Facial Fractures

Abstract

Fractures of the facial skeleton can result in the loss of an aesthetically pleasing appearance and basic function, and many cases subsequently require an operative intervention. The surgeon managing these facial fractures must, at the same time, be cognizant of concomitant injuries, including neurologic, ophthalmologic, and cervical spine issues. For most situations, early stabilization in anatomical position using rigid fixation will give the most accurate reduction for the optimal return of preoperative appearance and function, while reducing long-term soft-tissue contracture.

A multidisciplinary approach to management of extensive facial injuries resulting from the use of an angle grinder

“…It is largely accepted and been documented that when managing facial soft and hard tissue injuries-lacerations, facial fractures, orbital, nerve and salivary gland/duct injuries, early intervention will lead to optimal recovery and reduce the incidence of long term morbidity, aesthetic deformity or functional deficiency. 5,14,13,8,6 …”

Trends in Facial Fracture Treatment Using the American College of Surgeons National Surgical Quality Improvement Program Database

“…28 One of the most common complications following orbital fracture repair is lower lid retraction. 33,34 In addition to correcting the bony aspect of a facial fracture, soft-tissue deformity should be considered during treatment; it is regarded by some to be the "fourth dimension" of facial reconstruction. 28 A perfect bony reduction does not always equate with good facial appearance.…”

The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries

“…The frost suture helps in easier inspection and the insertion of antibiotic ointment to the affected eye. [1725] The frost and pressure pack helps to reduce postoperative edema formation. [26]…”