Bärmann M, Stasche N
HNO-Klinik, Westpfalz-Klinikum, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland.
HNO. 2011 Nov;59(11):1071-8. doi: 10.1007/s00106-011-2384-y.
The clinical diagnosis and treatment of midfacial fractures have been optimized by modern computer tomography and the development of plate osteosynthesis. Even complex fractures involving the orbit and scull base can be accurately reconstructed and stabilized. The use of titanium mini- and micro-plates as well as resorbable materials allows customized treatment of this esthetically and functionally important area. The preservation of basic functions such as vision, scent, speech, occlusion and swallowing, in addition to aesthetic aspects, should be the primary goals of surgical treatment. In general, reconstruction is not required immediately and polytrauma patients will need interdisciplinary care. Conservative treatment of midfacial fractures should be the exception.
现代计算机断层扫描技术以及接骨板骨合成技术的发展，优化了面中部骨折的临床诊断与治疗。即使是涉及眼眶和颅底的复杂骨折，也能够被精确重建并实现稳定固定。钛制微型和小型接骨板以及可吸收材料的应用，使得针对这一在美学和功能上都至关重要的区域能够进行个性化治疗。除美学方面外，保留视觉、嗅觉、言语、咬合及吞咽等基本功能，应是外科治疗的首要目标。一般而言，无需立即进行重建，多发伤患者需要多学科协作护理。面中部骨折的保守治疗应为例外情况。
