Markowitz B L, Manson P N
Division of Plastic Surgery, University of California, Los Angeles Medical School.
Clin Plast Surg. 1989 Jan;16(1):105-14.
Recent advances in facial trauma management have enabled the surgeon to perceive and successfully reconstruct complex panfacial injuries. Restoration of both preinjury facial aesthetics and function is now the goal. An organized approach to these injuries begins at the maxillary and mandibular arches with progression to the vertical mandible. The nasoorbital ethmoidal complex is stabilized to the cranium and bone grafted when indicated. The zygomatic complex is related medially, and orbital reconstruction performed. The facial architectural restoration is completed at the Lefort I level. Adherence to this protocol enables the surgeon to obtain reproducibly good results, even with the most extensive facial dislocations.
面部创伤管理的最新进展使外科医生能够识别并成功重建复杂的全颜面损伤。恢复伤前的面部美观和功能现已成为目标。处理这些损伤的一种有组织的方法是从上下颌牙弓开始，然后延伸至下颌骨垂直部分。鼻眶筛复合体固定于颅骨，并在必要时进行骨移植。颧复合体向内侧复位，并进行眼眶重建。面部结构修复在Le Fort I水平完成。遵循该方案能使外科医生即使面对最严重的面部脱位，也能持续获得良好的效果。
