Purpose Of Review: Management of midface trauma is complex and challenging and requires a clear understanding of the facial buttress system, subunit anatomy and inter-relationships. Too often clinicians attempt surgical repair without adequate knowledge of the common complications associated with poor reduction and improper sequencing of fracture repair. This review outlines a working approach to the identification and management of such injuries, and the definitive management of common injury patterns.
Recent Findings: Midface trauma, with or without life-threatening and sight-threatening complications, may arise following isolated injury, or be associated with significant injuries elsewhere. Assessment needs to be both systematic and repeated, with the establishment of clearly stated priorities in overall care.
Summary: Accurate and precise relocation of bony subunits and resuspension of soft tissues is vital in achieving acceptable functional and aesthetic outcomes.
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http://dx.doi.org/10.1097/MOO.0000000000000267 | DOI Listing |
Trauma Case Rep
February 2025
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine Universitas, Indonesia.
Introduction: The prevalence of maxillofacial fractures is rising due to increased road traffic accidents, necessitating prompt and effective management, especially in cases of panfacial fractures. The primary objective in treating such fractures is to restore occlusion and stabilize midface buttresses and pillars.
Case Report: This article presents the case of a 56-year-old male who sustained panfacial fractures following a road accident, exhibiting symptoms including facial pain and nosebleeds.
Radiologie (Heidelb)
January 2025
Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Midface fractures present a clinical challenge in otorhinolaryngology due to their often complex injury pattern and nonspecific symptoms. Precise diagnostics, including differentiated imaging procedures, are required. Interdisciplinary consultation between otorhinolaryngology, maxillofacial surgery, neurosurgery, and ophthalmology is often necessary.
View Article and Find Full Text PDFHNO
February 2025
Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Regensburg, Franz-Josef-Strauß Allee 11, 93053, Regensburg, Deutschland.
Ultrasound is today an essential element of otorhinolaryngology. During the course of (technical) development, fracture sonography has also gained increasing clinical and scientific interest. Sonography can already be used today as the imaging method of choice for isolated suspected fractures of the nasal or zygomatic bone.
View Article and Find Full Text PDFTraffic Inj Prev
December 2024
Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Nalgonda, Telangana, India.
Objective: The prevalent reliance on 2-wheelers as a preferred mode of private transportation in rural and semi-urban regions and the various associated social and material factors put riders at significant risk for road traffic accidents causing maxillofacial trauma. This epidemiological study aims to investigate these factors and their influence on patterns of maxillofacial injuries among 2-wheeler riders in semi-urban and rural areas of South India.
Methods: Data from all cases with maxillofacial injuries over 6 years were collected retrospectively, including demographic characteristics, accident specifics, helmet use, injury patterns, and management.
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