The mandibular symphysis as a starting point for the occlusal-level reconstruction of panfacial fractures with bicondylar fractures and interruption of the maxillary and mandibular arches: Report of two cases

Pau, Mauro; Reinbacher, Knut; Feichtinger, Matthias; Navysany, Kawe; Kärcher, Hans

doi:10.1016/j.jcms.2013.06.002

Cited by 18 publications

(23 citation statements)

References 27 publications

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“…Following the advent of rigid internal fixation, surgeons started reduction of facial fractures with the mandibular condyle [ 13 ]. The condyles determine the facial posterior height, and restoration of this height allows the mandible, which is the strongest bone of the facial skeleton, to be used as a template for panfacial bone reduction [ 14 ]. Because of this, the bottom-to-top sequence is widely used in craniofacial surgery today.…”

Section: History Of the Management Of Panfacial Fracturesmentioning

confidence: 99%

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Panfacial Bone Fracture and Medial to Lateral Approach

Kim

Choi

Chung

et al. 2016

Arch Craniofac Surg

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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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Section: History Of the Management Of Panfacial Fracturesmentioning

confidence: 99%

“…In cases of bilateral condylar fractures, Pau et al [ 14 ] suggest inverting the order of repair from the outside-in sequence ( Fig. 2 ).…”

Section: Inside-out Sequencementioning

confidence: 99%

Panfacial Bone Fracture and Medial to Lateral Approach

Kim

Choi

Chung

et al. 2016

Arch Craniofac Surg

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“…There is the standard parasymphyseal and angle-type fracture of the mandible, but in patients with panfacial fractures, there may be more comminuted segments of the condyle on either or both sides. 13 With significant fractures to the condyles, loss of the spatial relationship between the mandible and skull base will occur. To address this abnormality, the mandible would be restored to its premorbid condition through mandibularmaxillary fixation and restoration of the occlusion.…”

Section: Sequencingmentioning

confidence: 99%

Management of Panfacial Fracture

Ali

Lettieri

2017

Seminars in Plastic Surgery

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Traumatic panfacial fracture repair is one of the most complex and challenging reconstructive procedures to perform. Several principles permeate throughout literature regarding the repair of panfacial injuries in a stepwise fashion. The primary goal of management in most of these approaches is to restore the occlusal relationship at the beginning of sequential repair so that other structures can fall into alignment. Through proper positioning of the occlusion and the mandibular-maxillary unit with the skull base, the spatial relationships and stability of midface buttresses and pillars can then be re-established. Here, the authors outline the sequencing of panfacial fracture repair for the restoration of anatomical relationships and the optimization of functional and structural outcomes.

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“…Auf dieser Basis kann dann der getrümmerte und ggf. stark geweitete Bogen des Oberkiefers in der Le Fort -Ebene rekonstruiert und mit Osteosynthesplatten oder über eine mandibula -maxilläre Fixierung stabilisiert werden [311]. Beim sog.…”

Section: Panfaziale Frakturen ▼unclassified

Traumatologie des Mittelgesichts

Kühnel

Reichert

2015

Laryngo-Rhino-Otol

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Fractures of the midface pose a serious medical problem as for their complexity, frequency and their socio-economic impact. Interdisciplinary approaches and up-to-date diagnostic and surgical techniques provide favorable results in the majority of cases though. Traffic accidents are the leading cause and male adults in their thirties are affected most often. Treatment algorithms for nasal bone fractures, maxillary and zygoma fractures are widely agreed upon whereas trauma to the frontal sinus and the orbital apex are matter of current debate. Advances in endoscopic surgery and limitations of evidence based gain of knowledge are matters that are focused on in the corresponding chapter. As for the fractures of the frontal sinus a strong tendency towards minimized approaches can be seen. Obliteration and cranialisation seem to decrease in numbers.Some critical remarks in terms of high dose methylprednisolone therapy for traumatic optic nerve injury seem to be appropriate.Intraoperative cone beam radiographs and preshaped titanium mesh implants for orbital reconstruction are new techniques and essential aspects in midface traumatology. Fractures of the anterior skull base with cerebrospinal fluid leaks show very promising results in endonasal endoscopic repair.

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The mandibular symphysis as a starting point for the occlusal-level reconstruction of panfacial fractures with bicondylar fractures and interruption of the maxillary and mandibular arches: Report of two cases

Cited by 18 publications

References 27 publications

Panfacial Bone Fracture and Medial to Lateral Approach

Panfacial Bone Fracture and Medial to Lateral Approach

Management of Panfacial Fracture

Traumatologie des Mittelgesichts

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