Correction to: Evaluation of the Variations in the Levels of Perioperative Inflammatory Markers After Open Reduction and Internal Fixation of Maxillofacial Fractures

Background: panfacial fractures resembles a therapeutic challenge to maxillofacial surgeons This study was carried out to determine the etiology, injury characteristics and management outcome of pan facial fractures at Sohag university hospital.Methods: A retrospective hospital based study of panfacial fractures patients was carried out at Sohag university hospital from January 2010 to December 2016. Data was collected and analyzed using SPPS.Results: 200 Panfacial Trauma Patients were analysed. Males to females by a ratio of 24:1. Their ages ranged from 13 to 63 years with a mean of 30±12 years Most injuries were due to road traffic accidents (78%), and by falling from height in 12%. Mandibular fractures were the most common type of injuries. Open reduction and internal fixation by using plates and screws was the commonest surgical technique, used in 97.8% of cases. The most common complications were limited mouth opening, malocclusion. The mean duration of hospital stay was 11.13±2.23 days.Conclusions: Road traffic accident (RTC) was the most common cause of panfacial injuries in our locality and the young adult males were the most commonly affected victims. The majority of maxillofacial fractures were treated by open reduction and internal fixation.

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Approach to Upper Maxillofacial Fractures

Operative Plastic Surgery ◽

10.1093/med/9780190499075.003.0055 ◽

2019 ◽

pp. 581-588

Author(s):

Daniel Murariu ◽

Heather A. McMahon ◽

Kant Y. Lin

Keyword(s):

Internal Fixation ◽

Ct Scan ◽

Frontal Sinus ◽

Open Reduction ◽

Surgical Techniques ◽

Illustrative Case ◽

Fracture Treatment ◽

Case Examples ◽

Computed Tomographic ◽

Maxillofacial Fractures

Upper maxillofacial fractures primarily involve the frontal sinus. The paired frontal sinuses consist of an anterior table, a posterior table, and a frontonasal duct also known as the nasofrontal outflow tract (NFOT). Diagnosis of frontal sinus fractures is best done with a computed tomographic (CT) scan. Indications for repair of fractures of the frontal sinus depend on the location of the fracture, the degree of displacement of the fractures, and the patency of the NFOT. The three mainstays in fracture treatment are open reduction and internal fixation of anterior table fractures when there is no NFOT obstruction, which can be combined with obliteration and/or cranialization of the sinus with posterior table fractures in the presence of NFOT obstruction. Indications and surgical techniques will be reviewed along with some illustrative case examples.

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Appropriateness of immediate postoperative radiographs after open reduction and internal fixation of simple maxillofacial fractures––a retrospective audit

Journal of International Oral Health ◽

10.4103/jioh.jioh_170_19 ◽

2020 ◽

Vol 12 (1) ◽

pp. 15

Author(s):

Ravindranath Vineetha ◽

Komal Smriti ◽

Srikanth Gadicherla ◽

Abhay-Taranath Kamath ◽

KalyanaChakravarthy Pentapati ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Retrospective Audit ◽

Maxillofacial Fractures

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Trend and Characteristics of 2,636 Maxillofacial Fracture Cases over 32 Years in Suburban City of Japan

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0034-1399797 ◽

2015 ◽

Vol 8 (4) ◽

pp. 281-288 ◽

Cited By ~ 6

Author(s):

Kazuhiko Yamamoto ◽

Yumiko Matsusue ◽

Satoshi Horita ◽

Kazuhiro Murakami ◽

Tsutomu Sugiura ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Traffic Accidents ◽

Early Period ◽

Late Period ◽

Maxillomandibular Fixation ◽

Maxillofacial Fractures ◽

Motorcycle Accidents ◽

Condylar Fractures ◽

Mandible Condyle

Trend and characteristics of maxillofacial fractures in 2,636 patients over 32 years were analyzed retrospectively. Patients comprised 1,764 males and 872 females with ages ranging from 0 to 99 years. Patients younger than 30 years consisted of 60% maxillofacial fractures in the early period but decreased to 40% in the late period. In contrast, patients older than 60 years gradually increased to 30%. In terms of cause, traffic accidents consisted of more than 50%, predominantly motorcycle accidents, but gradually decreased to 40%. In contrast, falls markedly increased from less than 10 to 30%. Fractures occurred in the midface in 938 patients, in the mandible in 1,490, and in both in 208. In the midface, zygoma fractures consisted of 50% throughout the period. In the mandible, condyle fractures were observed in 40%, followed by fractures of the symphysis and angle. The ratio of condylar fractures slightly increased. Open reduction and internal fixation (ORIF) were performed in 782 patients, followed by observation in 716, maxillomandibular fixation (MMF) in 605, intramaxillary splinting (IMS) in 294, transcutaneous reduction (TCR) in 126, and others in 113. MMF markedly decreased from more than 30 to less than 5% and observation increased from 20 to 40%.

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The Role of Postoperative Imaging after Orbital Floor Fracture Repair

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0038-1625949 ◽

2018 ◽

Vol 11 (2) ◽

pp. 96-101 ◽

Cited By ~ 1

Author(s):

David Carpenter ◽

Ronnie Shammas ◽

Adam Honeybrook ◽

C.Scott Brown ◽

Nikita Chapurin ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Clinical Symptoms ◽

Orbital Floor ◽

Complication Rates ◽

Postoperative Imaging ◽

Asymptomatic Patients ◽

Orbital Floor Fractures ◽

Maxillofacial Fractures

Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution. Operative and perioperative records were reviewed to characterize postoperative imaging as routine or as indicated by concerning clinical symptoms, and to correlate clinical outcomes to postoperative imaging patterns across all identified orbital floor fractures. A total of 139 patients underwent open reduction and internal fixation of orbital floor fractures. Of these, 75 (54%) had zygomaticomaxillary (ZMC) involvement. The remaining 64 (46%) were isolated orbital floor fractures. Overall, 54 (39%) patients underwent postoperative imaging. Of these, 38 (70%) had postoperative imaging in the absence of concerning clinical symptoms. There was no observed difference in complication rates in those who underwent postoperative imaging, and those who did not. Patients with orbital + ZMC fractures underwent a significantly higher number of postoperative imaging studies ( p < 0.001); however, there was no observed difference in complications between isolated orbital and orbital + ZMC fractures. Routine postoperative imaging is not warranted in the absence of persistent clinical symptoms following open reduction and internal fixation of orbital floor fractures.

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