the Ma reaches the lower third of the muscle in only a few cases, it is unsuitable for intramuscular orientation to locate the Mn via a distal approach. Full article
(This article belongs to the Special Issue Craniomaxillofacial Surgery: Latest Innovations and Challenges)
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12 pages, 549 KB  
Systematic Review
Emerging Technologies in the Treatment of Orbital Floor Fractures: A Systematic Review
by Lorena Helgers, Ilze Prikule, Girts Salms and Ieva Bagante
Medicina 2025, 61(8), 1330; https://doi.org/10.3390/medicina61081330 - 23 Jul 2025
Cited by 4 | Viewed by 2511
Abstract
Background and Objectives: Orbital floor fractures are challenging to treat, due to the complex orbital anatomy and limited surgical access. Emerging technologies—such as virtual surgical planning (VSP), 3D printing, patient-specific implants (PSIs), and intraoperative navigation—offer promising advancements to improve the surgical precision [...] Read more.
Background and Objectives: Orbital floor fractures are challenging to treat, due to the complex orbital anatomy and limited surgical access. Emerging technologies—such as virtual surgical planning (VSP), 3D printing, patient-specific implants (PSIs), and intraoperative navigation—offer promising advancements to improve the surgical precision and clinical outcomes. This review systematically evaluates and synthesizes current technological modalities with respect to their accuracy, operative duration, cost-effectiveness, and postoperative functional outcomes. Materials and Methods: A systematic review was conducted according to the PRISMA 2020 guidelines. The PubMed, Scopus, and PRIMO databases were searched for clinical studies published between 2019 and September 2024. Out of 229 articles identified, 9 met the inclusion criteria and were analyzed using the PICO framework. Results: VSP and 3D printing enhanced diagnostics and presurgical planning, offering improved accuracy and reduced planning time. Pre-bent PSIs shaped on 3D models showed superior accuracy, lower operative times, and better cost efficiency compared to intraoperative mesh shaping. Custom-designed PSIs offered high precision and clinical benefit but required a longer production time. Intraoperative navigation improved implant positioning and reduced the complication rates, though a detailed cost analysis remains limited. Conclusions: VSP, 3D printing, and intraoperative navigation significantly improve surgical planning and outcomes in orbital floor reconstruction. Pre-bent PSIs provide a time- and cost-effective solution with strong clinical performance. While customized PSIs offer accuracy, they are less practical in time-sensitive settings. Navigation systems are promising tools that enhance outcomes and may serve as an alternative to custom implants when time or resources are limited. Full article
(This article belongs to the Special Issue Craniomaxillofacial Surgery: Latest Innovations and Challenges)
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