Operative Techniques in Mandibular Fracture Repair: A Cross-specialty Comparison of Plastic and Reconstructive Surgery, Otolaryngology, and Oral and Maxillofacial Surgery.

Background: Mandibular fractures are the most common facial fractures treated in the emergency setting, with significant variability in operative management across surgical specialties. Plastic and reconstructive surgery (PRS), otolaryngology (ENT), and oral and maxillofacial surgery (OMFS) each approach mandibular fracture repair with different philosophies, particularly regarding tooth extraction within the fracture line. However, few studies directly compare these practices.

The Changing Face of Craniofacial Surgery: A 12-Year Analysis of Gender Representation and Academic Productivity.

ObjectiveTo evaluate trends in gender representation, academic productivity, and training background among craniofacial surgery fellows over the past 12 years and assess changes in the academic expectations for entry into craniofacial fellowship.DesignRetrospective cohort study of craniofacial fellowship graduates (2014-2025).SettingOnline public records review.

Single-stage Segmental Tibial Defect Reconstruction With Double-barrel Free Fibula Flap and Intramedullary Nail: An Innovative Technique Facilitating Early Load Bearing.

The authors present a novel approach using a vascularized double-barrel fibula flap combined with an intramedullary nail (IMN) to reconstruct critical-size segmental tibial defects. Current methods, such as bone transport or induced membrane techniques, require multiple procedures and are associated with high complication rates and delayed load bearing. We present the case of a 44-year-old man with nonunion and chronic osteomyelitis of the left tibia, who underwent reconstruction with a contralateral double strut free fibula flap, placement of IMN, and cancellous bone grafting.