Surgical Dilemmas in Multiple Facial Fractures - Coronal Flap Versus Minimally Invasive: Case Report and Literature Review.

Anterior approach coronal flap minimally invasive pan-facial posterior approach

Journal

Annals of maxillofacial surgery
ISSN: 2231-0746
Titre abrégé: Ann Maxillofac Surg
Pays: India
ID NLM: 101598423

Informations de publication

Date de publication:
Historique:
received: 14 12 2020
revised: 21 03 2021
accepted: 30 03 2021
entrez: 15 9 2021
pubmed: 16 9 2021
medline: 16 9 2021
Statut: ppublish

Résumé

Pan-facial fracture is a complex trauma that involves the upper, middle, and lower third of the facial bones. The surgical management of such complex cases is either by the posterior approach (coronal flap) or anterior approach through local incisions. This report describes the case of severe pan-facial trauma in a 52-year-old male who sustained a severe pan-facial trauma. He suffered from multiple facial fractures that included: Frontal bone, skull base, Naso-orbitoethmoid (NOE), zygomatic and sub-condylar fractures. He was managed by minimally local periorbital and lynch incisions. Fractures were properly reduced with resultant symmetrical facial dimensions. No postoperative complications were demonstrated including facial nerve function. We should consider minimally invasive local incisions in pan-facial fractures when there is no need to restore the frontal sinus and the anterior-posterior dimensions of the zygomatic arch.

Identifiants

pubmed: 34522683
doi: 10.4103/ams.ams_452_20
pii: AMS-11-191
pmc: PMC8407624
doi:

Types de publication

Case Reports

Langues

eng

Pagination

191-194

Informations de copyright

Copyright: © 2021 Annals of Maxillofacial Surgery.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Br J Oral Maxillofac Surg. 2013 Jan;51(1):41-6
pubmed: 22497691
Ulus Travma Acil Cerrahi Derg. 2010 Nov;16(6):541-5
pubmed: 21153949
Biomed Res Int. 2015;2015:724032
pubmed: 26161411
Arch Craniofac Surg. 2016 Dec;17(4):181-185
pubmed: 28913280
Semin Plast Surg. 2017 May;31(2):108-117
pubmed: 28496391
J Craniofac Surg. 2020 Sep;31(6):1727-1730
pubmed: 32371709
Atlas Oral Maxillofac Surg Clin North Am. 2019 Sep;27(2):83-92
pubmed: 31345494
J Maxillofac Oral Surg. 2015 Dec;14(4):986-94
pubmed: 26604474
Anesth Prog. 2017 Fall;64(3):153-161
pubmed: 28858549
J Craniofac Surg. 2019 Jun;30(4):1255-1258
pubmed: 30946230
Ann Ital Chir. 2008 Nov-Dec;79(6):415-7
pubmed: 19354035

Auteurs

Saleh Nseir (S)

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.

Fadi Abu Shqara (F)

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.

Andrei Krasovsky (A)

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.

Adi Rachmiel (A)

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.
The Ruth and Bruce Rappaport Faculty of Medicine, Institution of Technion, Haifa, Israel.

Classifications MeSH