Concomittant dislocations of the face and skull

Merville, L; Derome, P

doi:10.1016/s0301-0503(78)80061-7

Cited by 28 publications

(5 citation statements)

References 1 publication

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“…(B) 3D CT image of contour of grafted 224 bone at 4 years and 2 months. Downward convex (4). B 3D CT AFTER SKULL BASE RECONSTRUCTION-KIYOKAWA ET AL tracranial pressure in the operative process that an intracranial dead space is easy created, thus inducing postoperative infection.…”

Section: Contour Of Grafted Bonementioning

confidence: 99%

“…Three-dimensional CT is currently an essential tool for craniomaxillofacial surgery. [2][3][4][5] Anterior skull base surgery has long been recognized as a safe operation because of the development of effective reconstruction methods. Flaps such as the temporalis musculopericranial (TMP)15 and frontalis musculopericranial (FMP) and galeopericranial FGP9'10,13,17,22 are currently used in anterior skull base reconstruction because they involve minimally invasive surgery and short operative time and allow for the possibility of checking the local recurrence of malignant tumors because of the thinness of these flaps.…”

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confidence: 99%

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Evaluation with Three-Dimensional Computed Tomography after Anterior Skull Base Reconstruction Using Two Musculopericranial Flaps and a Grafted Bone

Kiyokawa¹,

Tai²,

Yanaga³

et al. 1999

Skull Base

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Section: Contour Of Grafted Bonementioning

confidence: 99%

mentioning

confidence: 99%

Evaluation with Three-Dimensional Computed Tomography after Anterior Skull Base Reconstruction Using Two Musculopericranial Flaps and a Grafted Bone

Kiyokawa¹,

Tai²,

Yanaga³

et al. 1999

Skull Base

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“…The only surgical approach that can give access to not only the anterior fossa (orbital roofs and cribriform plate), but also to the upper part of the face (orbit, nose, and the frontal sinus) is the cranial approach using the bieoronal incision combined with the facial subperiosteal dissection (intraoral, palpebral, or transconjunctival incision). Timing: Preoperative planning is completely dependent on the prior spatial analysis by the radiologist, neurosurgeon, plastic surgeon, maxillofacial surgeon, ophthalmologist, and specialists in anesthesiology and intensive care, Together, they must form a dedicated and closely knit team [1,7,8].…”

Section: General Principlesmentioning

confidence: 99%

“…Between different countries and different units, the treatment plans of frontal sinus fractures vary [5,14]. Therefore, the techniques preferred at Foch Hospital will be discussed under the following separate heading [1].…”

Section: Dislocations Of the Valtltmentioning

confidence: 99%

“…and na_sal areas. The fractures are often dislocated, i.e., associated with extensive displacement of the bony fragments, which have virtually lost all normal connection with adjacent parts [1,2]~ From the work on craniofacial malformations and tumors by Tessier and associates [3], modern techniques for the treatment of major craniofacial dislocations evolved, permitting direct and total repair of the external appearances, as well as restoration of function.…”

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confidence: 99%

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Craniofacial trauma

1989

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The treatment of combined major dislocations of the face and skull requires a craniofacial team consisting of a plastic maxillofacial surgeon, a neurosurgeon, an anesthesiologist, and radiologists. The best results can only be achieved at the primary intervention both from a functional and an esthetic standpoint. Careful preoperative clinical and radiologic examinations are mandatory to reach these high goals. In primary repair, the cranial approach aims at constructing "a monobloc bone flap" to suture meningeal tears and to reinforce them with a pericranial graft, to close the cranial base completely using cancellous bone grafts, and to exclude the frontal sinuses. The facial skeleton is repaired by constructing a rigid external facial frame and thereafter progressing centrally finishing with the "internal" orbitonasal dislocations. The reconstruction aims at a self-stabilizing bone puzzle fixed with interosseous wires, making external fixation unnecessary. Secondary repair requires osteotomies at fracture sites to reposition malunited fractures and the use of autogenous bone grafts for stabilization.

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Recent advances in paranasal sinus surgery

Donald¹

1981

Head Neck

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Recent advances in paranasal sinus surgery have occurred in the treatment of trauma and neoplasia, rather than in the more traditional management of inflammatory disease. Cranialitation of the frontal sinus in severe penetrating trauma was first described in 1978. By removal of the sinus posterior wall, excision of the mucosa, and preservation of the anterior wall fragments, the forehead contour can be preserved and the cavity ablated by the forward expansion of the frontal lobes. Craniofacial surgery for malignancies of the paranasal sinuses has vastly improved the survival rate for these patients. Simultaneous en bloc resection, done transcranially to establish the margins of resection of the superior-most extent and transfacially to ablate the site of origin of the neoplasm, has produced five-year survival rates of 50%. Involvement of even the cavernous sinus can be handled, providing initial control of the internal carotid artery is achieved and an adequate cerebral circulation is ensured. Decompression of the optic nerve following facial trauma that results in fractures of the orbital apex remains controversial. Documented cases of progressively failing vision in such patients provides the clearest indication. Surgical decompression through the transethmoidal sphenoidal route provides excellent access to remove the maximum amount of bone from the optic canal.

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Concomittant dislocations of the face and skull

Cited by 28 publications

References 1 publication

Evaluation with Three-Dimensional Computed Tomography after Anterior Skull Base Reconstruction Using Two Musculopericranial Flaps and a Grafted Bone

Evaluation with Three-Dimensional Computed Tomography after Anterior Skull Base Reconstruction Using Two Musculopericranial Flaps and a Grafted Bone

Craniofacial trauma

Recent advances in paranasal sinus surgery

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