{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:09:59Z","timestamp":1790672999446,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the reported prognostic value of initial computed tomography (CT) imaging for surgical planning and postoperative outcomes in panfacial fractures, and to determine whether CT\u2010derived variables have been consistently linked to clinically relevant outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, MEDLINE, Embase, Cochrane Library, CINAHL, ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform were searched from database inception to January 1, 2026. Eligible studies were restricted to publications from January 2015 onward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Studies were eligible if they included patients with panfacial fractures or separately extractable panfacial fracture subgroups, reported CT or imaging\u2010based assessment for diagnosis or surgical planning, and provided extractable postoperative or surgical\u2010management outcomes. Study characteristics, CT\u2010related variables, surgical\u2010planning data, and postoperative outcomes were extracted. Random\u2010effects meta\u2010analysis of single proportions was performed for infection, malocclusion, revision or secondary surgery, and enophthalmos. CT\u2010derived prognostic evidence was synthesized narratively according to whether imaging variables were directly or indirectly linked to outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen studies involving 1811 patients were included. Pooled postoperative complication prevalences were 11% for infection (95% CI, 0%\u201390%), 10% for malocclusion (95% CI, 5%\u201319%), 2% for revision or secondary surgery (95% CI, 2%\u20134%), and 5% for enophthalmos (95% CI, 1%\u201321%). CT, multiplanar imaging, or three\u2010dimensional reconstruction was frequently reported for fracture characterization and operative planning. However, standardized CT\u2010derived prognostic variables were inconsistently reported, and few studies directly linked initial imaging findings to postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Initial CT imaging is essential for assessment and surgical planning in panfacial fractures. Current evidence provides pooled postoperative benchmarks but remains insufficient to establish robust CT\u2010based prognostic prediction. Standardized CT reporting, fracture\u2010severity classification, and outcome assessment are needed to clarify whether initial imaging findings can predict surgical complexity and long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70176","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:45:47Z","timestamp":1790671547000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prognostic Value of Initial CT Imaging for Surgical Planning and Outcomes in Panfacial Fractures: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5014-7171","authenticated-orcid":false,"given":"Kambiz","family":"Ebrahimi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Surgical Dentistry, Medical Institute Peoples\u2019 Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5458-0192","authenticated-orcid":false,"given":"Sergey Y.","family":"Ivanov","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Surgical Dentistry, Medical Institute Peoples\u2019 Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"},{"name":"Department of Oral and Maxillofacial Surgery Sechenov First Moscow State Medical University (Sechenov University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0381-3379","authenticated-orcid":false,"given":"Mekhaeel Shehata Fakhry","family":"Mekhaeel","sequence":"additional","affiliation":[{"name":"Department of Operative Surgery and Clinical Anatomy named after I.D. Kirpatovsky, Medical Institute Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0690-6811","authenticated-orcid":false,"given":"Sameh Mohamed Ahmed Eissa","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Operative Surgery and Clinical Anatomy named after I.D. Kirpatovsky, Medical Institute Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-1706","authenticated-orcid":false,"given":"Sergey Sergeevich","family":"Ivanov","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Surgical Dentistry, Medical Institute Peoples\u2019 Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8452-5776","authenticated-orcid":false,"given":"Andrey Vitalevitch","family":"Protasov","sequence":"additional","affiliation":[{"name":"Department of Operative Surgery and Clinical Anatomy named after I.D. Kirpatovsky, Medical Institute Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6720-3086","authenticated-orcid":false,"given":"Tahoura","family":"Talebidelooei","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Surgical Dentistry, Medical Institute Peoples\u2019 Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8811-5261","authenticated-orcid":false,"given":"Saleh","family":"Dadmehr","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Mashhad University of Medical Sciences Mashhad Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-8543","authenticated-orcid":false,"given":"Elena V.","family":"Kaverina","sequence":"additional","affiliation":[{"name":"Department of Public Health, Healthcare and Hygiene, Medical Institute Peoples\u2019 Friendship University of Russia named after Patrice Lumumba (RUDN University) Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2023.0049"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.52547\/wjps.12.1.3"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.331125080"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006719"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jormas.2022.05.004"},{"key":"e_1_2_13_7_1","volume-title":"Systematic Reviews in Health Care: Meta\u2010Analysis in Context","author":"Egger M.","year":"2008"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-D-19-00099"},{"key":"e_1_2_13_9_1","volume-title":"JBI Manual for Evidence Synthesis","author":"Moola S.","year":"2020"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-24-00523"},{"issue":"15","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta\u2010Analysis of Observational Studies in Epidemiology: A Proposal for Reporting","volume":"283","author":"Stroup D. 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