Multiple dislocations of the facial skeleton

Merville, L

doi:10.1016/s0301-0503(74)80040-8

Cited by 27 publications

(3 citation statements)

References 1 publication

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“…1 ). Merville [ 15 ] suggest the frontozygomatic suture line should be reduced first in panfacial bone fractures because this important structure determines facial width and projection. As NEO fracture fragments are fragile, it is difficult to find a stable fixation point in naso-ethmoid-orbital area.…”

Section: Various Sequences Of Panfacial Bone Reductionmentioning

confidence: 99%

“…Few authors have recommend the inside-out sequence in favor of the outside-in sequence. For panfacial fractures involving the NEO, Merville [ 15 ] suggests initially managing the NEO fracture [ 4 5 ]. However, he also emphasizes the importance of the outer facial frame and that the NEO fracture should be treated within the fronto-maxillary and zygomatic frame.…”

Section: Inside-out Sequencementioning

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: Various Sequences Of Panfacial Bone Reductionmentioning

confidence: 99%

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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“…To repai r a facial "bone puzzle," a one-step, complete procedure is mandatory [4]. Since the position of each element is related to that of its neighbors and since all of them are dislocated, only a precise repositioning of the whole will lead to a completely satisfactory result.…”

mentioning

confidence: 99%

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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Reconstruction of the Midfacial Vertical Dimension Following Le Fort Fractures

Stanley¹

1984

Archives of Otolaryngology - Head and Neck Surgery

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Multiple dislocations of the facial skeleton

Cited by 27 publications

References 1 publication

Panfacial Bone Fracture and Medial to Lateral Approach

Panfacial Bone Fracture and Medial to Lateral Approach

Craniofacial trauma

Reconstruction of the Midfacial Vertical Dimension Following Le Fort Fractures

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