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The group suffering minor-moderate head injury (AIS Head 1\u20132) included 518 bicyclists, while 449 bicyclists had major head injury (AIS Head 3\u20136). The mean patient age was 40.2\u00a0years (range 3\u201391\u00a0years) and 701 patients (72%) were men. A total of 521 facial fractures were registered in 262 patients (on average 2 facial fractures per bicyclist). Bicyclists with major head injury exhibited increased odds for facial fractures compared to bicyclists with minor-moderate head injury (sex and age adjusted odds ratio (OR) 2.75, 95% confidence interval (CI) 2.03\u20133.72, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001. More specifically, there was increased odds for all midface fractures, but no difference for mandible fractures. There was also increased odds for orbital reconstruction in cyclist with major head injury compared to bicyclist with minor-moderate head injury (adjusted OR 3.34, 95% CI 1.30\u20138.60, <jats:italic>p<\/jats:italic>\u2009=\u20090.012).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Bicyclists with more severe head injuries had increased odds for midface fractures and surgical correction of orbital fractures. During trauma triage, the head and the face should be considered as one unit.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00701-024-06019-9","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:02:37Z","timestamp":1710288157000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The association between head injury and facial fracture treatment: an observational study of hospitalized bicyclists from a level 1 trauma centre"],"prefix":"10.1007","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9363-7905","authenticated-orcid":false,"given":"P\u00e5l","family":"Galteland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2626-4982","authenticated-orcid":false,"given":"Mats","family":"D\u00f8ving","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2014-8403","authenticated-orcid":false,"given":"Ingar","family":"N\u00e6ss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8203-5511","authenticated-orcid":false,"given":"Amer","family":"Sehic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3821-6777","authenticated-orcid":false,"given":"Tor Paaske","family":"Utheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5943-4538","authenticated-orcid":false,"given":"Torsten","family":"Eken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5181-0447","authenticated-orcid":false,"given":"Nils Oddvar","family":"Skaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5758-6485","authenticated-orcid":false,"given":"Eirik","family":"Helseth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9224-5624","authenticated-orcid":false,"given":"Jon","family":"Ramm-Pettersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"key":"6019_CR1","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.jcms.2018.11.024","volume":"47","author":"B B\u0142aszczyk","year":"2019","unstructured":"B\u0142aszczyk B, Studzi\u0144ski M, \u0141adzi\u0144ski P (2019) Coincidence of craniocerebral and craniofacial injuries. 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