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Craniofacial trauma

Identifieur interne : 003460 ( Istex/Corpus ); précédent : 003459; suivant : 003461

Craniofacial trauma

Auteurs : L. C. Merville ; P. A. Diner ; I. Blomgren

Source :

RBID : ISTEX:6A6FC52A3409FC6FA11CA333438A49BCB4BEF7EC

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

Links to Exploration step

ISTEX:6A6FC52A3409FC6FA11CA333438A49BCB4BEF7EC

Le document en format XML

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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>
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<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>
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<term>Cancellous bone</term>
<term>Cancellous bone grafts</term>
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<term>Cranial approach</term>
<term>Cranial base</term>
<term>Cranial infection</term>
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<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>
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<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>
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<p>Résumé: Pour traiter les dislocations majeures de la face et du crâne, il faut une équipe comprenant un chirurgien maxillofacial et plastique, un neurochirurgien, des anesthésistes, et des radiologues. Les meilleurs résultats, tant fonctionnels qu' esthétiques, sont obtenus lorsqu'on opère ces patients d'emblée. Un examen préopératoire clinique et radiologique bien conduit est essentiel pour obtenir ces objectifs. En cas d'intervention primitive, la voie d'abord cranienne est destinée à la réalisation d'un lambeau osseux monobloc, permettant de pratiquer une suture meningée et de la réinforcer par un greffon péricranien, avec fermeture complète de la base du crâne par des greffons d'os spongieux et exclusion des sinus frontaux. Le squellette facial se répare en construisant d'abord un cadre facial externe rigide, complèté de dehors en dedans par le traitement des dislocations orbitonasales internes. L'immobilisation est assurèe par une autocautention interne “autobloquante“ rendant une fixation externe inutile. La réparation sécondaire nécessite des ostéotomies au niveau des foyers des fractures pour repositioner les cals vicieux et des greffons osseux pour assurer la stabilisation.</p>
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<abstract 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.</abstract>
<abstract lang="fr">Résumé: Pour traiter les dislocations majeures de la face et du crâne, il faut une équipe comprenant un chirurgien maxillofacial et plastique, un neurochirurgien, des anesthésistes, et des radiologues. Les meilleurs résultats, tant fonctionnels qu' esthétiques, sont obtenus lorsqu'on opère ces patients d'emblée. Un examen préopératoire clinique et radiologique bien conduit est essentiel pour obtenir ces objectifs. En cas d'intervention primitive, la voie d'abord cranienne est destinée à la réalisation d'un lambeau osseux monobloc, permettant de pratiquer une suture meningée et de la réinforcer par un greffon péricranien, avec fermeture complète de la base du crâne par des greffons d'os spongieux et exclusion des sinus frontaux. Le squellette facial se répare en construisant d'abord un cadre facial externe rigide, complèté de dehors en dedans par le traitement des dislocations orbitonasales internes. L'immobilisation est assurèe par une autocautention interne “autobloquante“ rendant une fixation externe inutile. La réparation sécondaire nécessite des ostéotomies au niveau des foyers des fractures pour repositioner les cals vicieux et des greffons osseux pour assurer la stabilisation.</abstract>
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Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003460 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 003460 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Santé
   |area=    EdenteV2
   |flux=    Istex
   |étape=   Corpus
   |type=    RBID
   |clé=     ISTEX:6A6FC52A3409FC6FA11CA333438A49BCB4BEF7EC
   |texte=   Craniofacial trauma
}}

Wicri

This area was generated with Dilib version V0.6.32.
Data generation: Thu Nov 30 15:26:48 2017. Site generation: Tue Mar 8 16:36:20 2022