Abstract
Introduction
Although the primary management of patients with panfacial fractures has been well discussed in the medical and dental literature, secondary management of those patients who were not treated or were incompletely treated has not been as well addressed.
Purpose
The purposes of this paper are to review the basic concepts of panfacial fractures and to address the secondary reconstruction of patients whose primary management was less than ideal.
Discussion
In this paper, we present three cases of secondary reconstruction of the maxillofacial skeleton following complicated panfacial fractures. We also discuss the challenges that exist in treatment planning and executing treatment in these complex cases.
Similar content being viewed by others
References
Manson PN, Hoopes JE, Su CT (1980) Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures. Plast Reconstr Surg 66:54–62
Gruss JS, Mackinnon SE (1986) Complex maxillary fractures: role of buttress reconstruction and immediate bone grafts. Plast Reconstr Surg 78:9–22
Manson PN (1986) Some thoughts on the classification and treatment of Le Fort fractures. Ann Plast Surg 17:356–363
Markowitz BL, Manson PN (1989) Panfacial fractures: organization of treatment. Clin Plast Surg 16:105–114
Kelly KJ, Manson PN, Vander Kolk CA, Markowitz BL, Dunham CM, Rumley TO, Crawley WA (1990) Sequencing Le Fort fracture treatment (organization of treatment for a panfacial fracture). J Craniofac Surg 1:168–178
Manson PN, Clark N, Robertson B, Slezak S, Wheatly M, Vander Kolk C, Iliff N (1999) Subunit principles in midface fractures: the importance of sagittal buttresses, soft-tissue reductions, and sequencing treatment of segmental fractures. Plast Reconstr Surg 103:1287–1306
Motamedi MH (2003) An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg 61:61–64
Klug C, Schicho K, Ploder O, Yerit K, Watzinger F, Ewers R, Baumann A, Wagner A (2006) Point-to-point computer-assisted navigation for precise transfer of planned zygoma osteotomies from the stereolithographic model into reality. J Oral Maxillofac Surg 64:550–559
He D, Zhang Y, Ellis E 3rd (2007) Panfacial fractures: analysis of 33 cases treated late. J Oral Maxillofac Surg 65:2459–2465
Bell RB, Markiewicz MR (2009) Computer-assisted planning, stereolithographic modeling, and intraoperative navigation for complex orbital reconstruction: a descriptive study in a preliminary cohort. J Oral Maxillofac Surg 67:2559–2570
Gellrih NC, Schramm A, Hammer B, Rojas S, Cufi D, Lagreze W (2002) Schmelzeisen: computer assisted secondary reconstruction of unilateral posttraumatic orbital deformity. Plastic and Recon Surgery 110(6):1417–1429
Metzger MC, Hohlweg-Majert B, Schon R, Teschner M, Gellrich NC, Schmelzeisen R, Gutwald R (2007) Verification of clinical precision after computer-aided reconstruction in craniomaxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:e1–e10
Acknowledgments
The authors would like to acknowledge Ms. Florence Witte for her assistance in the preparation of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Khader, R., Wallender, A., Van Sickels, J.E. et al. Secondary reconstruction of panfacial fractures. Oral Maxillofac Surg 18, 99–109 (2014). https://doi.org/10.1007/s10006-013-0403-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-013-0403-8