Parashar Atul, Sharma Ramesh Kumar
Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Plast Surg. 2013 May;46(2):221-34. doi: 10.4103/0970-0358.118597.
Faciomaxillary injuries remain one of the common injuries managed by plastic surgeons. The goal of treatment in these injuries is the three-dimensional restoration of the disturbed anatomy so as to achieve pre-injury form and function. In this article, the authors review the anatomic, diagnostic and management considerations to optimise results and minimise the late post-traumatic deformities. Most of the adverse outcomes are usually a result of poorly addressed underlying structural injury during the primary management. An accurate physical examination combined with detailed computed tomographic scanning of the craniofacial skeleton is required to generate an appropriate treatment plan. This organised approach has proven effective in restoring the injured structures to pre-injury status. Multiple clinical cases are used to illustrate the different fracture patterns along with various surgical techniques to achieve an acceptable outcome. Early diagnosis and timely management of complications in these complex injuries is also discussed.
颌面损伤仍然是整形外科医生处理的常见损伤之一。这些损伤的治疗目标是对紊乱的解剖结构进行三维重建，以恢复伤前的形态和功能。在本文中，作者回顾了解剖、诊断和治疗方面的注意事项，以优化治疗效果并尽量减少创伤后晚期畸形。大多数不良后果通常是由于初期处理时对潜在结构损伤处理不当所致。需要进行准确的体格检查并结合对头面部骨骼的详细计算机断层扫描，以制定合适的治疗方案。这种有条理的方法已被证明在将受损结构恢复到伤前状态方面是有效的。文中使用多个临床病例来说明不同的骨折类型以及实现可接受治疗效果的各种手术技术。还讨论了这些复杂损伤的早期诊断和并发症的及时处理。
