Minimally invasive approaches in severe panfacial fractures

作者：Guven Erdem^*; Ugurlu Alper Mete; Kuvat Samet Vasfi; Kanliada Deniz; Emekli Ufuk

来源：Turkish Journal of Trauma & Emergency Surgery, 2010, 16(6): 541-545.

• Minimally invasive
• panfacial fracture
• surgical approach

BACKGROUND
Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications. In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures.
METHODS
Sixteen patients with severe panfacial fractures were included in this study. Minimally invasive approaches were used for Le Fort III fracture in six patients, for Le Fort II fracture in four patients, and for bilateral maxillary and orbital floor fractures in six patients. We used subciliary, intraoral vestibular, lateral eyebrow, and open skin incisions to reach orbital, maxillary, zygomaticomaxillary buttress, and nasoethmoidal fractures, respectively.
RESULTS
All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed.
CONCLUSION
Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.

• 出版日期2010-11-1