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Update in Midface and Panfacial Trauma Management

  • Facial Trauma (R. Kellman, Section Editor)
  • Published:
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Abstract

Panfacial fractures are often sequenced to repair from stable craniofacial structures to provide a framework. The purpose of this review will be to outline the literature and provide opinion on the current practice related to controversy in the management of midface and panfacial fractures. Three areas of concentration will be the use of intraoperative imaging, indications for antibiotic prophylaxis, and novel maxillomandibular fixation (MMF) materials. There has been increased exploration of intraoperative imaging; however, developing indications for use is limited by currently available cost-effectiveness and outcome data. Guidance for antibiotic usage is also limited, particularly by inadequate high-level evidence. Alternatives to the traditional interdental wiring for MMF are being investigated as a potentially faster and safer method. Current data and future explorations are discussed in this review.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, CA, USA

    Raj Dedhia

  2. Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Blvd., Suite 7200, Sacramento, CA, 95817, USA

    Travis T. Tollefson

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  1. Raj Dedhia
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  2. Travis T. Tollefson
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Correspondence to Travis T. Tollefson.

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This article is part of the Topical Collection on Facial Trauma.

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Dedhia, R., Tollefson, T.T. Update in Midface and Panfacial Trauma Management. Curr Otorhinolaryngol Rep 3, 215–220 (2015). https://doi.org/10.1007/s40136-015-0096-7

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  • DOI: https://doi.org/10.1007/s40136-015-0096-7

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