Secondary Craniofacial Surgery for Trauma

Bussieres, Michel; Tatum, Sherard A.

doi:10.1055/s-2000-12575

Cited by 10 publications

(5 citation statements)

References 15 publications

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“…Individual prefabricated titanium implants using CAD/CAM techniques are also described for reconstructing the skull (Joffe et al, 1999;Eufinger and Wehmöller, 2002). Nevertheless, it is widely accepted that autogenous bone grafts currently are the best material for bony reconstruction in craniofacial surgery, especially in children (Tatum and Kellmann, 1998;Bussieres and Tatum, 2000;Lenz et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Autologous stem cells (adipose) and fibrin glue used to treat widespread traumatic calvarial defects: case report

Lendeckel

Jödicke

Christophis

et al. 2004

Journal of Cranio-Maxillofacial Surgery

575

379

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Section: Introductionmentioning

confidence: 99%

Autologous stem cells (adipose) and fibrin glue used to treat widespread traumatic calvarial defects: case report

Lendeckel

Jödicke

Christophis

et al. 2004

Journal of Cranio-Maxillofacial Surgery

575

379

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“…13 In the absence of dire indications for delay, surgical intervention for facial fractures has to be sought at the earliest possible to minimize complications. 14 Orthognathic surgery is an established modality for correction of craniomaxillofacial deformities, be it developmental or acquired posttrauma. 2,5,15,16 Relating to trauma, the application of OGS has always revolved around secondary deformities correction; less has been published on its application during and for primary trauma management.…”

Section: Discussionmentioning

confidence: 99%

“…It has been cited as being the most important reason for reoperation in facial trauma patients 13 . In the absence of dire indications for delay, surgical intervention for facial fractures has to be sought at the earliest possible to minimize complications 14 …”

Section: Discussionmentioning

confidence: 99%

Application of Orthognathic Surgery Principles and Techniques in the Management of Craniomaxillofacial Trauma

Bhandari¹,

Ho²,

Liao³

2023

Ann Plast Surg

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Background: Posttraumatic secondary deformities of facial skeleton may occur because of nonmanagement or ill management of primary injuries, whereas some unexpectedly occur even after dedicated management attempts. Orthognathic surgery (OGS) principles and techniques can be used as an efficient tool to correct posttraumatic craniomaxillofacial deformities or skeletal developmental deformities during trauma management. Aim and Objectives: The aims of this study were to describe the different types of posttraumatic secondary deformity and address how to use the principles of orthognathic techniques to correct them. Materials and Methods: Patients with orthognathic surgical osteotomies during primary or secondary management of facial trauma (referred to as trauma-OGS) during the period of 2010 to 2018 were retrospectively reviewed. Variables pertaining to patients and surgery were collected, including trauma diagnosis, etiology, duration between trauma/primary surgery and secondary presentation, suggested reason for secondary deformity, intervention undertaken to address, and the surgical outcome. Results: Twenty-seven patients were eligible and extensively reviewed. Etiological categorization of trauma-OGS could be done into posttraumatic deformities (18) and developmental deformities (9). The former group was further categorized as OGS done as primary procedure (8) that included immobile Le Fort fractures and delayed initial treatment, and OGS done as secondary procedure (10) that included complex fractures and condylar fractures. The developmental deformity group was categorized into OGS done simultaneously during trauma management (5) or done as a secondary procedure after trauma management (4). Conclusions: Application of principles and techniques of OGS in indicated primary or secondary management of facial trauma patients should always be considered. The categorization of scenarios presented in this article relating facial trauma and OGS may further help to understand the application.

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“…16 Autogenous grafts or alloplasts such as porous polyethylene or titanium mesh are used for orbital reconstruction otherwise it casues enopthalmoswhen there is herniation of orbital fat, entrapment of periorbital or extraocular muscles, and fibrosis of soft tissues. 12,17 Management consideration usually followed to treat secondary deformities in mandible with occlusal discrepancy are extra-oral approach option which allows good visualisation, followed by the debridement for removal of any fibrous tissue, necrotic bone or failed hardware. 18 Mandibular osteotomies to refracture for proper establishment of anatomy and occlusion followed by maxillo-mandibular fixation.…”

Section: Discussionmentioning

confidence: 99%

Secondary correction of the post-traumatic deformity: A clinical study

Shree S,

Patel,

et al. 2023

IJMI

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The current manuscript explores the outcome of treatment for post-traumatic secondary deformities using the re-fracture of segments by osteotomies of the bone either at the fractured site or by the orthognathic osteotomies with repositioning to its premorbid place followed by internal fixation. A total of 14 patients were reported with post-traumatic secondary deformities of the craniofacial region to the Department of Facio-maxillary surgery from January 2019 - July 2022. All patients had varied clinical features including deranged occlusion, anterior open bite, difficulty in mastication, deviated nose, and depressed frontal bone. The radiological findings were mal-union, non-union, malocclusion, and failed implants. All patients were treated with osteotomies and internal fixation with titanium implants. The age range of patients with post-traumatic secondary deformity was from 17-45 years. The reasons for the secondary deformities that we experienced in our institute were excessive delay in initial treatment due to neurosurgical issues, financial issues and SARS-COVID-19, secondary infections due to the immunocompromised status of the patient, and failure of implants leading to non-union. At the end of 3 months follow-up, all patients had satisfactory results. The treatment for post-traumatic secondary deformities by re-osteotomising at the existing previous fracture site and doing reduction with internal fixation and orthognathic osteotomies for chronic malocclusion yields sufficient aesthetic and functional outcomes when there is no loss of hard or soft tissue.

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Secondary Craniofacial Surgery for Trauma

Cited by 10 publications

References 15 publications

Autologous stem cells (adipose) and fibrin glue used to treat widespread traumatic calvarial defects: case report

Autologous stem cells (adipose) and fibrin glue used to treat widespread traumatic calvarial defects: case report

Application of Orthognathic Surgery Principles and Techniques in the Management of Craniomaxillofacial Trauma

Secondary correction of the post-traumatic deformity: A clinical study

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