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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
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  • 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
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  • 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
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      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).
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