Advertisement
Review Article| Volume 20, ISSUE 1, P81-94, March 2012

Technological Advances in the Treatment of Facial Trauma

  • Tuan  G. Bui
    Correspondence
    Corresponding author. Head and Neck Surgical Associates, Portland, OR.
    Affiliations
    Head and Neck Surgical Associates, Portland, OR, USA

    Legacy Emanuel Medical Center, Providence Portland Medical Center, Portland, OR, USA

    Oral and Maxillofacial Surgery, Oregon Health & Science University, Portland, OR, USA
    Search for articles by this author
  • R. Bryan Bell
    Affiliations
    Head and Neck Surgical Associates, Portland, OR, USA

    Oral and Maxillofacial Surgery, Oregon Health & Science University, Portland, OR, USA

    Oral, Head and Neck Cancer Program, Providence Cancer Center, Robert W. Franz Cancer Research Center, Providence Portland Medical Center, Portland, OR, USA

    Trauma Service/Oral and Maxillofacial Surgery Service, Legacy Emanuel Medical Center, Portland, OR, USA
    Search for articles by this author
  • Eric J. Dierks
    Affiliations
    Head and Neck Surgical Associates, Portland, OR, USA

    Legacy Emanuel Medical Center, Providence Portland Medical Center, Portland, OR, USA

    Oral and Maxillofacial Surgery, Oregon Health & Science University, Portland, OR, USA
    Search for articles by this author
      The management of craniomaxillofacial (CMF) traumatic injuries can be challenging. Adequately restoring a patient to a preinjurious state of form and function can at times be vexing, even for the experienced surgeon. Over the last several decades, the advances in diagnostic imaging modalities and open reduction and internal fixation have contributed to improved success in the results of the CMF trauma patients. Concepts and algorithms that were introduced to restore the buttresses of the facial skeleton improved our understanding of the surgical management of the fractures [
      • Manson P.N.
      • Hoopes J.E.
      • Su C.T.
      Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures.
      ,
      • Gruss J.S.
      • Bubak P.J.
      • Egbert M.A.
      Craniofacial fractures. An algorithm to optimize results.
      ]. However, difficulty still exists in optimally reestablishing the CMF skeleton in three-dimensions (3D), resulting in facial asymmetry, when using traditional methods. This is particularly true in cases with panfacial injuries, or injuries involving areas with complex 3D anatomy (eg, orbit, zygomaticomaxillary complex).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      References

        • Manson P.N.
        • Hoopes J.E.
        • Su C.T.
        Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures.
        Plast Reconstr Surg. 1980; 66: 54-61
        • Gruss J.S.
        • Bubak P.J.
        • Egbert M.A.
        Craniofacial fractures. An algorithm to optimize results.
        Clin Plast Surg. 1992; 19: 195-206
        • Bell R.B.
        Computer planning and intraoperative navigation in cranio-maxillofacial surgery.
        Oral Maxillofac Surg Clin North Am. 2010; 22: 135-156
        • Edwards S.P.
        Computer-assisted craniomaxillofacial surgery.
        Oral Maxillofac Surg Clin North Am. 2010; 22: 117-134
        • Hohlweg-Majert B.
        • Schon R.
        • Schmelzeisen R.
        • et al.
        Navigational maxillofacial surgery using virtual models.
        World J Surg. 2005; 29: 1530-1538
        • Pham A.M.
        • Rafii A.A.
        • Metzger M.C.
        • et al.
        Computer modeling and intraoperative navigation in maxillofacial surgery.
        Otolaryngol Head Neck Surg. 2007; 137: 624-631
        • Drake J.M.
        • Joy M.
        • Goldenberg A.
        • et al.
        Computer and robot assisted resection of thalamic astrocytomas in children.
        Neurosurgery. 1991; 79: 27-33
        • Barnett G.H.
        Surgical management of convexity and falcine meningeomas using interactive image guided surgery systems.
        Neurosurg Clin N Am. 1996; 7: 279-284
        • Hassfeld S.
        • Muhling J.
        Computer assisted oral and maxillofacial surgery: a review and an assessment of technology.
        Int J Oral Maxillofac Surg. 2001; 30: 2-13
        • Wagner A.
        • Ploder O.
        • Enislidis G.
        • et al.
        Virtual image guided navigation in tumor surgery: technical innovation.
        J Craniomaxillofac Surg. 1995; 23: 271-273
        • Marmulla R.
        • Niederdellmann H.
        Computer assisted bone segment navigation.
        J Craniomaxillofac Surg. 1998; 26: 347-359
        • Luebbers H.T.
        • Messmer P.
        • Obwegeser J.A.
        • et al.
        Comparison of different registration methods for surgical navigation in cranio-maxillofacial surgery.
        J Craniomaxillofac Surg. 2008; 36: 109-116
        • Metzger M.C.
        • Rafii A.
        • Hohlweg-Majert B.
        • et al.
        Comparison of 4 registration strategies for computer aided maxillofacial surgery.
        Otolaryngol Head Neck Surg. 2007; 137: 93
        • Gunkel A.R.
        • Freysinger W.
        • Thumfart W.F.
        • et al.
        Experience with various 3-dimensional navigation systems in head and neck surgery.
        Arch Otolaryngol Head Neck Surg. 2000; 126: 390-395
        • Schramm A.
        • Gellrich N.C.
        • Schmelzeisen R.
        Navigational surgery of the facial skeleton.
        Springer, Berlin, Heidelberg (Germany), New York2007
        • Strong E.B.
        • Kim K.K.
        • Diaz R.C.
        Endoscopic approach to orbital blowout fracture repair.
        Otolaryngol Head Neck Surg. 2004; 131: 683-695
        • Nahlieli O.
        • Bar-Droma E.
        • Zagury A.
        • et al.
        Endoscopic intraoral plating of orbital floor fractures.
        J Oral Maxillofac Surg. 2007; 65: 1751-1757
        • Fernandes R.
        • Fattahi T.
        • Steinberg B.
        • et al.
        Endoscopic repair of isolated orbital floor fracture with implant placement.
        J Oral Maxillofac Surg. 2007; 65: 1449-1453
        • Chen C.T.
        • Chen Y.R.
        Endoscopically assisted repair of orbital floor fractures.
        Plast Reconstr Surg. 2001; 108: 2011-2018
        • Ducic Y.
        • Verret D.J.
        Endoscopic transantral repair of orbital floor fractures.
        Otolaryngol Head Neck. 2009; 140: 849-854
        • Bell R.B.
        Management of frontal sinus fractures.
        Oral Maxillofac Surg Clin North Am. 2009; 21: 227-242
        • Matic D.B.
        • Kim S.
        Temporal hollowing following coronal incision: a prospective, randomized, controlled trial.
        Plast Reconstr Surg. 2008; 121: 379e-385e