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Pan facial fracture

Justin A Ledogar, Paul C Dechow, Qian Wang, Poorva H Gharpure, Adam D Gordon, Karen L Baab, Amanda L Smith, Gerhard W Weber, Ian R Grosse, Callum F Ross, Brian G Richmond, Barth W Wright, Craig Byron, Stephen Wroe, David S Strait
The evolution of the modern human (Homo sapiens) cranium is characterized by a reduction in the size of the feeding system, including reductions in the size of the facial skeleton, postcanine teeth, and the muscles involved in biting and chewing. The conventional view hypothesizes that gracilization of the human feeding system is related to a shift toward eating foods that were less mechanically challenging to consume and/or foods that were processed using tools before being ingested. This hypothesis predicts that human feeding systems should not be well-configured to produce forceful bites and that the cranium should be structurally weak...
2016: PeerJ
De-Yi Yu, Chih-Hao Chen, Pei-Kwei Tsay, Aik-Ming Leow, Chun-Hao Pan, Chien-Tzung Chen
BACKGROUND: Orbital fractures and the concomitant soft tissue injuries within the bony orbit result in well-recognized complications such as diplopia and enophthalmos. Guidelines for timing and indications for surgery for achieving an optimal outcome remain elusive. This study examined the effects of timing and fracture type on the outcome of orbital fracture repair. MATERIAL AND METHODS: Data on 255 patients treated for orbital fractures were retrospectively reviewed to determine the effects of the facial bones involved in the fractures, the types of orbital wall fracture, the timing of surgical repair, and diplopia evident before and after corrective surgery on surgical outcomes...
March 2016: Annals of Plastic Surgery
Sourav Sharma, Vandana Dhanasekaran
Patients with multiple fractures involving upper third of the face, the mid-face and the lower third are generally referred to as Pan-facial fractures and managing these cases is extremely complicated. Proximity of the maxillofacial region to the important features or senses such as visual function (diplopia), olfaction, respiration (airway management), chewing or mastication (occlusion), deglutition and aesthetics; makes the scenario a little more complex for the surgeon operating in this particular region than the surgeon operating any other part of the body...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
Imran Khan, Deborah Sybil, Anurag Singh, Tarun Aggarwal, Rizwan Khan
Successful management of airway in complex maxillofacial injuries is quite challenging. The complications and the post-operative care associated with tracheotomy makes it an unpopular choice for airway management meant solely for surgery in these patients. A retrospective analysis of 12 patients from June 2008 to December 2011, seeking treatment for pan facial fractures who underwent transmylohyoid oroendotracheal (submental) intubation is discussed here. The stepwise procedure is explained along with problems of intubation in pan facial fractures...
July 2014: National Journal of Maxillofacial Surgery
Abhishek S Tidke, Rajiv M Borle, Ramnik S Madan, Nitin D Bhola, Anendd A Jadhav, Anjali G Bhoyar
The present study was planned to assess the efficacy, utility and complications of transmylohoid intubation in facial polytrauma patients, by setting and design: prospective study. This study was conducted between May 2008 and May 2011 and 35 patients of facial polytrauma were included irrespective of sex, caste and religion. All the selected 35 patients were male and the age of patients ranged between 15 to 45 years (mean age 31 years). All the patients were intubated with transmylohoid, orotracheal intubation using an armoured endotracheal tube (ETT)...
July 2013: Indian Journal of Otolaryngology and Head and Neck Surgery
Michael R Zachar, Carl Labella, Christopher P Kittle, Pamela Brown Baer, Robert G Hale, Rodney K Chan
PURPOSE: The mandible is the most commonly fractured bone in the craniomaxillofacial skeleton among military casualties. The purpose of this study was to characterize the nature and severity of mandibular fractures incurred by US military personnel during combat. MATERIALS AND METHODS: We queried the Joint Theater Trauma Registry from October 2001 to April 2011 using all pertinent International Classification of Diseases, Ninth Revision codes to identify fractures of the mandible...
April 2013: Journal of Oral and Maxillofacial Surgery
Balanand Subramanian, Srimathy Krishnamurthy, P Suresh Kumar, B Saravanan, M Padhmanabhan
OBJECTIVE: The aim of this study was to randomly compare four incisionssubciliary, subtarsal, infraorbital and transconjunctival with lateral canthotomy for treatment of orbital rim or floor fractures. METHODS: 40 patients with zygomatic complex fractures either isolated or in association with pan facial fractures, were selected for the study. They were divided into four groups of 10 patients each, Group I-Transconjunctival with lateral canthotomy, Group II-Subciliary [single eyelid incision], Group III-Subtarsal incision, and Group IV-Infraorbital incision...
June 2009: Journal of Maxillofacial and Oral Surgery
K Ranganath, H R Hemanth Kumar
Disfiguring post-traumatic deformities of the midface sometimes persist even after the treatment. Such deformities, after healing, are among the most formidable challenges faced by the surgeons, apart from the psychological impact on the patients. Following the basic principles of craniofacial reconstruction and with newer techniques, better results can be achieved. Symmetry is key to proper reconstruction in general and face in particular. Proper facial projection and height must be re-established with harmonious occlusion...
March 2011: Journal of Maxillofacial and Oral Surgery
Chetan B Raval, Mohd Rashiduddin
BACKGROUND: Airway management in maxillofacial injuries presents with a unique set of problems. Compromised airway is still a challenge to the anesthesiologist in spite of all modalities available. Maxillofacial injuries are the result of high-velocity trauma arising from road traffic accidents, sport injuries, falls and gunshot wounds. Any flaw in airway management may lead to grave morbidity and mortality in prehospital or hospital settings and as well as for reconstruction of fractures subsequently...
January 2011: Saudi Journal of Anaesthesia
Hai Jin, Sumin Wang, Lijun Hou, Chengguang Pan, Bo Li, Hui Wang, Mingkun Yu, Yicheng Lu
OBJECTIVE: To discuss the epidemiology, diagnosis and surgical treatment of cranial nerve injury following traumatic brain injury (TBI) for the sake of raising the clinical treatment of this special category of TBI. PATIENTS AND METHODS: A retrospective analysis was made of 312 patients with cranial nerve injury among 3417 TBI patients, who were admitted for treatment in this hospital. RESULTS: A total of 312 patients (9.1%) involving either a single nerve or multiple nerves among the 12 pairs of cranial nerves were observed...
September 2010: Injury
Yi Zhang
OBJECTIVE: To analyze the injury patterns in pan-facial fractures (PFF) which potentially lead to deficient treatment outcomes and then to propose a clinical classification. METHODS: Thirty-nine patients, 31 male and 8 female, with an average age of 33, treated from 1998 to 2007 in the Center of Maxillofacial Trauma, Peking University School and Hospital of Stomatology, were included. Zygomatic complex, maxilla and mandible were involved in the extensive fracture concomitant with nasal-orbital-ethmoid (NOE) fracture or not...
April 2008: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Marcelo Wulkan, José Gustavo Parreira, Denise Aparecida Botter
OBJECTIVES: This study aims to determine the incidence, etiology, severity of facial trauma and associated injuries enabling a greater understanding of its range and magnitude METHODS: A hundred and sixty four patients were selected with some degree of facial trauma regardless of gender, age and skin color. Data were analyzed by the Pearson chi2 statistical method. RESULTS: A male predominance was observed (78%) and its peak age was between 20 and 39 years...
September 2005: Revista da Associação Médica Brasileira
B W Zhang, H J Pan, S B Ye
OBJECTIVE:The test is an analogue of the conditions that cast post and core can be made with different angles to get the core incline lingually or facially in clinic, so that the arrangement of the anterior teeth may be improved.METHODS:Analyse the stress distribution and concentration in the dentin of posts and cores with different angles by Ansys three dimensional finite element stress analysis method.RESULTS:The stress in root was positively related to the angles between the load and the axis of the tooth, the stress distributoin in dentin was related to the direction of the core but not related to the angles...
March 2000: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
W N A Kirkpatrick, C Cook, N Joshi, N Waterhouse
We present the case of a woman who had sustained pan-facial fractures in a road traffic accident 30 years previously, and describe the ensuing unusual problems with the orbital floor and maxillary sinus as a consequence of unrecognised misplacement of a dental periodontal dressing material into the sinus. The subsequent management is discussed.
March 2003: Orbit
P J Koltai, D Rabkin, J Hoehn
This article presents a retrospective analysis of a selective use of rigid fixation among 62 children with facial fractures, treated at a Level I trauma center over a 5-year period (1986-1991). There were 21 mandible fractures, 11 orbital fractures, 11 zygomaticomalar complex fractures, 7 nasal fractures, 5 maxillary fractures, 3 pan-facial fractures, 2 nasal-orbital-ethmoidal complex fractures, and 2 frontal sinus fractures. Only 18 children had rigid fixation of their injuries. Complications of Le Fort upper facial fractures repaired with rigid fixation involved perioperative sinusitis; one case required oral antibiotics, the other ethmoidectomy and maxillary antrostomy...
1995: Journal of Cranio-maxillofacial Trauma
A K Adamo, T Katsnelson, E D Rodriquez, E Karasik
Nasoendotracheal intubation is contraindicated in patients with pan-facial fractures for securing the airway during reconstructive surgery. Oral intubation interferes with intermaxillary fixation during fracture reduction. In these situations, elective tracheostomy is often the airway of choice. However, with the use of rigid internal fixation, postoperative maxillomandibular fixation is unnecessary and traditional tracheostomy may be avoided, unless oral intubation is impossible or long-term airway control is necessary...
1996: Journal of Cranio-maxillofacial Trauma
P N Manson, N Clark, B Robertson, W A Crawley
In the last 20 years, the management of pan-facial injuries has progressed to the point where immediate treatment using open reduction with rigid fixation is now the standard of care. After discussing the historical progression of treatments, the authors present a plan for treatment of craniofacial injuries based on the use of incisions that expose the four areas of the face: the frontal area, upper midface, lower midface and occlusion, and the basal mandibular area. According to the authors, five incisions permit access to the entire anterior craniofacial skeleton: the coronal, lower eyelid, upper and lower gingival-buccal-sulcus, and the preauricular-retromandibular...
1995: Journal of Cranio-maxillofacial Trauma
P N Manson, N Clark, B Robertson, S Slezak, M Wheatly, C Vander Kolk, N Iliff
The patterns of midface fractures were related to postoperative computed tomography scans and clinical results to assess the value of ordering fracture assembly in success of treatment methods. A total of 550 midface fractures were studied for their midface components and the presence of fractures in the adjacent frontal bone or mandible. Preoperative and postoperative computed tomography scans were analyzed to generate recommendations regarding exposure and postoperative stability related to fracture pattern and treatment sequence, both within the midface alone and when combined with frontal bone and mandibular fractures...
April 1999: Plastic and Reconstructive Surgery
H Niederdellmann, M Moritz, P Held, S Feuerbach
No abstract text is available yet for this article.
1994: Revue de Stomatologie et de Chirurgie Maxillo-faciale
R Bainton, N Barnard, J R Wiles, J Brice
Two cases are reported in which the treatment of pan-facial fractures via a bi-temporal flap approach was complicated by cessation of activity of the sinuatrial node (sinus arrest). The anatomical, physiological and anaesthetic implications of this potentially fatal complication are discussed.
April 1990: British Journal of Oral & Maxillofacial Surgery
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