The facial skeleton is comprised of vertical and horizontal buttresses and the intersections they create; maxillofacial fractures occur when these buttresses sustain more force than they can withstand. The objective when managing these fractures is to reverse the damage that these buttresses sustained and restore appropriate facial dimensions. Not all fractures propagate in the same pattern, so surgeons must compartmentalize the face and define the character of the individual bones. This book approaches the face one bone at a time, outlining how to evaluate each type of fracture, the indications for surgery, the surgical management, and any complications. Specific protocols for clinical, radiographic, and CT assessment are included, as well as step-by-step approaches for surgical access and internal reduction and fixation. Isolated fractures are rare with maxillofacial trauma, and the author discusses how to sequence treatment for concomitant fractures to ensure the most successful outcome. This book is a must-have for any surgeon managing maxillofacial fractures. 254 illustrations Contents 1. Introduction to Facial Architecture 2. Frontal Sinus Fractures 3. NOE Fractures 4. ZMC Fractures 5. Orbital Fractures 6. Le Fort Fractures 7. Approaches to the Midface 8. Mandibular Fractures 9. Concomitant Fractures and the Panfacial Fracture
Author(s): Yoh Sawatari
Publisher: Quintessence Publishing
Year: 2019
Language: English
Pages: 255
City: Chicago
Sawatari_Frontmatter
Library of Congress Cataloging-in-Publication Data
Contents
Foreword
Preface
Chapter 1: Introduction to Facial Architecture
Clinical Examination
Radiographic Examination
Treatment Plan
Fixation
Postoperative Assessment
CT Assessment
Complications
Chapter 2: Frontal Sinus Fractures
Evaluation of the Frontal Sinus
Indications for Surgery
Management of the Frontal Sinus
Follow-Up
Complications of Frontal Sinus Fractures
References
Chapter 3: NOE Fractures
Evaluation of the NOE Fracture
Indications for Surgery
Management of the NOE Fracture
Complications of NOE Fractures
Reference
Chapter 4: ZMC Fractures
Evaluation of the ZMC
Indications for Surgery
Management of the ZMC Fracture
Complications of ZMC Fractures
Revision
References
Chapter 5: Orbital Fractures (with contributions from Hisham A. Marwan, dds)
Surgical Anatomy
Orbital Floor Fracture
Evaluation of the Orbital Floor Fracture
Indications for Surgery
Management of the Orbital Floor Fracture
Complications
Medial Orbital Wall Fracture
Evaluation of the Orbital Wall Fracture
Indications for Surgery
Management of the Orbital Wall Fracture
Complications
References
Chapter 6: Le Fort Fractures (with contributions from Hisham A. Marwan, dds)
Classification
Evaluation of the Le Fort Fracture
Management of the Le Fort Fracture
Complications of Le FortFractures
Suggested Reading
Chapter 7: Approaches to the Midface
Lateral Brow Approach
Blepharoplasty Approach
Intraoral Le Fort/Vestibular Approach
Transconjunctival Approach
Subciliary Approach/Subtarsal Approach
Infraorbital Approach
Coronal Approach
Lynch Approach
Gull Wing Approach
Chapter 8: Mandibular Fractures (with contributions from Hisham A. Marwan, dds; John Gannon, dds; and Daniel Winokur, dmd)
Anatomy
Evaluation of the Mandibular Fracture
Surgical Planning
Intermaxillary Fixation
Mandibular Symphysis/Parasymphysis Fractures
Mandibular Body Fractures
Mandibular Angle Fractures
Condylar and Subcondylar Fractures
Complications of Mandibular Fractures
References
Chapter 9: Concomitant Fractures and the Panfacial Fracture
Concomitant Fractures
Frontal and Midface Fractures
ZMC and NOE Fractures
Le Fort 1 and ZMC Fractures
Le Fort 1 and NOE Fractures (Le Fort 2)
Le Fort 1, NOE, and ZMCFractures (Le Fort 3)
The Panfacial Fracture
Evaluation of the Panfacial Fracture
Management of the Panfacial Fracture
Complications of the Panfacial Fracture
Index
