Background: Mandibular condyle fractures in pediatric patients can lead to crippling sequelae such as ankylosis, pain and facial deformity if not managed properly. However, there is no consensus on the best approach for treating these fractures in children. Objective: This study aimed to describe the management of mandibular condyle fractures in growing patients across 14 maxillofacial departments worldwide. Methods: A retrospective multicenter study was conducted on children and adolescents aged 0 to 16 who had at least one mandibular condyle fracture. This study included patients who underwent expectant, closed, or open management and were treated over an 11-year period. Results: 180 patients had at least one mandibular condyle fracture, and 37 had a second condylar fracture. One hundred sixteen patients (65%) were males, and 64 (35%) were females (ratio 1.8:1). An expectant strategy was chosen in 51 (28%) patients, a closed treatment—stand-alone maxillomandibular fixation (MMF)—in 47 (26%), and open reduction and internal fixation (ORIF) was performed in 82 (46%) patients. The management varied significantly between the different departments (p < 0.0001). Significant differences were also identified between the fracture type (non-displaced, displaced or comminuted) and the management of the 180 patients with a single condylar fracture. Out of 50 non-displaced fractures, only 3 (6%) had ORIF, 25 (50%) had expectant management, and 22 (44%) had MMF. Out of 129 displaced fractures, 79 (62%) had ORIF, 25 (19%) had a soft diet, and 25 (19%) had MMF. Conclusions: Expectative management, MMF, and ORIF were all effective in treating pediatric mandibular condyle fractures, with a low incidence of complications and asymmetry.

Background: Odontogenic cervicofacial infections are prevalent and can progress to life-threatening conditions, imposing a substantial burden on both patients and healthcare systems. The present study evaluated the association of presentation delay and comorbidities with clinical severity and healthcare resource utilization. Methods: This prospective multicenter cohort study enrolled patients admitted with odontogenic cervicofacial infection at two university hospitals over a one-year period. Demographic and clinical data were systematically collected. Disease severity at presentation was quantified using the Cervicofacial Infection Severity Index (CFISI), a clinically derived composite index incorporating predefined indicators of airway compromise, systemic involvement, and physiological derangement. Results: A total of 61 patients (median age 45 years; range 4–88) were included. The median time to admission was 4 days (IQR 2–5), and the median number of involved anatomical spaces was two (IQR 1–3). The number of involved spaces was significantly associated with a severe clinical course (OR 1.72, 95% CI 1.13–2.63, and p = 0.011). Secondary space involvement correlated with prolonged hospitalization, with a mean length of stay of 11.5 days (95% CI 7.1–15.9) compared to 5.1 days (95% CI 4.6–5.7) in patients without secondary space involvement (p < 0.00001). CFISI was significantly associated with severe clinical course in both univariable (OR 1.16, 95% CI 1.01–1.26, and p = 0.044) and multivariable analyses (OR 1.20, 95% CI 1.01–1.42, and p = 0.042). Increasing age was also independently associated with severe clinical course (OR 1.04 per year, 95% CI 1.00–1.07, and p = 0.028). No predictor demonstrated a significant association with high healthcare resource utilization. Conclusions: Within this cohort, clinical severity was associated with patient age, infection extent, and CFISI. In contrast, delay in presentation and comorbidities did not predict severe outcomes. Secondary space involvement was linked to prolonged hospitalization. No significant predictors of high healthcare resource utilization were identified.

Background: Orbital floor blowout fractures (OFBF) can have serious consequences for the patient. Selecting the right treatment method and materials is essential. Krenkel’s maxillary sinus implant has been used successfully for more than 40 years in clinical practice. The aim of this study was to evaluate the long-term outcome of this implant compared to polydioxanone (PDS) sheets. Material and methods: This retrospective study examined a cohort of 82 OFBF patients over a seven-year period. Clinical and geometric data were collected. Defect size, location, and the volume of the herniated tissue were measured from conventional computer tomography (CT) or cone beam computer tomography (CBCT) scans. The relationship between ophthalmologic rehabilitation and treatment modality was analyzed using logistic regression. Results: The study included 82 patients, 28% female and 72% male, with a median age of 45.2 years. Defect size and hernia volume correlated with preoperative ophthalmological symptoms. At follow-up, 14.8% in the implant group and 28.6% in the PDS group showed mild visual impairment, with no severe diplopia. Conclusions: Our results suggest this method is a reliable and effective solution for repairing OFBFs and ophthalmologic rehabilitation. However, further research in a clinical controlled trial is needed.