Current controversies in maxillofacial trauma:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2009
|
| Schriftenreihe: | Oral and maxillofacial surgery clinics of North America
21,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VIII, S. 164-268 Ill., graph. Darst. |
| ISBN: | 9781437705133 1437705138 |
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| 245 | 1 | 0 | |a Current controversies in maxillofacial trauma |c guest ed. Daniel M. Laskin ... |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2009 | |
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| 650 | 4 | |a Face |x Surgery | |
| 650 | 4 | |a Facial bones |x Fractures | |
| 650 | 4 | |a Maxilla |x Fractures | |
| 650 | 4 | |a Maxilla |x Surgery | |
| 650 | 4 | |a Mouth |x Surgery | |
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Datensatz im Suchindex
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| adam_text | Titel: Current controversies in maxillofacial trauma
Autor: Laskin, Daniel M.
Jahr: 2009
Contents
Preface jx
Daniel M. Laskin and A. OmarAbubaker
Management of Fractures Through the Angle of the Mandible 163
Edward Ellis III
Fracture through the angle of the mandible is one of the most common maxillofacial
injuries sustained in modern societies. Among issues related to the treatment of
maxillofacial injuries, those concerning angle fractures are the most hotly debated,
with the exception perhaps of those concerning the condylar process of the mandi¬
ble. There are several reasons for this controversy about treatment of angle frac¬
tures, a controversy too often made up of arguments founded on emotion rather
than on scientific information. This article discusses some of the controversies in
the management of such fractures.
Management of Atrophic Mandible Fractures 175
MatthewJ. Madsen, Richard H. Haug, Bryan S. Christensen, and Eron Aldridge
Traumatic facial fractures that were once rarely encountered now present with in¬
creasing frequency in the elderly population. Included in this group of fractures
are those of the atrophic edentulous mandible. As patients age and become eden¬
tulous, atrophy of the mandibular alveolar ridges and adjacent basal bone reduces
bony surface area, bone density, and blood supply, making the mandible more brit¬
tle and increasing the likelihood of mandibular fracture during a traumatic event. Sur¬
gical treatment of these fractures has become more predictable and less morbid.
However, because these fractures present so infrequently, many surgeons lack
the relevant experience in handling them, and thus find the reduction and fixation
of such injuries difficult. A number of techniques have been employed to treat this
injury. This article reviews the more common modalities and presents updates on
accepted surgical treatments.
Management of Comminuted Fractures of the Mandible 185
Brian Alpert, Paul S.Tiwana, and George M. Kushner
Comminuted fractures of the mandible are unusual but not rare. They are complex
injuries with a high complication rate. Gunshot wounds are a frequent cause. Tradi¬
tional management with closed techniques is noted for good long-term results, but
may involve an extended period of treatment. Treatment with open reduction and
rigid internal fixation significantly shortens the course of treatment and simplifies
the convalescence.
Management of Condylar Process Fractures 193
Daniel M. Laskin
Some issues related to management of fractures of the condylar process remain un¬
settled. In certain areas, however, there is consensus. In the child, with few excep¬
tions, closed treatment is preferable, fixation periods should be short, a vigorous
postfixation exercise program is essential, and patients should have long-term
follow-up. In the adult, it is important to restore ramus height by an open reduction
when (1) there are bilateral fractures without contact of the segments, (2) there is
a unilateral fracture in an edentulous patient, or (3) there is a unilateral fracture in
a dentulous patient with an unstable occlusion. Open reduction is also necessary
when there is a need to establish a stable mandibular base for the treatment of
associated midface fractures or when there is mechanical interference with estab¬
lishing a proper occlusion.
Management of Mandibular Fractures in Children 197
Robert W.T. Myall
To guide surgeons treating mandibular fractures in children, this article first reviews
the growth of the mandible, describes how injury can affect such growth, and ex¬
plains how to harness the process of growth to good effect. This information is im¬
portant in making therapeutic decisions about the management of such injuries. The
article then reviews the various opinions regarding diagnosis, treatment, and out¬
comes. Then, as a counterpoint, the author presents his own approach developed
over 30 years as a pediatric oral and maxillofacial surgeon.
Management of Nasal Fractures 203
Vincent B. Ziccardi and Hani Braidy
The goal of treatment for nasal fractures is to restore the pretraumatic state and nor¬
mal function. The decision by the surgeon regarding the surgical approach should be
based on the degree of injury, the presence of concomitant facial injuries, patient
compliance, training of the surgeon, and the presence and degree of septal injury.
The use of a closed or open approach will then depend on the extent of the injury.
Management of Orbital Fractures 209
Risto Kontio and Christian Lindqvist
Trauma to the orbit is always complex, and adequate therapy requires that the sur¬
geon be familiar with the detailed anatomy of the orbit and the pattern of injury of the
soft and hard tissue components. Preoperative CT, MRI scans, or both are manda¬
tory for diagnosis and proper planning of reconstruction. Although several autoge¬
nous and alloplastic materials are available, autogenous bone grafting seems to
give the best results. Resorbable materials cannot be recommended for large de¬
fects. Instead, either bone or titanium must be considered to achieve a long-lasting,
accurate restoration of bony orbital anatomy and dimension. Postoperative CT scan
evaluation is of utmost importance regardless of the reconstruction method used.
Management of Naso-Orbital-Ethmoidal Fractures 221
Harry Papadopoulos and Nader K. Salib
Naso-orbital-ethmoidal fractures are arguably the most challenging fractures of the
facial skeleton to restore properly. This article discusses their proper diagnosis, de¬
scribes some of the controversies in their management, and makes recommenda¬
tions regarding their proper treatment.
Management of Frontal Sinus Fractures 227
R. Bryan Bell
The goals in the treatment of frontal sinus injuries are to provide an esthetic out¬
come, restore function, and prevent complications. However, there is no consensus
as to how to best achieve these goals. Unfortunately, the questions that Stanley pro¬
posed in 1989 still lack definitive answers more than 19 years later: (1) Which
fractures, if left untreated, will lead to an immediate or delayed complication? and
(2) What is the appropriate surgical procedure if treatment of the fracture is deemed
necessary? This article discusses the controversies in the surgical treatment of such
fractures and provides a scientific rationale for proper management.
Management of Parotid Gland and Duct Injuries 243
Joseph E. Van Sickels
Surgical repair of injuries to the parotid gland and its duct have been described in the
literature for more than 100 years. Injury to the glandular structures are usually asso¬
ciated with penetrating wounds of the face and often involve concomitant damage to
adjacent structures, including the facial nerve, the ear, and the nearby bony struc¬
tures. Most investigators agree that management of these injuries depends on the
location of the damage. However, there are differences of opinion as to the proper
management of the repair when the injury to the glandular system is discovered early
or late.
Management of Facial Bite Wounds 247
Panagiotis K. Stefanopoulos
Bite wounds are especially prone to infectious complications, both local and sys¬
temic. In bite wounds to the face, such complications can create more difficulties
than the initial tissue damage itself for the task of restoring an esthetic appearance.
Management should aim to neutralize this potential for infection and provide an in¬
fection-free environment for wound healing. Wound cleansing followed by primary
closure is the treatment of choice, and the use of prophylactic antibiotics may further
decrease the risk of infection. Delay in presentation beyond 24 hours is not neces¬
sarily a contraindication to immediate repair, but excessive crushing of the tissues or
extensive edema usually dictates a more conservative approach, such as delayed
closure.
Use of Prophylactic Antibiotics in Preventing Infection of Traumatic Injuries 259
A. OmarAbubaker
In managing traumatic wounds, the primary goal is to achieve rapid healing with op¬
timal functional and esthetic results. This is best accomplished by providing an en¬
vironment that prevents infection of the wound during healing. Despite good wound
care, some infections still occur. Accordingly, some investigators argue that prophy¬
lactic antibiotics have an important role in the management of certain types of
wounds. This article reviews the basis of antibiotic use in preventing wound infection
in general and its use in oral and facial wounds in particular.
Index 265
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| spelling | Current controversies in maxillofacial trauma guest ed. Daniel M. Laskin ... Philadelphia [u.a.] Saunders 2009 VIII, S. 164-268 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 21,2 Face Surgery Facial bones Fractures Maxilla Fractures Maxilla Surgery Mouth Surgery Mund-Kiefer-Gesichtsbereich (DE-588)4425810-0 gnd rswk-swf Trauma (DE-588)4060748-3 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Mund-Kiefer-Gesichtsbereich (DE-588)4425810-0 s Trauma (DE-588)4060748-3 s DE-604 Laskin, Daniel M. 1924- Sonstige (DE-588)138288763 oth Oral and maxillofacial surgery clinics of North America 21,2 (DE-604)BV002758944 21,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017601397&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Current controversies in maxillofacial trauma Oral and maxillofacial surgery clinics of North America Face Surgery Facial bones Fractures Maxilla Fractures Maxilla Surgery Mouth Surgery Mund-Kiefer-Gesichtsbereich (DE-588)4425810-0 gnd Trauma (DE-588)4060748-3 gnd |
| subject_GND | (DE-588)4425810-0 (DE-588)4060748-3 (DE-588)4143413-4 |
| title | Current controversies in maxillofacial trauma |
| title_auth | Current controversies in maxillofacial trauma |
| title_exact_search | Current controversies in maxillofacial trauma |
| title_full | Current controversies in maxillofacial trauma guest ed. Daniel M. Laskin ... |
| title_fullStr | Current controversies in maxillofacial trauma guest ed. Daniel M. Laskin ... |
| title_full_unstemmed | Current controversies in maxillofacial trauma guest ed. Daniel M. Laskin ... |
| title_short | Current controversies in maxillofacial trauma |
| title_sort | current controversies in maxillofacial trauma |
| topic | Face Surgery Facial bones Fractures Maxilla Fractures Maxilla Surgery Mouth Surgery Mund-Kiefer-Gesichtsbereich (DE-588)4425810-0 gnd Trauma (DE-588)4060748-3 gnd |
| topic_facet | Face Surgery Facial bones Fractures Maxilla Fractures Maxilla Surgery Mouth Surgery Mund-Kiefer-Gesichtsbereich Trauma Aufsatzsammlung |
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