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Facial Plast Surg 2000; 16(2): 135-152
DOI: 10.1055/s-2000-12575
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Secondary Craniofacial Surgery for Trauma

Michel Bussieres1 , Sherard A. Tatum2
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology SUNY Upstate Medical University, Syracuse, NY
  • 2Division of Facial Plastic and Reconstructive Surgery, Departments of Otolaryngology and Pediatrics, State University of New York Upstate Medical University, Syracuse, NY.
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Injuries to the face may leave long-term defects with both aesthetic and functional consequences. This holds true especially when treatment is delayed, inadequate, or absent altogether. The wide spectrum of posttraumatic deformities leaves the surgeon with a formidable challenge of reestablishing harmonious facial contour and proper function of each craniofacial unit. Camouflage techniques may be used to correct minor deformities whereas osteotomies and repositioning of segments are needed for more complex problems. Bone replacement is often required as part of the treatment. Although autograft bone is the gold standard, bone substitutes can provide acceptable results. This article focuses on posttraumatic defects of the fronto-orbital region as well as those involving occlusion. Basic principles applying to facial harmony, bone healing and grafting, dental occlusion, and surgical correction specific to each region are discussed.

KEYWORD

trauma - maxillofacial injuries - osteotomy - facial injuries - reconstructive surgical procedures

REFERENCES

  • 1 Antoni A A, Van de Mark B, Weinberg S. Surgical treatment of long standing malunited horizontal fracture of the maxilla.  J Can Dent Assoc . 1955;  31 22-25
    PubMedGoogle Scholar
  • 2 Freihofer H PM, Van Damme A P. Secondary post-traumatic periorbital surgery.  J Craniomaxillofac Surg . 1987;  15 183-187
    PubMedGoogle Scholar
  • 3 Furnas W D. Transverse maxillary osteotomy for malunion of maxillary fractures.  Plast Reconstr Surg . 1968;  65 378-383
    PubMedGoogle Scholar
  • 4 Gruss J S. Craniofacial osteotomies and rigid fixation in the correction of post-traumatic craniofacial deformities.  Scand J Plast Reconstr Surg Hand Surg Suppl . 1995;  27 83-95
    PubMedGoogle Scholar
  • 5 Hardesty R A, Coffey J A. Secondary craniomaxillofacial deformities. Current principles of management.  Clin Plast Surg . 1992;  19 275-300
    PubMedGoogle Scholar
  • 6 Perino K, Zide M, Kinnebrew M. Late treatment of malunited malar fractures.  J Oral Maxillofacial Surg . 1984;  42 20-34
    PubMedGoogle Scholar
  • 7 Ackerman J L, Proffit W R. Characteristics of malocclusion. A modern approach to classification and diagnosis.  Am J Orthod . 1969;  56 443-454
    CrossrefPubMedGoogle Scholar
  • 8 Cohen S R, Kawamoto H K. Analysis and results of treatment of established posttraumatic facial deformities.  Plast Reconstr Surg . 1992;  90 574-584
    PubMedGoogle Scholar
  • 9 Khosla V M, Berk L H. Unilateral oblique osteotomy for correction of open bite after multiple facial fractures.  J Oral Surg . 1971;  29 821-824
    PubMedGoogle Scholar
  • 10 Rabuzzi D D. Revision surgery of malaligned midfacial fractures.  Otolaryngol Clin North Am . 1974;  7 107-117
    PubMedGoogle Scholar
  • 11 Tessier P L. Complications of facial trauma. Principles of later reconstruction.  Ann Plast Surg . 1986;  17 4511-4520
    PubMedGoogle Scholar
  • 12 Zachariades N, Mezitis M, Michelis A. Posttraumatic osteotomies of the jaws.  Int J Oral Maxillofac Surg . 1993;  22 328-331
    CrossrefPubMedGoogle Scholar
  • 13 Mathog R H, Rosenberg Z. Complications in the treatment of facial fractures.  Otolaryngol Clin North Am . 1976;  9 533-552
    PubMedGoogle Scholar
  • 14 Thaller S R, Zaren H A, Kawamoto H K. Surgical correction of late sequelae from facial bone fractures.  Am J Surg . 1987;  154 149-153
    CrossrefPubMedGoogle Scholar
  • 15 Watzinger F, Wanschitz, Wagner A. Computer-aided navigation in secondary reconstruction of post-traumatic deformities of the zygoma.  J Craniomaxillofac Surg . 1997;  25 198-202
    PubMedGoogle Scholar
  • 16 Merville L C, Derome T, de Saint-Jorre G. Fronto-orbital-nasal dislocations. Secondary treatment of sequelae.  J Maxillofac Surg . 1983;  11 781
    PubMedGoogle Scholar
  • 17 Wolfe S A. Treatment of post-traumatic orbital deformities.  Clin Plast Surg . 1998;  15 225
    PubMedGoogle Scholar
  • 18 Rubens B C, Steolinga P JW, Weaver T J, Bludorp P A. Management of malunited mandibular condylar fracutres.  Int J Oral Maxillofac Surg . 1990;  19 22-25
    CrossrefPubMedGoogle Scholar
  • 19 Bloomquist D S. Mandibular body sagittal osteotomy in the correction of malunited mandibular fractures.  J Craniomaxillofac Surg . 1982;  10 18-22
    CrossrefPubMedGoogle Scholar
  • 20 Joy E D, McGaha V E, Bear S E. Facial elongation after treatment of horizontal fracture of the maxilla without vertical suspension.  J Oral Surg . 1969;  27 560-562
    PubMedGoogle Scholar
  • 21 Tessier P. Total osteotomy of the middle third of the face for faciostenosis or for sequelae of Le Fort III fractures.  Plast Reconstr Surg . 1971;  48 553-541
    PubMedGoogle Scholar
  • 22 Steidler N E, Cook R M, Reade P C. Residual complication in patients with major middle third facial fractures.  Int J Oral Surg . 1980;  9 259
    PubMedGoogle Scholar
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