Waller G
MMW Munch Med Wochenschr. 1977 Feb 11;119(6):177-80.
The conservative treatment of fractures of the visceral cranium and the base of the skull has become separated to an increasing extent from the earlier reconstructive measures of the facial surgeon. The skull is restored with due consideration for the anatomical function and cosmetic factors. Wire osteosynthesis, maxillary and mandibular splinting, fixing to the skeleton by Adam's clasp, reconstruction of soft parts, filling of skin defects precede the subsequent functional follow-up therapy. Exact diagnosis and interdisciplinary planning of treatment before the early intervention are of more value for the patient with a damaged skull than precipitate emergency measures under conditions of inadequate equipment and personnel. A plan of treatment from a background of 230 of our own cases is presented.
面颅骨和颅底骨折的保守治疗在很大程度上已与早期颌面外科医生的重建措施分离开来。颅骨修复时充分考虑了解剖功能和美容因素。金属丝骨固定、上颌和下颌夹板固定、用亚当氏夹固定于骨骼、软组织重建、皮肤缺损填充等操作之后进行后续的功能随访治疗。对于颅骨受损的患者，早期干预前的准确诊断和跨学科治疗规划比在设备和人员不足的情况下匆忙采取紧急措施更有价值。本文介绍了基于我们自己230例病例的治疗方案。
