The Acute Management of Facial Fractures

Abstract

Facial fractures lead to functional and esthetical deficits if not treated properly. Appropriate acute management of facial fractures must be based on prompt and thorough evaluation. Some fractures are best treated in a delayed fashion; others represent real emergencies and need to be treated within 24 h of trauma. Different types of reduction and fixation exist depending on the age of the patient, the location and type of fracture, and on the surgeon's preference.

On the Court: A Comprehensive Analysis of Basketball Facial Trauma

“…Simultaneously, these two groups experienced lower fracture rates. The three remaining age groups (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), and >34 years) had similar rates of injury. The insignificant fracture results were likely influenced by a much smaller sample size in the 0 to 5 and >34 year age groups.…”

“…This is attributed to a lack of evidence, preferences of different clinicians, fracture complexity, and varying hospital resources. 24 Previous research indicates that various facial fractures sustained during sports, treated both operatively and nonoperatively, normally result in a full return to sports within a 3-week period. However, certain operative approaches were associated with longer recovery times, sometimes greater than the 3-week recovery period, due to the complexity of repair.…”

“…Previous research indicates that outside of orbital fractures and life-threatening injuries, there are no set guidelines on facial trauma management. This is attributed to a lack of evidence, preferences of different clinicians, fracture complexity, and varying hospital resources 24. Previous research indicates that various facial fractures sustained during sports, treated both operatively and nonoperatively, normally result in a full return to sports within a 3-week period.…”

Traumatic enucleation of the left globe after a road traffic accident – A case report of an uncommon occurrence in maxillofacial trauma

“…Definitive treatment of open fractures of limbs is often delayed preventing post-operative infection. On the other hand, the face has a rich blood supply and immediate open reduction and internal fixation of open fractures is recommended [ 14 ]. Although in this report, the patient evolved with post-operative infection, it may be resulted of a complex set of events that include an uncontrolled DM II, severe damage of the soft tissues and bone fragments, and high load of microbial contamination.…”

Management of Maxillofacial Fracture: Experience of Emergency and Trauma Acute Care Surgery Department of Sanglah General Hospital Denpasar Bali

“…The main goal of reduction is to restore proper functions of maxillofacial. We need to correct function of chewing and speaking, to stabilise and correct occlusion, to obtain a pain-free mandibular range of motion, to restore the contour of the maxillofacial, and to offer enough stability to ensure the union of bones, and to reduce the risk of infection [11].…”