Multiple dislocations of the facial skeleton

Merville, L

doi:10.1097/00006534-197506000-00024

Cited by 1 publication

(3 citation statements)

References 0 publications

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“…Inside-out sequence of fixation is carried only after stabilizing and fixing the outer frame. Again, though the approach has been called ''inside-out', the sequence starts only from the malar or orbit zygomatic complex fracture which is followed by NOE fixation [30]. So in both approaches generalizing the term ''bottom-top, outside-in or top-bottom, inside-out'' is actually a misnomer.…”

Section: Discussionmentioning

confidence: 99%

“…ZMC has definitive landmarks than NOE complex for the fractured segment reconstruction [15,21,33]. The ZMC fixation also provides the control for transverse and anteroposterior dimension, stability of lateral pillars, and prevents asymmetry of face [19,20,30]. This bottom-top and outside-in approach is based on the basic principle of fracture management-''simple to complex'' [23].…”

Section: Sequencing In Fixationmentioning

confidence: 99%

“…When compared with pre-morbid condition, the postoperative rehabilitative outcomes were reported satisfactory in five articles [14,26,28,30,33]. In five articles, the outcome is not mentioned [16,20,22,25,36].…”

Section: Outcomementioning

confidence: 99%

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Sequencing of Fixation in Panfacial Fracture: A Systematic Review

Rajendran

Palanivel

Narayanan

et al. 2020

J. Maxillofac. Oral Surg.

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Objective In panfacial fracture management, the controversy still exists in the sequencing of fixation. The purpose of this systematic review is to establish the best sequence pattern which assists in achieving definite facial width, vertical height and anteroposterior projection. Methods The review was conducted according to the ''Preferred Reporting Items for Systematic Reviews and Meta-Analyses'' (PRISMA) guidelines. Two independent authors performed a comprehensive search of the PUBMED, EBSCO, J-Gate, SCOPUS and NDH for articles published up until December 2018. Sequence of fixation, timing of intervention, outcome, follow-up period and complications were evaluated for patients with panfacial fracture. Results In total, 202 articles were identified from the databases. After screening and full text analysis, 25 studies were included in this systematic review. Nineteen studies reported bottom-to-top sequence and two studies reported top-to-bottom approach. However, four studies reported both the approaches. The follow-up period ranges from 3 weeks to 4 years. Conclusion Based on the literature support and evidence, good and satisfactory outcome achieved in ''Bottom-top and outside-in'' sequence when compared with other sequence pattern. Early repair of panfacial fracture is advised for proper reduction and fixation, but can be delayed in accompanying life-threatening injuries.Complications are perceptible in all the sequences; it can be avoided by definitive treatment planning and stepwise management.

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Section: Discussionmentioning

confidence: 99%