Reference point and confirming points two important guides in treatment of panfacial fractures of panfacial Fx: A case report
A therapeutic challenge to maxillofacial surgeons is management of panfacial fractures, especially when treating multiple comminuted bone fractures. One of the most important goals in these fractures is achieve and stablish a correct occlusal relationship of the mandibular-maxillary unit in paral...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2021-10-01
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| Series: | Journal of Craniomaxillofacial Research |
| Subjects: | |
| Online Access: | https://jcr.tums.ac.ir/index.php/jcr/article/view/372 |
| Summary: | A therapeutic challenge to maxillofacial surgeons is management of panfacial fractures, especially
when treating multiple comminuted bone fractures. One of the most important goals in these
fractures is achieve and stablish a correct occlusal relationship of the mandibular-maxillary unit
in parallel with the proper positioning of the jaws with the skull base and other facial units. Also,
it is important to prevent long-term sequelae such as facial asymmetry, enophthalmos, and malocclusion
that could be caused by inadequate correction. To achieve all these goals some usual
guides of management are proposed as follow: “Bottom to up”, “Top to down”, “outside to inside,” or
“inside to outside”. We present 3 cases of Panfacial fracture and the proposed methods were based
on different sequences of management with introducing “reference point” as the most intact area
to determine the management concept & “confirming point” as the areas that should be reduced
and fixed completely. These points act as an orientation aid during surgery and aid to successfully
restore the entire face contour and maxillomandibular occlusion and also to improves surgical
procedure.
Keywords: Panfacial fracture; Internal fixation; Open reduction; Reference point; Confirming
point. |
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| ISSN: | 2345-5489 2345-6213 |