Panfacial bone fracture is challenging. Even experienced surgeons find restoration of original facial architecture difficult because of the severe degree of fragmentation and loss of reference segments that could guide the start of facial reconstruction. To restore the facial contour, surgeons usually follow a general sequence for panfacial bone reduction. Among the sequences, the bottom-to-top and outside-in sequence is reported to be the most widely used in recent publications. However, a single sequence cannot be applied to all cases of panfacial fractures because of the variations in panfacial bone fracture patterns. In this article, we intend to find the reference and discuss the efficacy of inside-out sequence in facial bone fracture reconstruction.
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http://dx.doi.org/10.7181/acfs.2016.17.4.181 | DOI Listing |
J Craniofac Surg
January 2025
Department of Oral and Maxillofacial Surgery, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Objective: To investigate the incidence and etiology of maxillofacial trauma (MFT) and its association with traumatic brain injury (TBI).
Background: Anecdotal evidence suggests that there is an association between MFT and TBI and that higher incidences of TBI are associated with frontal bone and mid-facial fractures. Despite the large volume of maxillofacial facial fractures treated in the authors' unit, no study has been undertaken to establish the relationship between TBI and maxillofacial fractures.
J Craniofac Surg
December 2024
Department of Stomatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Restoration of the occlusal relationship is the key point in the treatment of maxillofacial fractures. Poor restoration of the occlusal relationship seriously impacts oral function as well as physical and mental health. This study combines virtual surgical technology with model surgery, uses computed tomography data to establish a maxillofacial bone model, and performs a virtual reduction of fractures.
View Article and Find Full Text PDFJPRAS Open
December 2024
Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Songkhla, Thailand.
J Craniomaxillofac Surg
November 2024
Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Pansini 5, 80100, Naples, Italy.
J Plast Reconstr Aesthet Surg
January 2024
Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University College of Medicine, Daegu, Korea. Electronic address:
Background: Panfacial bone fractures pose intricate challenges because of severe fragmentation and the loss of landmarks. Surgeons use a variety of reduction techniques, including bottom-up and top-down approaches. This single proportional meta-analysis explores sequencing differences and complications between oral and maxillofacial surgery surgeons (OMSs) and plastic and reconstructive surgeons (PRSs) in treating panfacial bone fractures.
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