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Craniofacial trauma

Identifieur interne : 000558 ( France/Analysis ); précédent : 000557; suivant : 000559

Craniofacial trauma

Auteurs : L. C. Merville [France, Suède] ; P. A. Diner [France, Suède] ; I. Blomgren [France, Suède]

Source :

RBID : ISTEX:6A6FC52A3409FC6FA11CA333438A49BCB4BEF7EC

Descripteurs français

English descriptors

Abstract

Abstract: The treatment of combined major dislocations of the face and skull requires a craniofacial team consisting of a plastic maxillofacial surgeon, a neurosurgeon, an anesthesiologist, and radiologists. The best results can only be achieved at the primary intervention both from a functional and an esthetic standpoint. Careful preoperative clinical and radiologic examinations are mandatory to reach these high goals. In primary repair, the cranial approach aims at constructing “a monobloc bone flap“ to suture meningeal tears and to reinforce them with a pericranial graft, to close the cranial base completely using cancellous bone grafts, and to exclude the frontal sinuses. The facial skeleton is repaired by constructing a rigid external facial frame and thereafter progressing centrally finishing with the “internal“ orbitonasal dislocations. The reconstruction aims at a self-stabilizing bone puzzle fixed with interosseous wires, making external fixation unnecessary. Secondary repair requires osteotomies at fracture sites to reposition malunited fractures and the use of autogenous bone grafts for stabilization.

Url:
DOI: 10.1007/BF01660755


Affiliations:


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ISTEX:6A6FC52A3409FC6FA11CA333438A49BCB4BEF7EC

Le document en format XML

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<name sortKey="Diner, P A" sort="Diner, P A" uniqKey="Diner P" first="P. A." last="Diner">P. A. Diner</name>
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<name sortKey="Blomgren, I" sort="Blomgren, I" uniqKey="Blomgren I" first="I." last="Blomgren">I. Blomgren</name>
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<title level="j">World Journal of Surgery</title>
<title level="j" type="abbrev">World J. Surg.</title>
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<term>Advancement osteotomy</term>
<term>Aesthetic surgery</term>
<term>Alloplastic materials</term>
<term>Anterior</term>
<term>Anterior cranial fossa</term>
<term>Anterior fossa</term>
<term>Anterior table</term>
<term>Anterior wall</term>
<term>Autogenous bone</term>
<term>Autogenous bone grafts</term>
<term>Best results</term>
<term>Bone continuity</term>
<term>Bone flap</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bone puzzle</term>
<term>Bony gaps</term>
<term>Bony reconstruction</term>
<term>Cancellous</term>
<term>Cancellous bone</term>
<term>Cancellous bone grafts</term>
<term>Comminuted fracture</term>
<term>Cranial</term>
<term>Cranial approach</term>
<term>Cranial base</term>
<term>Cranial infection</term>
<term>Cranial vault</term>
<term>Cranialization</term>
<term>Craniofacial</term>
<term>Craniofacial framework</term>
<term>Craniofacial injuries</term>
<term>Craniofacial surgery</term>
<term>Craniofacial team</term>
<term>Craniofacial trauma</term>
<term>Cribriform plate</term>
<term>Crista galli</term>
<term>Defect</term>
<term>Dislocated fragments</term>
<term>Dislocation</term>
<term>Downward displacement</term>
<term>Duct</term>
<term>Dura</term>
<term>Esthetic standpoint</term>
<term>External fixation</term>
<term>Facial</term>
<term>Facial cavities</term>
<term>Facial frame</term>
<term>Facial nerve</term>
<term>Facial reconstruction</term>
<term>Facial skeleton</term>
<term>Fixation</term>
<term>Flap</term>
<term>Foch hospital</term>
<term>Fossa</term>
<term>Fracture</term>
<term>Fracture lines</term>
<term>Fracture sites</term>
<term>Frontal</term>
<term>Frontal area</term>
<term>Frontal band</term>
<term>Frontal bone</term>
<term>Frontal bone flap</term>
<term>Frontal branch</term>
<term>Frontal osteotomy</term>
<term>Frontal process</term>
<term>Frontal sinus</term>
<term>Frontal sinus fractures</term>
<term>Frontal sinuses</term>
<term>Frontonasal ducts</term>
<term>Frontoorbitonasal dislocation</term>
<term>Good stability</term>
<term>Graft</term>
<term>H6pital foch</term>
<term>High goals</term>
<term>Iliac crest</term>
<term>Inferior wall</term>
<term>Infraorbital nerve</term>
<term>Intermaxillary fixation</term>
<term>Interosseous</term>
<term>Interosseous wires</term>
<term>Lacrimal ducts</term>
<term>Lateral</term>
<term>Lateral view</term>
<term>Lesion</term>
<term>Major defects</term>
<term>Mandibular</term>
<term>Mandibular arch</term>
<term>Mandibular fractures</term>
<term>Maxillofacial</term>
<term>Maxillofacial surgeon</term>
<term>Maxillofacial surgeons</term>
<term>Medial</term>
<term>Medial wall</term>
<term>Merville</term>
<term>Middle face</term>
<term>Miniplates</term>
<term>Monobloc bone flap</term>
<term>Multiple dislocations</term>
<term>Nasal</term>
<term>Nasal bone graft</term>
<term>Nasal bones</term>
<term>Nasal fractures</term>
<term>Nasofrontal</term>
<term>Nasofrontal duct</term>
<term>Nasofrontal ducts</term>
<term>Neurosurgeon</term>
<term>Normal life</term>
<term>Operative intervention</term>
<term>Orbital</term>
<term>Orbital borders</term>
<term>Orbital cavity</term>
<term>Orbital floor</term>
<term>Orbital roof</term>
<term>Orbital volume</term>
<term>Orbital walls</term>
<term>Osteotomy</term>
<term>Perfect reduction</term>
<term>Pericranial</term>
<term>Pericranial graft</term>
<term>Plast</term>
<term>Posterior wall</term>
<term>Preoperative</term>
<term>Preoperative photograph</term>
<term>Preoperative planning</term>
<term>Primary intervention</term>
<term>Primary repair</term>
<term>Reconstruction</term>
<term>Reconstructive surgery</term>
<term>Repositioning</term>
<term>Sagittal plane</term>
<term>Sagittal section</term>
<term>Same time</term>
<term>Secondary correction</term>
<term>Secondary corrections</term>
<term>Secondary treatment</term>
<term>Serious sequelae</term>
<term>Single piece</term>
<term>Sinus</term>
<term>Sinus frontaux</term>
<term>Skull bone</term>
<term>Surg</term>
<term>Suspension wires</term>
<term>Tomographic view</term>
<term>Transnasal canthopexy</term>
<term>Trauma</term>
<term>Traumatismes rdcents</term>
<term>Vault</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Advancement osteotomy</term>
<term>Aesthetic surgery</term>
<term>Alloplastic materials</term>
<term>Anterior</term>
<term>Anterior cranial fossa</term>
<term>Anterior fossa</term>
<term>Anterior table</term>
<term>Anterior wall</term>
<term>Autogenous bone</term>
<term>Autogenous bone grafts</term>
<term>Best results</term>
<term>Bone continuity</term>
<term>Bone flap</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bone puzzle</term>
<term>Bony gaps</term>
<term>Bony reconstruction</term>
<term>Cancellous</term>
<term>Cancellous bone</term>
<term>Cancellous bone grafts</term>
<term>Comminuted fracture</term>
<term>Cranial</term>
<term>Cranial approach</term>
<term>Cranial base</term>
<term>Cranial infection</term>
<term>Cranial vault</term>
<term>Cranialization</term>
<term>Craniofacial</term>
<term>Craniofacial framework</term>
<term>Craniofacial injuries</term>
<term>Craniofacial surgery</term>
<term>Craniofacial team</term>
<term>Craniofacial trauma</term>
<term>Cribriform plate</term>
<term>Crista galli</term>
<term>Defect</term>
<term>Dislocated fragments</term>
<term>Dislocation</term>
<term>Downward displacement</term>
<term>Duct</term>
<term>Dura</term>
<term>Esthetic standpoint</term>
<term>External fixation</term>
<term>Facial</term>
<term>Facial cavities</term>
<term>Facial frame</term>
<term>Facial nerve</term>
<term>Facial reconstruction</term>
<term>Facial skeleton</term>
<term>Fixation</term>
<term>Flap</term>
<term>Foch hospital</term>
<term>Fossa</term>
<term>Fracture</term>
<term>Fracture lines</term>
<term>Fracture sites</term>
<term>Frontal</term>
<term>Frontal area</term>
<term>Frontal band</term>
<term>Frontal bone</term>
<term>Frontal bone flap</term>
<term>Frontal branch</term>
<term>Frontal osteotomy</term>
<term>Frontal process</term>
<term>Frontal sinus</term>
<term>Frontal sinus fractures</term>
<term>Frontal sinuses</term>
<term>Frontonasal ducts</term>
<term>Frontoorbitonasal dislocation</term>
<term>Good stability</term>
<term>Graft</term>
<term>H6pital foch</term>
<term>High goals</term>
<term>Iliac crest</term>
<term>Inferior wall</term>
<term>Infraorbital nerve</term>
<term>Intermaxillary fixation</term>
<term>Interosseous</term>
<term>Interosseous wires</term>
<term>Lacrimal ducts</term>
<term>Lateral</term>
<term>Lateral view</term>
<term>Lesion</term>
<term>Major defects</term>
<term>Mandibular</term>
<term>Mandibular arch</term>
<term>Mandibular fractures</term>
<term>Maxillofacial</term>
<term>Maxillofacial surgeon</term>
<term>Maxillofacial surgeons</term>
<term>Medial</term>
<term>Medial wall</term>
<term>Merville</term>
<term>Middle face</term>
<term>Miniplates</term>
<term>Monobloc bone flap</term>
<term>Multiple dislocations</term>
<term>Nasal</term>
<term>Nasal bone graft</term>
<term>Nasal bones</term>
<term>Nasal fractures</term>
<term>Nasofrontal</term>
<term>Nasofrontal duct</term>
<term>Nasofrontal ducts</term>
<term>Neurosurgeon</term>
<term>Normal life</term>
<term>Operative intervention</term>
<term>Orbital</term>
<term>Orbital borders</term>
<term>Orbital cavity</term>
<term>Orbital floor</term>
<term>Orbital roof</term>
<term>Orbital volume</term>
<term>Orbital walls</term>
<term>Osteotomy</term>
<term>Perfect reduction</term>
<term>Pericranial</term>
<term>Pericranial graft</term>
<term>Plast</term>
<term>Posterior wall</term>
<term>Preoperative</term>
<term>Preoperative photograph</term>
<term>Preoperative planning</term>
<term>Primary intervention</term>
<term>Primary repair</term>
<term>Reconstruction</term>
<term>Reconstructive surgery</term>
<term>Repositioning</term>
<term>Sagittal plane</term>
<term>Sagittal section</term>
<term>Same time</term>
<term>Secondary correction</term>
<term>Secondary corrections</term>
<term>Secondary treatment</term>
<term>Serious sequelae</term>
<term>Single piece</term>
<term>Sinus</term>
<term>Sinus frontaux</term>
<term>Skull bone</term>
<term>Surg</term>
<term>Suspension wires</term>
<term>Tomographic view</term>
<term>Transnasal canthopexy</term>
<term>Trauma</term>
<term>Traumatismes rdcents</term>
<term>Vault</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Chirurgie esthétique</term>
<term>Traumatisme</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Abstract: The treatment of combined major dislocations of the face and skull requires a craniofacial team consisting of a plastic maxillofacial surgeon, a neurosurgeon, an anesthesiologist, and radiologists. The best results can only be achieved at the primary intervention both from a functional and an esthetic standpoint. Careful preoperative clinical and radiologic examinations are mandatory to reach these high goals. In primary repair, the cranial approach aims at constructing “a monobloc bone flap“ to suture meningeal tears and to reinforce them with a pericranial graft, to close the cranial base completely using cancellous bone grafts, and to exclude the frontal sinuses. The facial skeleton is repaired by constructing a rigid external facial frame and thereafter progressing centrally finishing with the “internal“ orbitonasal dislocations. The reconstruction aims at a self-stabilizing bone puzzle fixed with interosseous wires, making external fixation unnecessary. Secondary repair requires osteotomies at fracture sites to reposition malunited fractures and the use of autogenous bone grafts for stabilization.</div>
</front>
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<name sortKey="Blomgren, I" sort="Blomgren, I" uniqKey="Blomgren I" first="I." last="Blomgren">I. Blomgren</name>
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