{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T17:43:56Z","timestamp":1774374236005,"version":"3.50.1"},"reference-count":22,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:00:00Z","timestamp":1757721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical Unit for Reconstructive Plastic- and Craniofacial Surgery, Karolinska University Hospital Stockholm, Sweden"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Mandibular fractures are often treated with open reduction and internal fixation in order to restore function and anatomy. This study analyzes postoperative complications and outcomes over one year at a high-volume teaching hospital, focusing on fracture types, treatment methods, and the impact of providers\u2019 experience. Methods: This retrospective study included patients 12 years of age or older with mandibular fractures resulting from trauma during a 1-year period, January\u2013December 2022 in a level 1 trauma center. Medical records were reviewed, and patient data was collected. Patients were categorized into 3 groups: Group 1 (surgical treatment), Group 2 (closed treatment, i.e., dental splints, arch bars\/eyelets), and Group 3 (observation\/soft diet). The results were tabulated, and standard descriptive statistics were used. Results: 141 patients with 223 mandibular fractures met inclusion criteria. Throughout all groups, 18 surgically treated patients (12.7%) and one patient treated with arch bars (0.07%) required additional unintended surgical procedure such as plate removal with\/without re-plating, or orthognathic surgery for occlusal correction. Conclusions: The complication rates in this cohort align with the existing literature, though variations may origin from limited sample size, short follow-up and patient comorbidities. The involvement of less experienced surgeons during on-call hours most likely contributed to outcome variability. Despite challenges, most patients had favorable outcomes.<\/jats:p>","DOI":"10.3390\/jcm14186467","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T11:51:43Z","timestamp":1757937103000},"page":"6467","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of Mandibular Fractures at a High-Volume Educational Center\u2014A Retrospective Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5887-5369","authenticated-orcid":false,"given":"Helya","family":"Hashemi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, G\u00e4vlegatan 55 NA2, SE-17176 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousuf","family":"Qundos","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, G\u00e4vlegatan 55 NA2, SE-17176 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Payam","family":"Farzad","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, G\u00e4vlegatan 55 NA2, SE-17176 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.joms.2013.11.026","article-title":"An algorithm for the treatment of noncondylar mandibular fractures","volume":"72","author":"Ellis","year":"2014","journal-title":"J. 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