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Characteristics of Bicycle-Related Maxillofacial Injuries Between 2019-2023-Retrospective Study from Poznan, Poland
Kacper Nijakowski1, Szymon Rzepczyk2, Maria Szczepaniak3
1Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland.
Journal of Clinical Medicine
|September 13, 2025
Summary
Cyclists frequently suffer mandible and zygomatic-orbital fractures from bicycle accidents. Alcohol use increases the risk of severe midface fractures and head injuries.
Area of Science:
- Traumatology
- Public Health
- Orthopedics
Background:
- Bicycle use is common in urban micromobility but carries risks of traffic accidents and maxillofacial trauma.
- Cyclists are vulnerable road users, making injury pattern assessment crucial.
- Understanding injury patterns helps in developing targeted prevention strategies.
Purpose of the Study:
- To identify the most common maxillofacial fractures in patients involved in bicycle-related traffic accidents.
- To analyze demographic and situational factors associated with these injuries.
- To highlight the clinical relevance of understanding these fracture profiles.
Main Methods:
- Retrospective analysis of medical records from 2019-2023.
- Inclusion of patients treated at the Clinic of Maxillofacial Surgery for bicycle accident-related maxillofacial injuries.
- Data collection on fracture types, patient demographics, accident circumstances, and treatment outcomes.
Main Results:
- Mandibular fractures (40.4%) were most common, often double fractures, followed by zygomatic-orbital fractures (30.3%).
- Accidents peaked in summer and on weekends; younger patients had isolated mandibular fractures.
- Alcohol consumption correlated with Le Fort II/III midface fractures and increased risk of cranio-cerebral injuries.
Conclusions:
- Maxillofacial fractures from bicycle accidents present a significant clinical challenge.
- Identifying risk factors, such as alcohol use, is crucial for injury prevention.
- Targeted interventions are needed to reduce the incidence and severity of these injuries.

