Endoscopic management of facial fractures

Pham, Annette M.; Strong, E. Bradley

doi:10.1097/01.moo.0000233593.84175.6e

Cited by 41 publications

(35 citation statements)

References 42 publications

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“…Current applications include the management of orbital blow-out, frontal sinus, zygomatic arch, and subcondylar fractures. It should be emphasized that endoscopy augments, rather than replaces, the 'time tested' principles of adequate skeletal exposure, accurate fracture reduction, and appropriate internal fixation [6]. Very few large studies of endoscopic fracture repair exist.…”

Section: Discussionmentioning

confidence: 95%

Lag Screw Fixation of Fracture of the Anterior Mandible: A New Minimal Access Technique

Jadwani

Bansod

2011

J. Maxillofac. Oral Surg.

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Section: Discussionmentioning

confidence: 95%

Lag Screw Fixation of Fracture of the Anterior Mandible: A New Minimal Access Technique

Jadwani

Bansod

2011

J. Maxillofac. Oral Surg.

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“…However, this technique requires dedicated instrumentation and experienced surgeon to make it fully work. 13 In addition, some local incisions have been modified to achieve better outcomes, for example, from…”

Section: Approachesmentioning

confidence: 99%

The management of naso-orbital-ethmoid (NOE) fractures

Wei

Tang

Liu

et al. 2015

Chinese Journal of Traumatology

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The bony naso-orbital-ethmoid (NOE) complex is a 3-dimensional delicate anatomic structure. Damages to this region may result in severe facial dysfunction and malformation. The management and optimal surgical treatment strategies of NOE fractures remain controversial. For a patient with NOE trauma, doctors should perform comprehensive clinical examination and radiographic analysis to assess the type and extent of fracture. The results of assessment will assist doctors to make a patient-specific program for the sake of reducing post-operation complications and restoring normal appearance and function as much as possible. This review focuses on the advancement of management of NOE fractures including symptoms, classifications, diagnosis, approaches, treatment and new techniques in this field.Due to the naso-orbital-ethmoid (NOE) complex's intricate anatomy, the fracture in this region has been one of the most challenging to manage in maxillofacial trauma. The NOE complex is a 3-dimensional delicate anatomic structure. Damage to any structure in this region, even minimal, is quite likely to result in the facial function and appearance abnormal. M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTFurthermore, this complex structure has a compact relationship with the brain and eyes, because it separates the nasal, orbital cavities from cranial cavity. Therefore, as long as the fracture of the region is suspected, a thorough physical examination and radiographic assessment, such as 2-dimensional (2D) CT and 3-dimensional (3D) CT, must be performed to assess the type and extent of fracture after achieving the stable vital signs.At present, different types of approaches for exposure have been discussed, such as midfacial degloving and endoscopic approach, as well as management of the NOE fracture, such as bone tissue engineering. However, every procedure has its advantages and disadvantages. According to individual injures, the surgeon should select the patient-specific treatment to restore the normal facial function and appearance. This review will discuss the advancement in the field of NOE fracture management. NOE anatomy Bony structure: the NOE complex consists of the nasal bones, frontal process of the maxilla, nasal process of the frontal bone, lacrimal bone, lamina papyracea, ethmoid bone, sphenoid bone and nasal septum, which separate the nasal, orbital cavities from cranial cavity. 1,2 The medial orbital wall is made up of the lacrimal bone and the lamina papyracea of the ethmoid where blowout fracture is easy to occur (Figure 1). 1 Medial canthal tendon (MCT): MCT is the pivotal soft tissue in NOE area, which supports the canthus, enables proper apposition between the eyelid and the globe, and performs as the lacrimal pump. 2 However, there are many controversies on the anatomy of MCT. The main controversy is on the number of the tendon's limbs. Some scholars referred that it had three limbs: anterior, superior, posterior, 2 some others argued that the superior limb did not exist. 3 Furthermore, some report...

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“…This procedure makes less invasive surgery possible with limited incisions and results in reduced patient morbidity and quicker patient recovery (Forrest, 1999;Schon et al, 2003;Pham and Strong, 2006).…”

Section: Introductionmentioning

confidence: 98%

“…However this procedure is also traditionally approached with a bicoronal incision. This procedure carries a relatively high morbidity with possible scarring, alopecia, numbness of the forehead and possible facial nerve damage (Lappert and Jesse, 1998;Gonty et al, 1999;Chen et al, 2003;Strong et al, 2003;Metzinger et al, 2005;Pham and Strong, 2006;Steiger et al, 2006).…”

Section: Introductionmentioning

confidence: 99%