Investigation of Severe Craniomaxillofacial Battle Injuries Sustained by U.S. Service Members: A Case Series
Identifieur interne : 003194 ( Main/Exploration ); précédent : 003193; suivant : 003195Investigation of Severe Craniomaxillofacial Battle Injuries Sustained by U.S. Service Members: A Case Series
Auteurs : Pamela R. Brown Baer ; Joseph C. Wenke ; Steven J. Thomas ; Colonel Robert G. HaleSource :
- Craniomaxillofacial Trauma & Reconstruction [ 1943-3875 ] ; 2012.
Abstract
This case series describes craniomaxillofacial battle injuries, currently available surgical techniques, and the compromised outcomes of four service members who sustained severe craniomaxillofacial battle injuries in Iraq or Afghanistan. Demographic information, diagnostic evaluation, surgical procedures, and outcomes were collected and detailed with a follow-up of over 2 years. Reconstructive efforts with advanced, multidisciplinary, and multiple revision procedures were indicated; the full scope of conventional surgical options and resources were utilized. Patients experienced surgical complications, including postoperative wound dehiscence, infection, flap failure, inadequate mandibular healing, and failure of fixation. These complications required multiple revisions and salvage interventions. In addition, facial burns complicated reconstructive efforts by delaying treatment, decreasing surgical options, and increasing procedural numbers. All patients, despite multiple surgeries, continue to have functional and aesthetic deficits as a result of their injuries. Currently, no conventional treatments are available to satisfactorily reconstruct the face severely ravaged by explosive devices to an acceptable level, much less to natural form and function.
Url:
DOI: 10.1055/s-0032-1329542
PubMed: 24294409
PubMed Central: 3577603
Affiliations:
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Wenke</name><affiliation><nlm:aff id="AF05243-2"><institution>Department of Extremity Trauma and Regenerative Medicine, US Army Institute for Surgical Research, Fort Sam Houston, Texas</institution></nlm:aff></affiliation></author><author><name sortKey="Thomas, Steven J" sort="Thomas, Steven J" uniqKey="Thomas S" first="Steven J." last="Thomas">Steven J. Thomas</name><affiliation><nlm:aff id="AF05243-3"><institution>UAB Burn Center, Kirkland Clinic, University of Alabama at Birmingham Medical Center, Birmingham, Alabama</institution></nlm:aff></affiliation></author><author><name sortKey="Hale, Colonel Robert G" sort="Hale, Colonel Robert G" uniqKey="Hale C" first="Colonel Robert G." last="Hale">Colonel Robert G. 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Brown Baer</name><affiliation><nlm:aff id="AF05243-1"><institution>Department of Craniomaxillofacial Regenerative Medicine, Dental and Trauma Research Detachment</institution></nlm:aff></affiliation></author><author><name sortKey="Wenke, Joseph C" sort="Wenke, Joseph C" uniqKey="Wenke J" first="Joseph C." last="Wenke">Joseph C. Wenke</name><affiliation><nlm:aff id="AF05243-2"><institution>Department of Extremity Trauma and Regenerative Medicine, US Army Institute for Surgical Research, Fort Sam Houston, Texas</institution></nlm:aff></affiliation></author><author><name sortKey="Thomas, Steven J" sort="Thomas, Steven J" uniqKey="Thomas S" first="Steven J." last="Thomas">Steven J. Thomas</name><affiliation><nlm:aff id="AF05243-3"><institution>UAB Burn Center, Kirkland Clinic, University of Alabama at Birmingham Medical Center, Birmingham, Alabama</institution></nlm:aff></affiliation></author><author><name sortKey="Hale, Colonel Robert G" sort="Hale, Colonel Robert G" uniqKey="Hale C" first="Colonel Robert G." last="Hale">Colonel Robert G. Hale</name><affiliation><nlm:aff id="AF05243-1"><institution>Department of Craniomaxillofacial Regenerative Medicine, Dental and Trauma Research Detachment</institution></nlm:aff></affiliation></author></analytic><series><title level="j">Craniomaxillofacial Trauma & Reconstruction</title><idno type="ISSN">1943-3875</idno><idno type="eISSN">1943-3883</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This case series describes craniomaxillofacial battle injuries, currently available surgical techniques, and the compromised outcomes of four service members who sustained severe craniomaxillofacial battle injuries in Iraq or Afghanistan. Demographic information, diagnostic evaluation, surgical procedures, and outcomes were collected and detailed with a follow-up of over 2 years. Reconstructive efforts with advanced, multidisciplinary, and multiple revision procedures were indicated; the full scope of conventional surgical options and resources were utilized. Patients experienced surgical complications, including postoperative wound dehiscence, infection, flap failure, inadequate mandibular healing, and failure of fixation. These complications required multiple revisions and salvage interventions. In addition, facial burns complicated reconstructive efforts by delaying treatment, decreasing surgical options, and increasing procedural numbers. All patients, despite multiple surgeries, continue to have functional and aesthetic deficits as a result of their injuries. Currently, no conventional treatments are available to satisfactorily reconstruct the face severely ravaged by explosive devices to an acceptable level, much less to natural form and function.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Brown Baer, Pamela R" sort="Brown Baer, Pamela R" uniqKey="Brown Baer P" first="Pamela R." last="Brown Baer">Pamela R. Brown Baer</name><name sortKey="Hale, Colonel Robert G" sort="Hale, Colonel Robert G" uniqKey="Hale C" first="Colonel Robert G." last="Hale">Colonel Robert G. Hale</name><name sortKey="Thomas, Steven J" sort="Thomas, Steven J" uniqKey="Thomas S" first="Steven J." last="Thomas">Steven J. Thomas</name><name sortKey="Wenke, Joseph C" sort="Wenke, Joseph C" uniqKey="Wenke J" first="Joseph C." last="Wenke">Joseph C. Wenke</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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