Non-Cochrane · prognostic · PM42812952
Prognostic Value of Initial CT Imaging for Surgical Planning and Outcomes in Panfacial Fractures: A Systematic Review and Meta-Analysis.
Ebrahimi Kambiz, Ivanov Sergey Y, Mekhaeel Mekhaeel Shehata Fakhry, et al. · World journal of otorhinolaryngology - head and neck surgery · 2026 · PubMed · doi:10.1002/wjo2.70176
Findings
40 findings
| Population | ||||
|---|---|---|---|---|
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Abouchadi 2018 | Prevalence .02 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Bicsák 2021 | Prevalence .02 [.01, .04] GRADE not reported 6 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Lin 2021 | Prevalence .03 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Abouchadi 2018 | Prevalence .09 [.04, .19] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Daniels 2020 | Prevalence .04 [.01, .10] GRADE not reported 3 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied · Leave-one-out: omitting Bicsák 2021 | Prevalence .08 [.02, .26] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Koraitim 2020 | Prevalence .09 [.04, .20] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied · Leave-one-out: omitting Cynthia 2023 | Prevalence .06 [.01, .36] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Lin 2021 | Prevalence .11 [.05, .23] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Guerrissi 2016 | Prevalence .03 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Guerrissi 2016 | Prevalence .10 [.04, .21] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Park 2020 | Prevalence .03 [.01, .06] GRADE not reported 5 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Koraitim 2020 | Prevalence .02 [.01, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied Unresolved: the two extractors disagree on this row. | Prevalence .02 [.02, .04] Low 8 studies · 1162 participants |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Kim 2016 | Prevalence .16 [.00, .99] GRADE not reported 2 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Abouchadi 2018 | Prevalence .18 [.06, .44] GRADE not reported 3 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Bicsák 2021 | Prevalence .11 [.05, .23] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Postoperative infection Postoperative; follow-up varied Unresolved: the two extractors disagree on this row. | Prevalence .11 [.00, .90] Very low 2 studies · 96 participants |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Daniels 2020 | Prevalence .20 [.10, .37] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied Unresolved: the two extractors disagree on this row. | Prevalence .05 [.01, .21] Very low 5 studies · 428 participants |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied Unresolved: the two extractors disagree on this row. | Prevalence .10 [.05, .19] Very low 9 studies · 1215 participants |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Koraitim 2020 | Prevalence .04 [.02, .06] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Park 2020 | Prevalence .13 [.05, .32] GRADE not reported 6 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Bicsák 2021 | Prevalence .11 [.04, .26] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Lin 2021 | Prevalence .10 [.04, .22] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied · Leave-one-out: omitting Daniels 2020 | Prevalence .03 [.00, .23] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Daniels 2020 | Prevalence .08 [.04, .17] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Bicsák 2021 | Prevalence .03 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Daniels 2020 | Prevalence .02 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied · Leave-one-out: omitting Abouchadi 2018 | Prevalence .03 [.00, .28] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Enophthalmos Postoperative; follow-up varied · Leave-one-out: omitting Koraitim 2020 | Prevalence .04 [.00, .36] GRADE not reported 4 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Lin 2021 | Prevalence .02 [.01, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Park 2020 | Prevalence .12 [.06, .22] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Cumulative: adding Abouchadi 2018 | Prevalence .03 [.00, .82] GRADE not reported 2 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Cynthia 2023 | Prevalence .02 [.01, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Cynthia 2023 | Prevalence .10 [.04, .22] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Leave-one-out: omitting Kim 2016 | Prevalence .09 [.04, .18] GRADE not reported 8 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Malocclusion Postoperative; follow-up varied · Cumulative: adding Koraitim 2020 | Prevalence .20 [.12, .30] GRADE not reported 5 studies |
| Patients with panfacial fractures undergoing management | Panfacial fracture management | None | Revision or secondary surgery Postoperative; follow-up varied · Leave-one-out: omitting Park 2020 | Prevalence .03 [.02, .04] GRADE not reported 7 studies |
| Patients with panfacial fractures | Initial CT-derived fracture pattern or severity | None | Operative complexity, airway requirements and postoperative complications | no estimate extracted GRADE not reported Studies not reported |
Included primary studies 28
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Abouchadi 2018 Pan-Facial Fractures: A Retrospective Study and Review of Literature DOI:10.4236/ojst.2018.84010 | 2018 | this review only | not stated | not extracted yet |
| Bicsak 2021 Evaluation of Panfacial Fractures in a German Supraregional Trauma Center between 2015 and 2017 - A Retrospective Study. PMID:34522662 | 2021 | this review only | not stated | not extracted yet |
| Chen 2022 Repairing Facial Fractures with Interrupted Maxillary-mandibular Arches by Computer-assisted Reverse Planning Model Surgery DOI:10.1097/gox.0000000000004149 | 2022 | this review only | not stated | not extracted yet |
| Chen 2022 Repairing Facial Fractures with Interrupted Maxillary-mandibular Arches by Computer-assisted Reverse Planning Model Surgery. PMID:35211367 | 2022 | this review only | not stated | not extracted yet |
| Choi 2019 Treatment of Panfacial Fractures and Three-Dimensional Outcome Analysis: The Occlusion First Approach DOI:10.1097/scs.0000000000005528 | 2019 | this review only | not stated | not extracted yet |
| Choi 2019 Treatment of Panfacial Fractures and Three-Dimensional Outcome Analysis: The Occlusion First Approach. PMID:30946230 | 2019 | this review only | not stated | not extracted yet |
| Cynthia 2023 Assessment of clinical outcome of surgically managed panfacial fractures with or without ancillary procedures. A 10-year retrospective study DOI:10.1016/j.jobcr.2022.12.001 | 2023 | this review only | not stated | not extracted yet |
| Cynthia 2023 Assessment of clinical outcome of surgically managed panfacial fractures with or without ancillary procedures. A 10-year retrospective… PMID:36504485 | 2023 | this review only | not stated | not extracted yet |
| Daniels 2020 Experience with Airway Management and Sequencing of Repair of Panfacial Fractures: A Single Tertiary Healthcare Appraisal in Najran,… PMID:33708586 | 2020 | this review only | not stated | not extracted yet |
| Degala 2015 A Comparative Prospective Study of Two Different Treatment Sequences i.e. Bottom Up–Inside Out and Topdown–Outside in, in the Treatment of… DOI:10.1007/s12663-015-0769-2 | 2015 | this review only | not stated | not extracted yet |
| Degala 2015 A Comparative Prospective Study of Two Different Treatment Sequences i.e. Bottom Up-Inside Out and Topdown-Outside in, in the Treatment of… PMID:26604474 | 2015 | this review only | not stated | not extracted yet |
| Guerrissi 2016 Treatment Options in Maxillofacial Fractures DOI:10.1097/scs.0000000000002759 | 2016 | this review only | not stated | not extracted yet |
| Guerrissi 2016 Treatment Options in Maxillofacial Fractures. PMID:27391510 | 2016 | this review only | not stated | not extracted yet |
| Gupta 2018 Changing trends in maxillofacial trauma: A 15 years retrospective study in the Southern Part of Haryana, India DOI:10.4103/ijdr.ijdr_202_17 | 2018 | this review only | not stated | not extracted yet |
| Gupta 2018 Changing trends in maxillofacial trauma: A 15 years retrospective study in the Southern Part of Haryana, India. PMID:29652013 | 2018 | this review only | not stated | not extracted yet |
| Jagiella-Lodise 2024 Patterns of Craniomaxillofacial Trauma at an Urban Level I Trauma Center DOI:10.1097/gox.0000000000005596 | 2024 | this review only | not stated | not extracted yet |
| Jagiella-Lodise 2024 Patterns of Craniomaxillofacial Trauma at an Urban Level I Trauma Center. PMID:38405135 | 2024 | this review only | not stated | not extracted yet |
| Jang 2020 Concomitant injuries and complications according to categories of pan-facial fracture: a retrospective study DOI:10.1016/j.jcms.2020.02.018 | 2020 | this review only | not stated | not extracted yet |
| Jang 2020 Concomitant injuries and complications according to categories of pan-facial fracture: a retrospective study. PMID:32192906 | 2020 | this review only | not stated | not extracted yet |
| Kim 2016 Panfacial Bone Fracture and Medial to Lateral Approach. PMID:28913280 | 2016 | this review only | not stated | not extracted yet |
| Koraitim 2020 Panfacial Fractures Management DOI:10.1097/scs.0000000000006208 | 2020 | this review only | not stated | not extracted yet |
| Koraitim 2020 Panfacial Fractures Management. PMID:32049920 | 2020 | this review only | not stated | not extracted yet |
| Lin 2021 Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective… DOI:10.1186/s12903-021-01900-w | 2021 | this review only | not stated | not extracted yet |
| Lin 2021 Classifying and standardizing panfacial trauma according to anatomic categories and Facial Injury Severity Scale: a 10-year retrospective… PMID:34724954 | 2021 | this review only | not stated | not extracted yet |
| Park 2020 Characteristics of Panfacial Fractures in the Elderly: Etiology, Fracture Patterns, Concomitant Injuries, and Postoperative Complication… DOI:10.1097/scs.0000000000006497 | 2020 | this review only | not stated | not extracted yet |
| Park 2020 Characteristics of Panfacial Fractures in the Elderly: Etiology, Fracture Patterns, Concomitant Injuries, and Postoperative Complication… PMID:32371714 | 2020 | this review only | not stated | not extracted yet |
| Sinha 2022 Management of Maxillofacial Trauma in Road Traffic Accident (RTA) at Tertiary Care Center DOI:10.1007/s12070-020-02299-6 | 2021 | this review only | not stated | not extracted yet |
| Sinha 2022 Management of Maxillofacial Trauma in Road Traffic Accident (RTA) at Tertiary Care Center. PMID:36452780 | 2022 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients with panfacial fractures, or complex maxillofacial trauma cohorts with separately extractable panfacial fracture data | 1811 patients with panfacial fractures (1506 male, 305 female) from 16 studies in 10 countries; 12 pure panfacial cohorts and 4 extractable subgroups |
| Intervention | Initial CT or imaging-based assessment (CT, multiplanar or 3D reconstruction, computer-assisted planning) for diagnosis, fracture characterization, surgical planning or prognostic evaluation | CT, multiplanar or 3D reconstruction reported for assessment and planning in most studies; direct CT-outcome prognostic evidence in 1 study, partial imaging/anatomic evidence in a few |
| Comparison | Not specified | None (single-arm outcomes) |
| Outcomes | Postoperative infection, malocclusion, revision or secondary surgery, enophthalmos; airway outcomes, functional/aesthetic outcomes, mortality, length of stay, ICU admission, operative time; CT-derived variables linked to outcomes | Infection (n=2), malocclusion (n=9), revision or secondary surgery (n=8), enophthalmos (n=5) pooled; airway management (n=2) and CT prognostic variables narrative |
| Study designs | Original clinical studies: prospective studies, retrospective cohorts, case series, subgroup analyses of broader trauma cohorts; published from January 2015 | Observational studies (n=16): 1 prospective comparative, the rest retrospective cohorts or case series |
| Timing | Not specified | Postoperative follow-up varied across studies |