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This retrospective study aimed to provide a detailed overview of all moderate to severe complications in head and neck injuries after surgery. The AO system and the modified Clavien\u2013Dindo classification serve as the basis for our clinical procedure (flow chart presented). The statistical analysis included descriptive methods and \u03c7<jats:sup>2<\/jats:sup>-test. In seventeen years, the complication rate was 2.9% (Clavien\u2013Dindo class II\u2013V). More males were involved than females (3.04:1). The most complications were found in the mandibular angle, paramedian mandible, mandibular body, and lower condylar neck areas, as well as in frontal bone, zygomatic bone, and LeFort I fractures. Adequate treatment procedures allow a low complication rate. However, areas like the mandibular angle, paramedian mandible, lower condylar neck, Le Fort I fractures, or zygomatic bone fractures remain areas with higher risk of problems, which requires further research on necessary surgical methods.<\/jats:p>","DOI":"10.1038\/s41598-025-95455-3","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T17:59:11Z","timestamp":1743789551000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long-term evaluation of complications after osteosynthesis of the jaws in patients with head and neck trauma: an analysis from a German highest level trauma center 2007\u20132023"],"prefix":"10.1038","volume":"15","author":[{"given":"\u00c1kos","family":"Bics\u00e1k","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorit","family":"Claussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Lahmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Zeitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Hassfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Bonitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"95455_CR1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/TA.0000000000003818","volume":"94","author":"CK Zogg","year":"2023","unstructured":"Zogg, C. 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