A case of panfacial fracture managed mainly by buttress reconstruction

KUROYANAGI Norio, MIYACHI Hitoshi, OCHIAI Shigeki, IZUHARA Eri, KISHIMOTO Dai, SHIMOZATO Kazuo

doi:10.5794/jjoms.55.629

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Other Title

バットレス再構成を主体に治療した広範囲顔面多発骨折の1例
バットレスサイコウセイオシュタイニチリョウシタコウハンイガンメンタハツコッセツノ 1レイ

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Description

Panfacial fractures are defined as fractures involving at least three of the five facial segments(frontal, upper midface, nasoorbitoethmoid(NOE), lower midface, and mandible). Because of the complex anatomy neighboring the anterior cranial fossa and other existing injuries, these fractures may often be misdiagnosed or inadequately treated. Early reduction and accurate repositioning undoubtedly produces the best results, but primary repair may not be possible in severely injured patients. The optimal timing for operative management of facial fractures remains controversial. We treated a case of severe panfacial fracture with no evidence of skull base injury. The clinical findings, including the results of 3-dimensional computed tomography, revealed bilateral Le Fort I + II fractures, a sagittal fracture of the upper jaw, NOE fractures of Markowitz's type II, and a mandibular symphysis fracture. By reconstructing the facial buttresses, the facial esthetics and function were restored. Open reduction and fixation through a coronal incision produced good functional and esthetic postoperative results.

Journal

Japanese Journal of Oral and Maxillofacial Surgery

Japanese Journal of Oral and Maxillofacial Surgery 55 (12), 629-633, 2009

Japanese Society of Oral and Maxillofacial Surgeons

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