Surgical treatment of maxillofacial fractures in patients with disturbed consciousness: a report of 3 cases

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  • WATANABE Kazuyo
    Department of Oral and Maxillofacial Surgery, Nagoya Daini Red Cross Hospital
  • HAYASHI Yasushi
    Department of Oral and Maxillofacial Surgery, Nagoya Daini Red Cross Hospital
  • SAITOH Masaki
    Department of Oral and Maxillofacial Surgery, Nagoya Daini Red Cross Hospital
  • HAGINO Hiroko
    Department of Dentistry and Oral Surgery, Kariya Toyota General Hospital
  • UEDA Minoru
    Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine

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  • 意識障害を伴う顎顔面骨折に対して外科的治療を行った3例
  • イシキ ショウガイ オ トモナウ ガク ガンメン コッセツ ニ タイシテ ゲカテキ チリョウ オ オコナッタ 3レイ

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Abstract

Patients who have maxillofacial fractures with a traumatic severe craniofacial injury often have disturbed consciousness. Early surgical treatment of such patients remains controversial.<br>We treated maxillofacial fractures in three patients with a traumatic disturbance of consciousness. These patients underwent open reduction using a mini-plate under general anesthesia. Early surgical fixation was associated with no clinically significant complications. All three patients recovered consciousness completely within 50 days after injury.<br>Early surgical treatment can reduce occlusal dysfunction and cosmetic damage. A close working relationship with neurosurgeons and anesthesiologists is critical to deciding the optimal timing for surgical treatment in patients who have maxillofacial fractures associated with disturbed consciousness.

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