MaxFac London

Academic publications

Research

Our surgeons are actively involved in clinical research, contributing to advances in oral and maxillofacial surgery. Below is a selection of published work.

Craniomaxillofacial Trauma & Reconstruction, 2026

Frontal Sinus Fractures: An Evaluation of Injury Parameters and Operative Variables on Surgical Outcomes

George Cove, Declan Hughes, Christopher Zerafa, Simon Holmes

137

Patients

8 yrs

2015–2022

13%

Major complication

RTT risk per Lofgren step

p=.006

Lofgren vs RTT

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British Journal of Oral and Maxillofacial Surgery, 2025

Open Management of Condylar Head Fractures. The First 50 Cases: What Have We Learnt and Where Are We Going?

Nabeel Bhatti, Hussein Mohamedbhai, Ximan Poon, Pippasha Khan, Frederic Van der Cruyssen, Simon Holmes

45

Patients

50

Fractures

32 mm

Mean mouth opening

75%

Anatomical reduction

0%

Permanent FN palsy

5/5

Patient satisfaction

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British Journal of Oral and Maxillofacial Surgery, 2024

How Good is Good Enough? Lessons Learned from Review of Outcomes of 50 Patients Following Extraoral Open Reduction and Internal Fixation of Condylar Neck and Base Fractures at a Regional Major Trauma Centre

Julian Leow, Rebecca Exley, Simon Holmes, Nabeel Bhatti

50

Patients

59

Condyles

83%

<2 mm overlap

88%

<10° angulation

3.4%

Non-union rate

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British Journal of Oral and Maxillofacial Surgery, 2023

Quantitative Analysis of Diplopia Following Orbital Fracture Repair

Declan Hughes, Joe McQuillan, Simon Holmes

472

Reconstructions

5 yrs

2015–2019

4.9%

Residual diplopia

0%

New-onset diplopia

5.7%

Return to theatre

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BMC Health Services Research, 2026

Barriers to Domestic Violence Disclosure in Healthcare Settings: A Scoping Review of Victim and Provider Perspectives

Tamana Barakati, Manu R. Mathur, Manas Dave, Mohammad I. Farook, Simon Holmes, Ali Golkari, Ania Korszun, Mohammad S. A. Alshammari, Paul Coulthard

14

Studies included

2,311

Female participants

341

Male participants

6

Countries

2018–23

Search period

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Craniomaxillofacial Trauma & Reconstruction, 2025

Quantitative and Qualitative Symmetry Analysis of Open Reduction and Fixation of Zygomatic Complex Fractures

Frederic Van der Cruyssen, Mathilda Wylde, Anthony Campbell, Ali Reza Pourkarim, Zeeshan Ahmad, Nabeel Bhatti, Simon Holmes

16

ZMC Patients

81%

Within 4 mm post-op

8/10

Holmes Zygoma Scale

p<.001

Heatmap improvement

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British Journal of Oral and Maxillofacial Surgery, 2025

Sagacity of surgical selectivity: a retrospective analysis of occlusal outcome and intermaxillary fixation use in midface fracture fixation

D Hughes, R Fussell, N Bhatti, S Holmes, R Davies

100

Patients studied

3 yr

Study period

8%

Malocclusion rate

20%

IMF used

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Journal of Craniofacial Surgery, 2021

Orbital Bone Fractures in a Central London Trauma Center: A Retrospective Study of 582 Patients

J Moffatt, D Hughes, N Bhatti, SB Holmes

582

Patients studied

5 yr

Study period

82%

Male patients

55%

Assault-related

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British Journal of Oral and Maxillofacial Surgery, 2016

Management of Complex Orbital Fractures

N Bhatti, A Kanzaria, N Huxham-Owen, C Bridle, S Holmes

2016

Published BJOMS

9

Risk scenarios

5

Strategic domains

9

MDT specialties

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