Download PDF
Facial Plast Surg 2019; 35(06): 640-644
DOI: 10.1055/s-0039-3399494
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Management of Midface Fractures

Hessah Aman
1   Department of Oral and Maxillofacial Surgery, Texas A&M College of Dentistry, Dallas, Texas
,
Tom Shokri
2   Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Likith V. Reddy
3   Department of Oral and Maxillofacial Surgery, Baylor University Medical Center, Dallas, Texas
,
Yadranko Ducic
4   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
29 November 2019 (online)

    Permissions and Reprints

Abstract

Secondary reconstruction of posttraumatic facial deformities has been consistently described as one of the most challenging procedures performed. Ideal primary reconstruction cannot always be achieved, and often it is complicated by severe comminution or inadequate surgical management. It also can arise because of a lack of definitive surgical repair or excessive delay of initial treatment. Complications leading to secondary deformities can occur even when craniofacial injuries are treated by experienced surgeons. Following proper surgical principles, meticulous perioperative planning, and anticipation of potential functional and aesthetic sequelae limit many of those complications. Herein, we discuss secondary procedures in traumatic midface injuries.

Keywords

midface fractures - complications - naso-orbitoethmoidal fractures - zygomatic complex
 

  • References

  • 1 Imola MJ, Ducic Y, Adelson RT. The secondary correction of post-traumatic craniofacial deformities. Otolaryngol Head Neck Surg 2008; 139 (05) 654-660
    CrossrefPubMedGoogle Scholar
  • 2 Dorafshar AH, Rodriguez ED, Manson PN. Facial Trauma Surgery: From Primary Repair to Reconstruction. Amsterdam, The Netherlands: Elsevier; 2019
    Google Scholar
  • 3 Potter JK, Muzaffar AR, Ellis E, Rohrich RJ, Hackney FL. Aesthetic management of the nasal component of naso-orbital ethmoid fractures. Plast Reconstr Surg 2006; 117 (01) 10e-18e
    CrossrefPubMedGoogle Scholar
  • 4 Vora NM, Fedok FG. Management of the central nasal support complex in naso-orbital ethmoid fractures. Facial Plast Surg 2000; 16 (02) 181-191
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Herford AS, Ying T, Brown B. Outcomes of severely comminuted (type III) nasoorbitoethmoid fractures. J Oral Maxillofac Surg 2005; 63 (09) 1266-1277
    CrossrefPubMedGoogle Scholar
  • 6 Markowitz BL, Manson PN, Sargent L. , et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg 1991; 87 (05) 843-853
    CrossrefPubMedGoogle Scholar
  • 7 Soodan KS, Priyadarshni P. Post trauma craniofacial deformities and treatment protocol. J Stomat Occ Med 2014; 7: 1-5
    CrossrefPubMedGoogle Scholar
  • 8 Ducic Y. Medial canthal ligament reattachment in skull base surgery and trauma. Laryngoscope 2001; 111 (4 Pt 1): 734-737
    CrossrefPubMedGoogle Scholar
  • 9 Yaremchuk MJ. Revisional surgery of nasoethmoidal orbital fractures. Operative Techniques in Plastic and Reconstructive Surgery 1998; 5 (04) 334-341
    PubMedGoogle Scholar
  • 10 Carr RM, Mathog RH. Early and delayed repair of orbitozygomatic complex fractures. J Oral Maxillofac Surg 1997; 55 (03) 253-258 , discussion 258–259
    CrossrefPubMedGoogle Scholar
  • 11 Parashar A, Sharma RK. Unfavourable outcomes in maxillofacial injuries: how to avoid and manage. Indian J Plast Surg 2013; 46 (02) 221-234
    CrossrefPubMedGoogle Scholar
  • 12 Novelli G, Tonellini G, Mazzoleni F, Bozzetti A, Sozzi D. Virtual surgery simulation in orbital wall reconstruction: integration of surgical navigation and stereolithographic models. J Craniomaxillofac Surg 2014; 42 (08) 2025-2034
    CrossrefPubMedGoogle Scholar
  • 13 Yu H, Shen G, Wang X, Zhang S. Navigation-guided reduction and orbital floor reconstruction in the treatment of zygomatic-orbital-maxillary complex fractures. J Oral Maxillofac Surg 2010; 68 (01) 28-34
    CrossrefPubMedGoogle Scholar
  • 14 Susarla SM, Duncan K, Mahoney NR, Merbs SL, Grant MP. Virtual surgical planning for orbital reconstruction. Middle East Afr J Ophthalmol 2015; 22 (04) 442-446
    CrossrefPubMedGoogle Scholar
  • 15 Lu W, Zhou H, Xiao C, Shen Q, Lin M, Fan X. Late correction of orbital-zygomatic-maxillary fractures combined with orbital wall fractures. J Craniofac Surg 2012; 23 (06) 1672-1676
    CrossrefPubMedGoogle Scholar
  • 16 Tessier P. Total osteotomy of the middle third of the face for faciostenosis or for sequelae of Le Fort 3 fractures. Plast Reconstr Surg 1971; 48 (06) 533-541
    CrossrefPubMedGoogle Scholar
  • 17 Zachariades N, Mezitis M, Michelis A. Posttraumatic osteotomies of the jaws. Int J Oral Maxillofac Surg 1993; 22 (06) 328-331
    CrossrefPubMedGoogle Scholar
  • 18 Cohen SR, Kawamoto Jr HK. Analysis and results of treatment of established posttraumatic facial deformities. Plast Reconstr Surg 1992; 90 (04) 574-584
    CrossrefPubMedGoogle Scholar