Craniofacial trauma: diagnosis and management
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin [u.a.]
Springer
2010
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | Auch angekündigt u.d.T.: Craniofacial neurotraumatology |
| Beschreibung: | XVII, 278 S. zahlr. Ill. |
| ISBN: | 9783540330400 9783540330417 |
Internformat
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| 100 | 1 | |a Hardt, Nicolas |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Craniofacial trauma |b diagnosis and management |c Nicolas Hardt ; Johannes Kuttenberger |
| 246 | 1 | 3 | |a Craniofacial neurotraumatology |
| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2010 | |
| 300 | |a XVII, 278 S. |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Auch angekündigt u.d.T.: Craniofacial neurotraumatology | ||
| 650 | 4 | |a Face |x Surgery | |
| 650 | 4 | |a Face |x Wounds and injuries | |
| 650 | 4 | |a Facial Injuries | |
| 650 | 4 | |a Skull |x Surgery | |
| 650 | 4 | |a Skull |x Wounds and injuries | |
| 650 | 4 | |a Skull |x injuries | |
| 650 | 0 | 7 | |a Gesichtsschädelbruch |0 (DE-588)4243044-6 |2 gnd |9 rswk-swf |
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| 689 | 1 | |5 DE-604 | |
| 700 | 1 | |a Kuttenberger, Johannes |e Verfasser |4 aut | |
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Datensatz im Suchindex
| _version_ | 1804138712725979136 |
|---|---|
| adam_text | Contents
Part I Classification and Diagnosis
............................... 1
1
Anatomy of the Craniofacial Region
........................... 3
1.1
Anterior Skull Base
..................................... 3
1.1.1
Cribriform Plate/Crista
Galli
....................... 3
1.1.2
Fossa Olfactoria
................................. 4
1.1.3
Roof of the Orbit
................................. 7
1.1.4
Dura
.......................................... 7
1.1.5
Arterial Supply: Skull Base/Dura
.................... 7
1.2 Paranasal
Sinuses
...................................... 7
1.2.1
Frontal Sinus
.................................... 7
1.2.2
Ethmoid
........................................ 7
1.2.3
Sphenoid
....................................... 9
1.3
Midface Skeleton
...................................... 9
1.4
Subcranial and Midface Skeleton
.......................... 11
References
................................................. 11
2
Radiology of Craniofacial Fractures
........................... 15
2.1
Conventional
Х
-Rays...................................
15
2.2
Computed Tomography
................................. 15
2.3
Magnetic Resonance Imaging
(MRI)
....................... 19
2.4
Ultrasonography
....................................... 19
2.5
Diagnostic Algorithm
................................... 20
2.5.1
General Considerations
............................ 20
2.5.2
Craniocerebral Trauma
............................ 21
2.5.3
Skull Base Fractures
.............................. 25
2.5.4
Midface Fractures
................................ 27
References
................................................. 28
3
Classification of Craniofacial Fractures
........................ 31
3.1
Frontobasal: Frontofacial Fractures
........................ 31
3.1.1
Anatomical Classification: Skull Base Fractures
........ 32
3.1.2
Topographic Classification:
Skull Base Fractures
.............................. 32
3.2
Midface Fractures
...................................... 33
3.2.1
Standard Classifications
........................... 33
3.2.2
Central Midface Fractures
......................... 34
3.2.3
Centrolateral Midface Fractures
..................... 35
Contents
3.2.4 Skull Base and
Fracture
Levels in the
Region
of the Septum
............................. 36
3.2.5
Lateral Midface Fractures
.......................... 36
3.2.6
Midface: Combined Fractures
...................... 38
3.2.7
Naso-Orbito-Ethmoidal Fractures
(NOE
Fractures)
...... 38
3.2.8
Cranio-Frontal Fractures
........................... 40
3.3.
Craniofacial Fractures
..................................... 40
3.3.1
Skull Base-Related Classification
.................... 40
3.3.2
Subcranial Facial Fractures
......................... 45
3.3.3
Craniofacial Fractures
............................. 47
3.3.4
Central Cranio-Frontal Fractures
.................... 47
3.3.5
Lateral Cranio-Orbital Fractures
..................... 47
References
................................................. 52
Mechanisms of Craniofacial Fractures
......................... 55
4.1
Fractures of the Skull Base
............................... 55
4.1.1
Burst Fractures
.................................. 55
4.1.2
Bending Fractures
................................ 55
4.2
Frontofacial: Frontobasal Fractures
........................ 56
4.2.1
Fracture Mechanism
.............................. 56
4.3
Midfacial: Frontobasal Fractures
.......................... 56
4.3.1
Trauma Factors
.................................. 56
4.3.2
Impact Forces and Vectors
......................... 57
4.3.3
Structural Resistance and Energy Absorption
.......... 57
4.3.4
Impact Surface
.................................. 59
4.3.5
Position of the Skull
.............................. 60
References
................................................. 60
Epidemiological Aspects of Craniofacial/SkuII Base Fractures
..... 63
5.1
Epidemiology
......................................... 63
5.2
Skull Base Fractures/Meningeal Injuries
.................... 64
5.2.1
Frequency
...................................... 64
5.2.2
Localization
.................................... 64
5.3
Midface: Skull Base Fractures
............................ 64
5.3.1
Involvement of the Skull Base in High
Midface Fractures
................................ 65
5.3.2
Dural
Injuries
................................... 65
5.4
Cranio-Fronto-Ethmoidal Fractures
........................ 66
5.4.1
Frontal Sinus: Midface Fractures
.................... 66
5.5
Distribution According to Age
............................ 67
5.6
Distribution According to Gender
......................... 67
5.7
Associated Injuries
..................................... 68
5.7.1
Thoracic, Abdominal, and Cervical Spine Injuries
...... 68
5.7.2
Eye Injuries
.................................... 69
5.7.3
Facial Soft-Tissue Injuries
......................... 69
5.8
Special Fractures and Complications
....................... 69
5.8.1
Penetrating Injuries
.............................. 69
5.8.2
Gunshot Wounds and Tissue Avulsion
............... 69
5.8.3
Complicating Effects
............................. 73
References
................................................. 74
Contents
6 Craniofacial
Fracture
Symptoms.............................. 77
6.1
Combined
Skull
Base and Midface Fractures
................. 77
6.1.1
Certain Signs of
Skull
Base and
Dural
Injuries
......... 77
6.1.2
Uncertain Signs of Skull Base and
Dural
Injuries
....... 81
6.1.3
Questionable Signs of Skull Base Fractures
............ 94
6.2
Midface Injuries (Clinical Signs)
.......................... 95
6.2.1
Central Midface Fractures Without
Abnormal Occlusion
(NOE
Fractures)
................. 95
6.2.2
Central Midface Fractures with
Abnormal Occlusion
(Le
Fort I and II)
................ 95
6.2.3
Centrolateral Midface Fractures with
Abnormal Occlusion
(Le Fort
III)
................... 96
6.2.4
Lateral Midface Fractures
.......................... 96
6.3
Orbital Injuries
........................................ 97
6.3.1
Orbital Soft-Tissue Injuries
........................ 97
6.3.2
Orbital Wall Fractures
............................. 97
6.3.3
Fracture Localization
............................. 98
6.3.4
Fracture Signs
................................... 105
References
................................................. 106
7
Neurocranial Injuries in Craniofacial/Skullbase Fractures
........
Ill
7.1
Intracranial Injuries
.....................................
Ill
7.1.1
Statistics: Intracranial Injuries in CF Fractures
.........
Ill
7.1.2
Principles of Neurotraumatology
....................
Ill
7.1.3
Management of Mild Head Injuries (GCS
14-15)....... 113
7.1.4
Management of Moderate Head Injuries (GCS
13-9)___ 113
7.1.5
Management of Severe Head Injuries (GCS
8-3)........ 113
7.1.6
Neurosurgical Management of Intracranial
Hematomas
.. 115
7.2
Management of Skull Base and
Dural
Injury
................. 121
7.2.1 Skullbase
Fractures with CSF Leakage
............... 121
7.2.2 Skullbase
Fractures with CSF Leak Without Severe TBI.
. 121
7.2.3 Skullbase
Fractures with CSF Leak with Severe TBI
___ 121
7.2.4
Combined Frontobasal-Maxillofacial Fractures with
CSF Leakage with or Without Severe TBI
............. 121
References
................................................. 122
Part II Therapy
............................................... 125
8
Surgical Repair of Craniofacial Fractures
...................... 127
8.1
Indications for Surgery
.................................. 127
8.1.1
Emergency Surgery
............................... 127
8.1.2
Semi-Elective Surgery for
Frontobasal and Midface Fractures
................... 127
8.1.3
No Surgical Indication
............................ 127
8.2
Surgical Timing
....................................... 127
8.2.1
Evaluation
...................................... 128
8.2.2
Surgical Timing
................................. 129
8.3
Surgical Approaches
.................................... 130
8.3.1
Strategy for Interdisciplinary Approach
(Decision Criteria)
............................... 131
xjv
Contents
8.4
Transfrontal-Transcranial
Approach
........................ 133
8.4.1
Indications
...................................... 133
8.4.2
Transfrontal-Transcranial Approach:
Surgical Technique
............................... 133
8.4.3
Advantages, Disadvantages, and Risks Associated
with the Transcranial Approach
..................... 146
8.5
Transfrontal-Subcranial Approach
......................... 146
8.5.1
Indications
...................................... 147
8.5.2
Surgical Principle
................................ 147
8.5.3
Subcranial Surgical Technique
...................... 147
8.5.4
Advantages, Disadvantages, and
Risks Associated with the
Subcranial Approach
............................. 148
8.6
Transfacial
Approach
................................... 148
8.6.1
Indications
...................................... 149
8.6.2
Surgical Principle
................................ 149
8.6.3
Transfacial
Surgical Approaches
.................... 149
8.6.4
Dura Treatment in the Frontal Skull Base
............. 151
8.6.5
Advantages, Disadvantages, and
Risks Associated with the
Transfacial
Approaches
...... 152
8.7
Endonasal-Endoscopical Approach
........................ 153
8.7.1
Ethmoid Roof Fractures: Surgical Principles
........... 154
8.7.2
Sphenoid Fractures
.............................. 154
8.8
Surgical Approaches/Own Statistics
........................ 154
References
................................................. 154
9
Methods of
Dural
and Skull Base Treatment
.................... 159
9.1
Principles of
Dural
Reconstruction
......................... 159
9.2
Dural
Substitutes
....................................... 159
9.2.1
Autogenous Grafts
............................... 159
9.2.2
Allogeneic Transplants
............................ 160
9.2.3
Alloplastic Synthetic
Dural
Substitutes
............... 161
9.3
Principles of Skull Base Reconstruction
..................... 161
9.3.1
Debridement of the Ethmoid Cells
................... 161
9.3.2
Debridement (Cranialization) of the
Frontal Sinus
.................................... 161
9.3.3
Skull Base Repair
................................ 162
9.4
Skull Base Treatment/Own Statistics
....................... 166
References
................................................. 167
10
Bone Grafts
................................................ 169
10.1
Indications
............................................ 169
10.1.1
Midface
........................................ 169
10.1.2
Frontofacial Region
.............................. 169
10.1.3
Orbital Region
................................... 170
10.2
Autogenous Bone Grafts
................................. 170
10.2.1
Split Calvarial Grafts
............................. 170
10.2.2
Bone Dust/Bone Chips
............................ 174
10.2.3
Autogenous Grafts from the Iliac Crest
............... 175
References
................................................. 177
Contents
11 Osteosynthesis
of
Craniof
acial Fractures
....................... 179
11.1 Biomechanics:
Facial
Skeleton
............................ 179
11.2
Principles of Biomechanical Reconstruction
................. 179
11.2.1
External Midfacial Skeletal Framework
............... 180
11.2.2
Internal Midfacial Skeletal Framework
............... 181
11.3
Osteosynthesis of the Midface
............................ 182
11.3.1
Plating Systems
.................................. 182
11.3.2
Miniplates:
Microplates
........................... 182
11.3.3
Screw Systems
.................................. 183
11.4
Surgical Procedure: Osteosynthesis of the Midface
............ 183
11.4.1
Different Plate Sizes: Indication
..................... 183
11.4.2
Fracture-Related Osteosynthesis
.................... 184
11.5
Titanium: Mesh-Systems
................................ 197
11.5.1
Mesh-Systems
................................... 197
11.5.2
Indications and Advantages
........................ 198
11.5.3
Defect Treatment Using Titanium-Mesh
.............. 198
References
................................................. 202
12
Surgical Strategy for Complex Craniofacial Fractures
............ 205
12.1
Craniofacial Fractures
................................... 205
12.1.1
Concept of Reconstruction
......................... 205
12.1.2
Surgical Approaches
.............................. 207
12.1.3
Reconstruction of Anterior Skull Base and
Frontofacial Compartment
......................... 207
12.1.4
Midface Reconstruction
........................... 211
12.1.5
Own Procedure: Statistics
.......................... 215
12.2
NOE
Fractures
........................................ 215
12.2.1
NOE-Fractures Without Skull Base Injury
............ 215
12.2.2
NOE
Fractures with Skull Base Injury
............... 216
12.3
Panfacial Fractures
..................................... 218
12.3.1
Concept of Reconstruction
......................... 218
12.4
Zygomatico-Orbito-Cranial Fractures
...................... 221
12.5
Craniofrontal Fractures
.................................. 223
12.5.1
Concept of Reconstruction
......................... 223
12.5.2
Surgical Approach
............................... 226
12.5.3
Fractures of the Anterior Frontal Sinus
Wall Without Anterior Skull Base Involvement
......... 226
12.5.4
Fractures of the Posterior Frontal Sinus Wall with
Anterior Skull Base Involvement
.................... 228
12.5.5
Fractures of the Anterior and Posterior Sinus
Walls with Anterior Skull Base Involvement
........... 231
12.5.6
Fractures of the Frontal Sinus with
Comminution of the Infundibulum
................... 231
12.6
Own Statistics
......................................... 232
References
................................................. 235
13
Complications and Late Sequelae Following
Craniofacial Reconstruction
.................................. 239
13.1
Infections and Abscesses
................................ 239
13.2
Osteomyelitis
......................................... 241
Contents
13.3
Recurrent Liquorrhea
................................... 241
13.4
Hematoma:
Central
Edema
............................... 243
13.5
Subdurai
Hygroma..................................... 243
13.6 Frontal Sinus:
Complications.............................
245
13.7
Functional Neurological Deficits
.......................... 245
13.8
Meningitis
............................................ 245
13.9
Facial Contour Irregularities
.............................. 249
13.10
Conclusion
........................................... 249
References
................................................. 249
14
Delayed Reconstruction of Frontofacial
Defects and Deformations
.................................... 251
14.1
Reconstruction Materials and Techniques
................... 251
14.1.1
Autogenous Grafts
............................... 251
14.1.2
Xenogenous Bone/Allogenous Cartilage Transplants
.... 252
14.1.3
Alloplastic Bone Substitutes
....................... 252
14.1.4
Titanium-Mesh
.................................. 255
14.1.5
Preformed Titanium Implants
(CAD
/САМ
Implants)
___ 258
References
................................................. 258
15
A Treatment Algorithm in Craniofacial Reconstruction:
Future Developments
........................................ 261
15.1
Overall Objective
...................................... 261
15.2
Patient-Related Conditions
............................... 261
15.2.1
Size and Location of the Defect
..................... 261
15.2.2
General Health Status
............................. 262
15.2.3
Neurological Status
............................... 265
15.2.4
Patient s Wish
................................... 265
15.2.5
Treatment Plan
.................................. 265
15.2.6
Technical Aspects
................................ 267
15.3
New Developments
..................................... 268
15.3.1
Titanium Selective Laser Melting (Ti-SLM)
........... 268
15.3.2
PEEK-Implants
.................................. 269
15.3.3
Outlook
........................................ 270
References
................................................. 270
Index
......................................................... 273
Craniofacial Trauma, Diagnosis and Management
offers
detailed guidance on the diagnosis, surgical
planning, and interdisciplinary treatment of
craniofacial trauma. The book is divided into two
parts. The first, devoted to classification and diag¬
nosis of craniofacial fractures, includes chapters
on anatomy, radiology, fracture classification,
fracture mechanisms, epidemiological aspects,
symptoms, and specific related aspects of neuro-
craniofacial injuries. The second part addresses
the treatment of craniofacial trauma, examining
operative principles and providing step-by-step
descriptions of a variety of hard and soft tissue
reconstructive procedures. Complications and
late sequelae following craniofacial reconstruc¬
tion are examined, and a further chapter is
devoted to delayed reconstruction of craniofacial
defects. New developments and the role of com¬
puter-assisted treatment planning are discussed
in the final section. This manual will prove an
indispensable reference for residents in maxiilo-
facial training and for maxillofacial/neurosurgeons
in the specialized field of craniomaxillofacial
traumatolog) .
|
| any_adam_object | 1 |
| author | Hardt, Nicolas Kuttenberger, Johannes |
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| id | DE-604.BV035382603 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T21:32:33Z |
| institution | BVB |
| isbn | 9783540330400 9783540330417 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-017186836 |
| oclc_num | 467728409 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-29 |
| owner_facet | DE-355 DE-BY-UBR DE-29 |
| physical | XVII, 278 S. zahlr. Ill. |
| publishDate | 2010 |
| publishDateSearch | 2010 |
| publishDateSort | 2010 |
| publisher | Springer |
| record_format | marc |
| spelling | Hardt, Nicolas Verfasser aut Craniofacial trauma diagnosis and management Nicolas Hardt ; Johannes Kuttenberger Craniofacial neurotraumatology Berlin [u.a.] Springer 2010 XVII, 278 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Auch angekündigt u.d.T.: Craniofacial neurotraumatology Face Surgery Face Wounds and injuries Facial Injuries Skull Surgery Skull Wounds and injuries Skull injuries Gesichtsschädelbruch (DE-588)4243044-6 gnd rswk-swf Gesichtsverletzung (DE-588)4157120-4 gnd rswk-swf Gesichtsschädelbruch (DE-588)4243044-6 s DE-604 Gesichtsverletzung (DE-588)4157120-4 s Kuttenberger, Johannes Verfasser aut Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017186836&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017186836&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Hardt, Nicolas Kuttenberger, Johannes Craniofacial trauma diagnosis and management Face Surgery Face Wounds and injuries Facial Injuries Skull Surgery Skull Wounds and injuries Skull injuries Gesichtsschädelbruch (DE-588)4243044-6 gnd Gesichtsverletzung (DE-588)4157120-4 gnd |
| subject_GND | (DE-588)4243044-6 (DE-588)4157120-4 |
| title | Craniofacial trauma diagnosis and management |
| title_alt | Craniofacial neurotraumatology |
| title_auth | Craniofacial trauma diagnosis and management |
| title_exact_search | Craniofacial trauma diagnosis and management |
| title_full | Craniofacial trauma diagnosis and management Nicolas Hardt ; Johannes Kuttenberger |
| title_fullStr | Craniofacial trauma diagnosis and management Nicolas Hardt ; Johannes Kuttenberger |
| title_full_unstemmed | Craniofacial trauma diagnosis and management Nicolas Hardt ; Johannes Kuttenberger |
| title_short | Craniofacial trauma |
| title_sort | craniofacial trauma diagnosis and management |
| title_sub | diagnosis and management |
| topic | Face Surgery Face Wounds and injuries Facial Injuries Skull Surgery Skull Wounds and injuries Skull injuries Gesichtsschädelbruch (DE-588)4243044-6 gnd Gesichtsverletzung (DE-588)4157120-4 gnd |
| topic_facet | Face Surgery Face Wounds and injuries Facial Injuries Skull Surgery Skull Wounds and injuries Skull injuries Gesichtsschädelbruch Gesichtsverletzung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017186836&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017186836&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT hardtnicolas craniofacialtraumadiagnosisandmanagement AT kuttenbergerjohannes craniofacialtraumadiagnosisandmanagement AT hardtnicolas craniofacialneurotraumatology AT kuttenbergerjohannes craniofacialneurotraumatology |