Fixation Duration Research Articles

No such thing as the female eye: ditching gender-binary categories in art perception

ABSTRACT We still know little about whether and how gender informs, shapes, or influences art perception. This multidisciplinary article investigates the role that gender might play in the perception of art through historical analyses and an eye-tracking experiment. We first traced how gender identity, sexual identity, and sexual orientation have been used to theorize the existence of a gender-binary difference between viewers in traditional aesthetics and feminist art theory. To test whether such claims reflect any measurable experience, we collected eye-tracking data from 84 participants and divided them into two groups of cisgender, heterosexual individuals by self-definition. Each group participated in two experiments; the first showed digital reproductions of mixed artworks, varying in subject, style, form, and size; the second showed artworks with only one figure, either explicitly showing sex-linked traits or not. In both cases, we measured the number of fixations, average fixation duration, and saccade amplitude as well as differences in the location of fixations and entropy. Our analysis did not detect any significant difference between the groups. This proves empirically, for the first time, that in spite of having been often reiterated in history, gender binary categories are not suitable for describing the visual perception of art.

Ultrasound-guided techniques for managing length- unstable femoral shaft fractures in children

ObjectiveThe management of length-unstable femoral shaft fractures(LUFSFs) in pediatric patients is still controversial. This study aims to explore the clinical efficacy of ultrasound-guided closed reduction combined with external fixation for treating LUFSFs in children.MethodsWe conducted a retrospective analysis of clinical data from 19 pediatric patients with LUFSFs who underwent ultrasound-guided closed reduction and external fixation between January 2018 and January 2023. Ultrasound was employed not only to facilitate closed reduction of the fracture but also to guide real-time insertion of Schanz pins and monitor pin length as it traversed the opposite cortex. Surgical time, intraoperative fluoroscopy count, hospital stay length, fracture fixation duration, complication incidence, fracture reduction quality at the final follow-up were recorded.ResultsThe patients’ average age was 7.5 years( range: 5 to 11 years). The mean surgical duration was 70.4 min (range: 48–105 min), and the average intraoperative fluoroscopy count was 6.5 (range: 2–16). Fracture fixation lasted an average of 10.9 weeks (range: 7–20 weeks). All patients were followed up for more than one year. 6 cases of superficial pin tract infection occurred, which resolved with oral antibiotics and enhanced needle tract care. No deep infections were observed. Temporary stiffness of the knee joint was observed in 2 patients. According to Flynn’s efficacy evaluation system, fracture reduction quality at the final follow-up was rated as excellent in 11 cases and satisfactory in 8 cases, yielding a combined success rate of 100% (19/19).ConclusionsThe technique of ultrasound-guided closed reduction combined with external fixation offers favorable outcomes for children aged 5 to 11 years with LUFSFs, reducing reliance on fluoroscopic guidance.

Post-treatment Functional Outcomes of Distal Tibiofibular Syndesmosis Injuries With Varying Duration and Method of Stabilization

The purpose of this study was to assess whether the type and duration of screw fixation affects ankle joint functional scores and patient activity levels. We evaluated 55 patients who had undergone surgical treatment for ankle fracture with concomitant distal tibiofibular syndesmosis injury. The follow-up period ranged from 2 years to 4 years and 2 months (mean 36 months). Depending on the time of screw removal, patients were divided into 2 groups (the 8–15-week group-19 patients, and the 16–22-week group-36 patients). There were 17 patients with tricortical and 38 patients with quadricortical syndesmosis fixation. The following parameters were assessed: range of motion, rates of complications, level of pain in visual analogue scale (VAS), and function. In the quadricortical fixation group the range of plantar flexion p = .04 and adduction p = .043 were significantly lower in the operated than in the nonoperated limb. In the patients who had their syndesmotic screws removed after 16–22 weeks, the range of plantar flexion in the operated limb was significantly lower than that in the nonoperated limb. We observed no differences between the evaluated groups in terms of ankle joint mobility, VAS pain levels, functional outcomes, or complication rates. All the analyzed subgroups showed poorer ranges of some types of motion in the ankle and worse functional scale and VAS pain scores after treatment in comparison with those before the injury. We suggest removing the syndesmotic screws after 8–15 weeks, due to the possibility of earlier rehabilitation, faster return to work and physical activity and less burden on the health care system. Tricortical or quadricortical syndesmosis fixation is at the surgeon's discretion.

Primary Closure of External Fixator Pin Sites Is Safe After Orthopaedic Trauma Surgery.

To determine if rates of pin site infection and surgical site infection among patients managed with primary closure after external fixator removal were similar to those allowed to heal secondarily. Retrospective cohort. Urban/Suburban Academic Level I Trauma Center. Patients who had received a lower extremity external fixator for provisional management before definitive fixation of lower extremity fractures were included with pin site wounds closed primarily or allowed to heal by secondary intention. The rate of pin tract infection and surgical site infection following primary closure of external fixator pin sites relative to patients whose pin sites were allowed to heal through secondary intention. In total, 256 patients were evaluated: 143 patients (406 pin sites) in the primary closure group and 113 patients (340 in sites) in the secondary closure group. The average age was 49 ± 16 years. Sixty-five percent of included patients were male. There was no difference in pin tract infections between cohorts (primary = 0.5%, secondary = 1.5%, P = 0.26). External fixator duration in the primary closure group was 11.5 ± 8.4 days and 13.0 ± 8.1 days in the secondary closure group (P = 0.15). There was a greater rate of surgical site infections in the secondary intention cohort (15.9% vs. 7.7%, P = 0.047). There was no difference in pin site infection rate after primary pin site closure relative to patients who were allowed to heal through secondary intention. Furthermore, there was a lower rate of surgical site infection after primary closure. These results challenge the dogma of secondary closure for ex fix pin sites, suggesting that debridement and primary closure is a safe option for management of external fixator pin sites and may impart benefit in decreasing infection risk. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Determining the Perception Created by Health Warnings on Plain Cigarette Packs with Visual Attention: Eye-Tracking Technique

This study examines the effects of the plain packaging policy implemented in Türkiye, analyzing how different demographic groups perceive health warnings on cigarette packaging. Employing advanced eye-tracking technology, the research identifies distinct visual attention patterns between smokers and non-smokers when exposed to ‘Anxiety’ and ‘Disturbing’ visual cues. Detailed metrics, including fixation counts, durations, and saccade amplitudes, are used to measure and analyze the responses of these groups to the health warnings. The findings reveal that non-smokers significantly focus more on textual warnings, suggesting that text-based elements are more impactful for this group. Conversely, smokers tend to either avoid or become desensitized to disturbing imagery. Additionally, the study finds that female participants exhibit higher saccade amplitudes compared to males, indicating a more thorough examination of the packaging. This gender-specific difference is especially pronounced in their responses to ‘Disturbing’ images, where females show greater engagement, pointing to an increased sensitivity to such stimuli. These insights not only advance our understanding of effective health communication but also underscore the importance of designing public health interventions that cater to the unique responses of different demographic groups. This research significantly enriches the field of tobacco control, providing evidence-based strategies to enhance the effectiveness of visual warnings, thereby supporting targeted smoking cessation efforts.

Acceptability and Feasibility of Portable Eye-Tracking Technology within a Children's Dynamic Sport Context: An Exploratory Study with Boys Who Play Grassroots Football.

Teaching practices are moving from decontextualised to more representative curricula. Although this is argued to be a positive step, low motor competence is a continual issue in primary-aged school children. One methodological approach to investigate ways to improve motor competence, eye tracking, is moving to more representative tasks. So far, eye-tracking research using static activities has demonstrated a positive association between motor competence and earlier fixation and longer duration. However, this research has been constrained to laboratory settings and tasks, or discrete activities (e.g., throw and catch). This study seeks to understand how to conduct more representative eye-tracking research in primary school-aged children. To this end, thirteen 10-11-year-old children were fitted with an eye-tracker during a typical football coaching session. Children were asked acceptability-based questions, and eye-gaze data were captured to illustrate what children attended to under a representative dynamic football-based activity. Based on the voices of children and captured eye-gaze data, six practical implications for research in this population are proposed: (1) conduct eye-tracking research indoors (where possible); (2) ensure long hair or fringes are secured so as not to obscure line of sight; (3) run the same activity to increase comparability across children wearing the eye-tracker; (4) use a properly fitted backpack (if a backpack is to be used); (5) assure children about the capability and hardiness of the eye-tracker, as they do not need to change the way they move; (6) explain there may be some discomfort with the nose clip, head strap, and battery weight and ensure that children wish to continue.

Eye Tracking-Based Characterization of Fixations during Reading in Children with Neurodevelopmental Disorders.

An efficient mode of evaluation for eye movements is the use of objective eye tracking systems combined with subjective tests (NSUCO or DEM), which are easily applicable across all age groups and in eye care clinical settings. The objective of this study was to characterize fixations during reading in two groups: a group of children with neurodevelopmental disorders (NDDG, 24 children, age: 6-12 years) and a group of children with oculomotor anomalies but without NDD (OAG, 24 children, age: 6-12 years). The results obtained were compared with those from a control group (CG, 20 children, age: 6-12 years). Specifically, the outcomes obtained with two subjective score systems, the Northeastern State University College of Optometry's Oculomotor (NSUCO) test and the Developmental Eye Movement (DEM) test, were compared with the objective analysis obtained through a commercially available eye tracker (Tobii Eye X, Tobii, Stockholm, Sweden). Specialized analysis software, namely Clinical Eye Tracker 2020 (Thomson Software Solutions, Welham Green, UK), was used. It was found that children with NDD had impaired oculomotor skills. A higher number of regressions, more fixations, and longer durations of fixations appear to be characteristic signs of this population group. Additionally, children with NDD took longer to complete the DEM test, as well as exhibiting more errors. The use of objective videoculographic systems for eye tracking and subjective tests like the NSUCO or DEM are good tools to assess saccadic movements, allowing the detection of oculomotor abnormalities in children with NDD.

Influence of an adjacent tunnel connecting zone shading shed on drivers’ eye movement characteristics

A tunnel shading shed is crucial in improving driving safety as a type of traffic facility to ease the transition of light environments. To study the effect of installation of a shading shed on the visual characteristics of drivers in the connecting zone of the adjacent tunnels, a total of 32 drivers were gathered to perform a real vehicle experiment. The study zone of the adjacent tunnels was divided into three sections: upstream tunnel exit; connecting zone; and downstream tunnel threshold zone. Fixation duration, saccade duration and saccade frequency were selected as research indexes. The results suggest that installation of a shading shed in the connecting zone significantly reduced the fixation (saccade) duration in the upstream tunnel exit and downstream tunnel threshold zones, with a significantly higher saccade frequency. In addition, fixation is better improved at the downstream tunnel entrance, and saccade is better enhanced at the upstream tunnel exit.

Markers of musical expertise in a sight-reading task: An eye-tracking study.

Classical music pianists of five different conservatory levels, from undergraduate to professional, were tested on a sight-reading task with eye-movement recording. They had to sight read both tonal classical scores that followed the rules specific to Western tonal music, and atonal contemporary scores, which do not follow these rules. This study aimed at determining the extent to which eye movements and musical performance metrics can account for the level of sight-reading expertise. First, the results indicated that with the acquisition of expertise, musicians process visual information more rapidly (increasing their played tempo while decreasing average fixation duration and their number of fixations), more structurally (tending to increase their eye-hand span), and more accurately (increasing their sight-reading accuracy). Second, when they sight read contemporary scores compared to classical scores, musicians decreased their played tempo, tended to be less accurate, increased their number of fixations, and tended to decrease their eye-hand span. Finally, expertise effects were moderated by the type of score. These results suggest (a) that visual perception is progressively shaped through music reading expertise and through domain-specific knowledge acquisition, (b) that tonal-specific cues play a significant role to use an efficient eye-movement behavior and (c) that the benefit conferred by expert prior music-specific knowledge seems to be even greater for sight-reading tonal rather than atonal scores. Our findings are discussed in the light of expert memory theories (long-term working memory theory; Ericsson & Kintsch, 1995; template theory, Gobet & Simon, 1996). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Visual Aesthetic Quality of Qianjiangyuan National Park Landscapes and Its Spatial Pattern Characteristics

This paper conducts a scientific assessment of aesthetic quality to provide intuitive and scientific planning strategies for national park construction. Focusing on Qianjiangyuan National Park, the study used the scenic beauty evaluation (SBE) method to subjectively assess landscape photos from 16 sample sites. Objective eye movement indicators describing visual behavior were also analyzed. A national park landscape visual quality assessment model was derived through multiple linear regressions correlating subjective evaluations with objective indicators. Spatial technologies like ArcGIS were used to analyze the visual quality and its spatial distribution. Key findings include (1) subjective evaluations showed higher SBE scores for wetland landscapes, followed by recreational, village, and forest landscapes, (2) eye movement behavior varied across landscape types, with the forest landscape having the shortest first fixation time and the lowest saccade frequency, while recreational landscapes had the lowest average saccade speed, (3) strong correlations were found between SBE and indicators such as average fixation time and saccade frequency, with fixation duration ratio being the leading factor influencing visual aesthetic quality, and (4) visual aesthetic quality was highest in the north and south areas of the park, with significant differences between sample sites in these regions compared to the central area. Among different functional zones, the ecological protection area had the highest quality, while the Suzhuang management area excelled in aesthetic quality compared to the Hetian management area.

The influence of fixing condition on myoglobin stainability of striated muscle as a tool for forensic diagnosis

It is reported that immunostaining of Myoglobin (Mb) is useful for forensic diagnosis. In this study, we investigated the condition of fixation of striated muscle in 10 % neutral-buffered formalin to obtain appropriate stationarity of Mb in immunostaining. Firstly, criteria for staining intensity and definition of the stainability of examined were determined for sheep muscle tissue. Sheep myocardial tissue was fixed using 10 % neutral-buffered formalin under the 21 different conditions based on combinations of the following: three ratios of volume of formalin (mL) to weight of myocardium (g) (RFM) of 1, 4 or 9, 7 durations of fixation (DF) of 0.5, 3 or 6 h, and 1, 2, 5 or 7 days. Secondly, detection of Mb diffused form skeletal muscle from autopsy cases into formalin during fixation were confirmed by ELISA. Finally, the evaluation of stainability of Mb of striated muscle in routine autopsy examinations was confirmed using sheep staining intensity standards. From this experimental investigation, it has been demonstrated that the most suitable formalin fixation condition for using Mb staining in forensic diagnosis is RFM4 with a fixation time of at least DF 3 h up to 1 day. It was evident that staining intensity decreases with fixation durations exceeding 2 days, irrespective of the RFM. Thus, the fixation time was deemed the most influential factor affecting the staining properties of Mb staining in skeletal muscle tissue. When conducting Mb staining using striated muscle as an evaluation sample, particular attention should be paid to the fixation time.

Investigation of Eighth-Grade Students’ processes of solving skill- based science questions by eye tracking technique

AbstractThe aim of this study was to determine the visual measurement results related to the behavior/processes of solving skill-based science questions of eighth grade students by eye tracking technique. Non-experimental quantitative research method was used in the research and visual measurement results were supported by heat maps and eye splash movements. Nine questions, with difficulty and discrimination indexes calculated, were applied to 56 eighth grade students. Data were collected with a skill-based test, eye tracking device, think-aloud protocols and a perception scale towards next generation science questions. The data obtained from the eye tracking device was examined using Gaze Viewer software and the results were shown as images. The results revealed that visual measurement results differed according to gender and 2023 high schools entrance exam scores. Additionally, negative relationships were found between visual measurement results and students’ practice test scores and their perceptions towards solving next generation science questions. It was determined that average duration of fixation had a significant predictive effect on students’ self-efficacy levels for solving next generation science questions.

Is game-based therapy effective for treating cognitive deficits in adults with schizophrenia? Evidence from a randomized controlled trial

Cognitive deficits in schizophrenia are a major contributor to poor functional outcomes and everyday functioning, making them a promising therapeutic target. Recent years have witnessed a dramatic increase in the use of digital interventions, such as game-based therapy, targeting various domains of cognition to treat mental disorders. Game-based digital interventions have been suggested to have therapeutic value in health care for people with schizophrenia. To support this idea, a novel, online training program (Komori Life) that targets cognitive deficits in schizophrenia was tested for feasibility of use and initial efficiency. Inpatients with schizophrenia were randomized to complete 20 sessions of either Komori Life (N = 40 completers) or treatment as usual (N = 40 completers). Cognitive and clinical assessments were performed at enrollment and after completion of the training intervention for all patients. In addition, 32 healthy volunteers were recruited as controls, and an eye-tracking paradigm was employed to assess attentional biases to emotional information before and after game intervention for all subjects. The results showed that there were no group differences in cognitive or clinical assessments at baseline between the two patient groups. After game training, there were still no group × time interactions on cognitive or clinical assessment scores. Regarding eye movement measurements, both patient groups showed increased attention to threatening stimuli compared to healthy controls in terms of attentional maintenance at baseline. After game training, the game training group revealed greater improvement in attentional bias towards threatening scenes (decreased percentage of total duration and percentage of total fixations towards threatening stimuli) relative to the treatment as usual group. Moreover, our results partially indicated that training effectiveness was associated with cognitive improvement and that heightened attentional maintenance to threats was associated with worse cognitive performance. This study provides initial evidence that a remote, online cognitive training program is feasible and effective in improving cognitive function in schizophrenia. This form of training may serve as a complementary therapy to existing psychiatric care. Clinical trial registration: the trial is registered at http://www.chictr.org.cn, identifier ChiCTR2100048403.

Performance and eye movement patterns of industrial design students reading sustainable design articles

Sustainable design education plays a crucial role in cultivating sustainability awareness and competencies among students studying industrial design. This research investigates their sustainability levels, reading performance when engaging with articles, and fixation patterns during reading. 60 industrial design students participated in the study. We evaluated their sustainability levels using the Sustainable Consumption Measurement Scale. After reading both theoretical and case article, they completed tests assessing their recall and perspective scores. We collected eye-tracking data to analyze fixation duration and conducted lag sequential analysis on fixation transitions. Students were categorized into higher and lower sustainability groups based on their sustainability scores. Female students demonstrated higher sustainability levels, and students with design experience performed better in the higher sustainability group. While recall scores did not differ significantly, the higher sustainability group exhibited elevated perspective scores in theory article. Perspective scores were generally higher for case article compared to theory article. The higher sustainability group exhibited longer fixation durations in theory article, while the case article had longer fixation durations on images. Fixation transition patterns varied between theoretical and case article, with the former featuring transitions from images to texts, and the latter demonstrating transitions between images. This study provides valuable insights into sustainable design education for students studying industrial design.

Attentional Bias in Older Adults with Non-Clinical Depression: An Eye-Tracking Study

ABSTRACT Background Cognitive models of depression assert that attentional biases play an important role in the maintenance of depression. However, few studies have explored attentional bias in depressed older adults, and no consistent conclusions have been reached. Methods In the current study, we investigated attentional bias in older adults with non-clinical depression. Older adults aged over 60 with non-clinical depression and without depression were instructed to perform a free viewing task while their eye movements were tracked. Results The results showed that, compared to older adults without depression, non-clinically depressed older adults had longer total fixation durations and a greater number of fixations on sad stimuli. Moreover, non-depressed older adults exhibited a preference for pleasant images, whereas this effect was not observed in older adults with non-clinical depression. Conclusion This study suggested that non-clinically depressed older adults have attentional bias, which is manifested as increased attention to sad stimuli and decreased attention to pleasant stimuli.The current study has functional and potential functional implications.

Evaluation of Instructors’ Demographic Variations on a Web-based Platform for Connecting with Practitioners

Exploration of demographic variations is required to develop dynamic web platforms that cater to the varying preferences of diverse users. Hence, this study evaluated instructors’ demographic variations on a web-based platform for connecting with practitioners for student development. Both objective and subjective measures were adopted to investigate age- and gender-related differences in gaze behavior, task completion time, perceived cognitive load, perceived usability, and trust. Compared to male instructors, female instructors had higher fixation counts, longer task completion times, and statistically significant longer fixation duration. Female instructors gave higher usability and trust ratings but reported a higher cognitive workload. Compared to Generation Y instructors, Generation X instructors had longer fixation duration, higher fixation count, and statistically longer task completion time. Generation X instructors reported high cognitive load, lower usability, and trust ratings. The study also reveals demographic differences in parameters that instructors focused on while connecting with practitioners via a web platform.

In the Eye of the Beholder-Visual Search Behavior in Equestrian Dressage Judges.

This study investigated the visual search behavior of equestrian dressage judges at different expertise levels during the assessment of Grand Prix horse-rider combinations. Twenty judges (11 foundational level, 9 advanced level) participated in the study, with their eye movements recorded using Tobii Fusion Eyetracker as they evaluated video recordings of dressage tests. Fixation metrics, namely Total Duration of Fixation (TDF), Average Duration of Fixation (ADF), and Total Number of Fixations (TNF), were analyzed across four Areas of Interest (AOIs): front, back, rider, and horse's feet. Statistical analysis utilized linear mixed-effects models. Results demonstrated that judges consistently focused more on the front of the horse, with additional differences in fixation duration and frequency based on judge experience and specific movements. Advanced judges focused more on the horses' feet, suggesting they draw meaning from specific areas indicative of performance quality. Conversely, foundational level judges focused more on the rider, reflecting different evaluative priorities at lower levels of the sport. These findings suggest that judges focus on a limited number of highly relevant areas, differing across movements and expertise levels. The study underscores the necessity of understanding both gaze behavior and subsequent interpretations of visual information to increase judging transparency, fairness, and equine welfare.

Eye-Tracking for Examining Nurses’ Attention During Cardiac Arrest Simulations: A Feasibility and Acceptability Study

<p>Introduction: Eye-tracking offers a distinctive opportunity to assess nurses’ clinical decision-making in simulation. Although its feasibility has been established in various scenarios, most studies have focused on a single participant, typically a physician in a leadership role. The application of eye-tracking in the challenging context of in-hospital cardiac arrest (IHCA) simulations, where nurses juggle diverse roles and undertake physical tasks such as chest compressions, has yet to be explored.</p><p>Objectives: This study aimed to assess the feasibility and acceptability of eye-tracking with nurses’ during IHCA simulations. Additionally, the study aimed to describe eye-tracking metrics based on different resuscitation roles and to explore the relationship between eye-tracking metrics to pinpoint the most informative metrics for the design of future studies.</p><p>Methods: In this single-group observational study, 56 newly hired nurses wore eye-tracking glasses during IHCA simulations. The primary feasibility criterion was the proportion of usable eye-tracking data. Secondary criteria included recruitment rate, calibration time, and glasses acceptability. The relationship among eye-tracking metrics was investigated through correlation analyses.</p><p>Results: Calibration of the devices was rapid, and 85.7% of the data was usable. The glasses were comfortable, non-distracting, and did not impede nurses’ vision or performance. Data were mapped for five areas of interest: the patient’s head and chest, cardiac monitor, teammates, and resuscitation cart. Eye-tracking metrics exhibited variations based on resuscitation roles. Fixation count, fixation duration, and time to first fixation appeared to be the most informative metrics in IHCA simulation.</p><p>Discussion and conclusion: These findings demonstrate the feasibility and acceptability of analyzing nurses’ eye-tracking data during IHCA simulations using a role-based approach. Future research should explore correlations with additional attention measures to enhance our understanding of nurse decision-making during cardiac arrest and improve educational strategies and outcomes.</p>

Impairment of the GABAergic system in the anterior insular cortex of heroin-addicted males.

Opioid addiction is a global problem, causing the greatest health burden among drug use disorders, with opioid overdose deaths topping the statistics of fatal overdoses. The multifunctional anterior insular cortex (AIC) is involved in inhibitory control, which is severely impaired in opioid addiction. GABAergic interneurons shape the output of the AIC, where abnormalities have been reported in individuals addicted to opioids. In these neurons, glutamate decarboxylase (GAD) with its isoforms GAD 65 and 67 is a key enzyme in the synthesis of GABA, and research data point to a dysregulation of GABAergic activity in the AIC in opioid addiction. Our study, which was performed on paraffin-embedded brains from the Magdeburg Brain Bank, aimed to investigate abnormalities in the GABAergic function of the AIC in opioid addiction by densitometric evaluation of GAD 65/67-immunostained neuropil. The study showed bilaterally increased neuropil density in layers III and V in 13 male heroin-addicted males compared to 12 healthy controls, with significant U-test P values for layer V bilaterally. Analysis of confounding variables showed that age, brain volume and duration of formalin fixation did not confound the results. Our findings suggest a dysregulation of GABAergic activity in the AIC in opioid addiction, which is consistent with experimental data from animal models and human neuroimaging studies.

An experimental study of a novel external fixator based on universal joints for the rapid initial stabilization of mandibular comminuted fractures

PurposeShaping and assembling contemporary external fixators rapidly for the severe mandibular fractures remains a challenge, especially in emergency circumstance. We designed a novel external fixator that incorporates universal joints to provide the stabilization for mandibular comminuted fractures. This study aims to confirm the efficacy of this novel external fixator through biomechanical tests in vitro and animal experiments. MethodsIn vitro biomechanical tests were conducted using 6 fresh canine with mandibular defect to simulate critical comminuted fractures. Three mandibles were stabilized by the novel external fixator and other mandibles were fixed by 2.5 mm reconstruction plates. All fixed mandibles were subjected to loads of 350 N on the anterior regions of teeth and 550 N on the first molar of the unaffected side. The stability was evaluated based on the maximum displacement and the slope of the load-displacement curve. In animal experiments, 9 beagles with comminuted mandibular fractures were divided into 3 groups, which were treated with the novel external fixation, reconstruction plate, and dental arch bar, respectively. The general observation, the changes in animals’ weight, and the surgical duration were recorded and compared among 3 groups. The CT scans were performed at various intervals of 0 day (immediately after the surgery), 3 days, 7 days, 14 days, 21 days, and 28 days to analyze the displacement of feature points on the canine mandible and situation of fracture healing at 28 days. The statistical significance was assessed by the two-way analysis of variance test followed by the Bonferroni test, enabling multiple comparisons for all tests using GraphPad Prism10.1.0 (GraphPad Inc, USA). ResultsThe outcomes of the biomechanical tests indicated that no statistically significant differences were found in terms of the maximum displacement (p = 0.496, 0.079) and the slope of load displacement curves (p = 0.374, 0.349) under 2 load modes between the external and internal fixation groups. The animal experiment data showed that there were minor displacements of feature points between the external and internal fixation groups without statistic difference, while the arch bar group demonstrated inferior stability. The CT analysis revealed that the best fracture healing happened in the internal fixation group, followed by the external fixation and arch baring at 28 days after fixation. The external fixation group had the shortest fixation duration (25.67 ± 3.79) min compared to internal fixation ((70.67 ± 4.51) min, p < 0.001) and arch baring ((42.00 ± 3.00) min, p = 0.046). ConclusionThe conclusion of this study highlighted the efficacy and reliability of this novel external fixator in managing mandibular fractures rapidly, offering a viable option for the initial stabilization of comminuted mandibular fractures in the setting of emergency rescue.