Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2010 / Cilt: 16 - Sayı: 6

Ciddi panfasiyal kırıklarda minimal invazif yaklaşımlar

Minimally invasive approaches in severe panfacial fractures

Pages
541–545
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications.
📊
Key Findings & Data:In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures.
💡
Conclusion & Impact:CONCLUSION Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications. In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures. METHODS Sixteen patients with severe panfacial fractures were included in this study. Minimally invasive approaches were used for Le Fort III fracture in six patients, for Le Fort II fracture in four patients, and for bilateral maxillary and orbital floor fractures in six patients. We used subciliary, intraoral vestibular, lateral eyebrow incisions to reach orbital, maxillary, zygomaticomaxillary buttress, and nasoethmoidal fractures, respectively. RESULTS All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed. CONCLUSION Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.

Özet

AMAÇ Cerrahi travma ve ilgili komplikasyonları azaltmak için, ciddi panfasiyal kırıklara minimal invazif yaklaşımların kullanımı gittikçe artmaktadır. Bu çalışmada, ciddi panfasiyal kırıklarda ideal cerrahi yaklaşımlar amaçlanmıştır. GEREÇ VE YÖNTEM On altı panfasiyal kırıklı hasta çalışmaya dahil edildi. Le Fort III kırıklı altı, Le Fort II kırıklı dört ve iki taraflı maksilla ve orbital taban kırıklı altı hastada minimal invazif yaklaşımlar kullanıldı. Orbital, maksiller, zigomatikomaksiller bileşke ve nazoetmoidal kırıklara yaklaşmak için sırası ile subsilier, ağız içi vestibular ve lateral kaş insizyonları kullanıldı. BULGULAR Tüm kırıklar miniplak ve vidalar ile onarıldı. Hematom, yara enfeksiyonu ya da diğer komplikasyonlar gözlenmedi. SONUÇ Ciddi panfasiyal kırıklarda, minimal invazif yaklaşımların estetik sonuçlar açısından uygun ve etkin olduğu göz önünde bulundurulmalıdır.

🔖

Cite This Article

GÜVEN, E., UĞURLU, A. M., KUVAT, S. V., KANLIADA, D., EMEKLİ, U. (2010). Ciddi panfasiyal kırıklarda minimal invazif yaklaşımlar. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 16 - Sayı: 6, 541–545. https://ajindex.com/articles/324246

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Shere JL, Boole JR, Holtel MR, Amoroso PJ. An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army Soldiers, 1980-2000. Otolaryngol Head Neck Surg 2004;130:164-70
  2. Manson PN, Clark N, Robertson B, Slezak S, Wheatly M, Vander Kolk C, et al. Subunit principles in midface fractures: the importance of sagittal buttresses, soft-tissue reductions, and sequencing treatment of segmental fractures. Plast Reconstr Surg 1999;103:1287-306; quiz 1307
  3. Gruss JS. Craniofacial osteotomies and rigid fxation in the correction of post-traumatic craniofacial deformities. Scand J Plast Reconstr Surg Hand Surg Suppl 1995;27:83-95
  4. Dolan RW. Facial plastic, reconstructive, and trauma surgery. New York: Marcel Dekker; 2004. P. 523-49
  5. Holtmann B, Wray RC, Little AG. A randomized comparison of four incisions for orbital fractures. Plast Reconstr Surg 1981;67:731-7
  6. Converse JM, Hogan VM. Open-sky approach for reduction of naso-orbital fractures. Case report. Plast Reconstr Surg 1970;46:396-8
  7. Jensen J, Sindet-Pedersen S, Christensen L. Rigid fxation in reconstruction of craniofacial fractures. J Oral Maxillofac Surg 1992;50:550-4
  8. Hönig JF, Merten HA, Wiltfang J. Avoidance of implicit hazards: the realignment of maxillary and mandibular arches in comminuted and facial fractures. J Craniofac Surg 1998;9:514-21
  9. Fox AJ, Tatum SA. The coronal incision: sinusoidal, sawtooth, and postauricular techniques. Arch Facial Plast Surg 2003;5:259-62
  10. McLoughlin P, Gilhooly M, Wood G. The management of zygomatic complex fractures-results of a survey. Br J Oral Maxillofac Surg 1994;32:284-8
  11. Kharkar VR, Rudagi BM, Halli R, Kini Y. Comparison of the modifed lateral orbitotomy approach and modifed hemicoronal approach in the treatment of unstable malunions of zygomatic complex fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:504-9
  12. Gruss JS, Mackinnon SE. Complex maxillary fractures: role of buttress reconstruction and immediate bone grafts. Plast Reconstr Surg 1986;78:9-22
  13. Ridgway EB, Chen C, Colakoglu S, Gautam S, Lee BT. The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. Plast Reconstr Surg 2009;124:1578-86
  14. Alpert B, Tiwana PS, Kushner GM. Management of comminuted fractures of the mandible. Oral Maxillofac Surg Clin North Am 2009;21:185-92
  15. Singh V, Bhagol A,