Craniofacial Surgery: State of the Art and the Perspectives

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 20 October 2025 | Viewed by 1048

Special Issue Editors


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Guest Editor
Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Corso Bramante 88, 10124 Turin, Italy
Interests: maxillofacial surgery; maxillofacial injuries; oral and maxillofacial trauma; vascular malformation; oral surgery

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Guest Editor Assistant
Department Surgical Science, Division of Maxillofacial Surgery, University of Turin, Corso Bramante 88, 10124 Turin, Italy
Interests: maxillofacial surgery; maxillofacial injuries; oral and maxillofacial trauma; vascular malformation; oral surgery

Special Issue Information

Dear Colleagues,

The beginning of modern craniofacial surgery is attributed to Paul Tessier, who, in the 1960s, applied concepts such as craniofacial approaches, osteotomies, and autogenous bone grafts to correct craniosynostosis and skeletal deformities.

At the end of the 1970s, thanks to the work of the French school, these techniques were implemented by the introduction of open reduction and internal fixation with titanium miniplates, and, later, resorbable materials. The application of rigid fixation opened the door to new ideas on the management of the skeletal framework in the craniomaxillofacial area, enabling osteotomies and bone mobilizations with fewer functional and psychological problems for the patient (for example, avoiding intermaxillary fixation). In the late 1980s, the introduction of piezosurgery improved the precision of osteotomies, reducing damage to the surrounding soft tissues. Finally, microsurgery enhanced the craniofacial surgeon's arsenal in the treatment of head and neck tumors, as well as in skeletal reconstructions following severe facial trauma.

With the dawn of the new millennium, craniofacial surgery has rapidly evolved with the introduction of minimally invasive endoscopic procedures, bone distraction, three-dimensional (3D) imaging, computer-assisted treatment, virtual surgical planning, and 3D printing. In this Special Issue, I invite authors to submit articles on the state of the art of and perspectives on craniofacial surgery.

Dr. Fabio Roccia
Guest Editor

Dr. Federica Sobrero
Guest Editor Assistant

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Keywords

  • craniofacial deformities
  • osteotomy
  • plate osteosynthesis
  • piezosurgery
  • microsurgery
  • navigation
  • virtual surgical planning
  • 3D printing

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Published Papers (1 paper)

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Research

11 pages, 801 KiB  
Article
Characteristics and Surgical Management of Bilateral Body Mandibular Fractures: A 23-Year Experience
by Fabio Roccia, Paolo Cena, Giulia Cremona, Paolo Garzino Demo and Federica Sobrero
J. Clin. Med. 2025, 14(1), 160; https://doi.org/10.3390/jcm14010160 - 30 Dec 2024
Viewed by 678
Abstract
Background/Objectives: Mandibular fractures are among the most common facial injuries. Bilateral fractures of the mandibular body region (BBMFs), however, are rare. The aim of this retrospective study was to analyze the characteristics, surgical management, and outcomes of BBMFs in a third-level trauma [...] Read more.
Background/Objectives: Mandibular fractures are among the most common facial injuries. Bilateral fractures of the mandibular body region (BBMFs), however, are rare. The aim of this retrospective study was to analyze the characteristics, surgical management, and outcomes of BBMFs in a third-level trauma center in northern Italy. Methods: Between 1 January 2001 and 31 December 2023, the following data were collected about patients hospitalized for BBMFs: age, sex, cause of fracture, dental status, degree of mandibular atrophy, surgical approach, number and thickness of plates used, concomitant maxillofacial fractures, length of hospital stay, and outcomes. Statistical analysis was performed using SPSS software. Results: During the study period, 26 patients (11 males and 15 females) presented with BBMFs, of which five were dentate (median age, 19 years) and 21 edentulous (median age, 80 years). The primary cause of trauma was road traffic accidents (RTAs) in dentate patients and falls in edentulous patients. In most dentate patients, fractures were treated using an intraoral approach with rigid or mixed fixation, using ≤1.4 mm thick plates. Edentulous patients were primarily treated using an extraoral approach and rigid fixation with ≥1.5 mm plates. The use of plates ≥ 1.5 mm was statistically associated with edentulous patients (p = 0.042) and with increasing degrees of atrophy (p = 0.020). Conclusions: This study shows that BBMFs are uncommon injuries, associated with high-impact trauma in dentate patients and medium- or low-impact trauma, such as falls, in edentulous patients. Internal fixation was predominantly rigid, with thicker plates used as the degree of mandibular atrophy increased. Full article
(This article belongs to the Special Issue Craniofacial Surgery: State of the Art and the Perspectives)
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