medigraphic.com
ISSN 1561-297X (Print)

2022, Number 2

<< Back Next >>

Rev Cubana Estomatol 2022; 59 (2)

Classical and modern principles and resources: their combination in the management of Le Fort fractures

Morales ND

Language: Spanish
References: 17
Page:
PDF size: 358.07 Kb.


ABSTRACT

Introduction: Traumatic maxillofacial lesions are an important global health problem, as well as a public health burden.
Objective: Reflect on the need to combine classical and modern principles and resources in the management of Le Fort fractures in the Cuban context.
Main remarks: Treatment of facial fractures has evolved considerably through the years. Before the appearance of miniplates, stainless steel wire was used for osteosynthesis in maxillofacial surgery. Titanium osteosynthesis systems are currently the systems of choice in maxillofacial surgery. Despite their undeniable advantages, developing countries occasionally do not have all the equipment required for their use.
General considerations: Management of maxillofacial trauma is aimed at recovering the original form and function of the affected area. Without disregarding the theoretical principles of the management of Le Fort fractures, Cuban professionals should search for solutions in keeping with the resources available. The combination of classical techniques and modern resources, such as wired craniofacial suspensions, bar arches and maxillomandibular fixation screws, may be a reliable therapeutic alternative.


REFERENCES

  1. Assiri ZA, Salma REG, Almajid EA, Alfadhel AK. Retrospective radiological evaluation to study the prevalence and pattern of maxillofacial fracture among Military personal at Prince Sultan Military Medical City [PSMMC], Riyadh: An institutional study. Saudi Dent J. 2020 [acceso: 20/05/2021];32(5):242-9. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336016/ 1.

  2. Rupani R, Singh M, Kumar V, Singh R, Kumar S, Yadav P. The maxillofacial injuries: A postmortem study. Natl J Maxillofac Surg. 2018 [acceso: 20/05/2021];9(1):48-51. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996648/ 2.

  3. Pietzka S, Kämmerer PW, Pietzka S, Schramm A, Lampl L, Lefering R, et al3. . Maxillofacial injuries in severely injured patients after road traffic accidents-a retrospective evaluation of the TraumaRegister DGU® 1993-2014. Clin Oral Investig. 2020 [acceso: 20/05/2021];24(1):503-13. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223802/ 3.

  4. Patil SG, Munnangi A, Joshi U, Thakur N, Allurkar S, Patil BS. Associated Injuries in Maxillofacial Trauma: A Study in a Tertiary Hospital in South India. J Maxillofac Oral Surg. 2018 [acceso: 20/05/2021];17(4):410-6. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181831/ 4.

  5. Fazzalari A, Alfego D, Shortsleeve JT, Shi Q, Mathew J, Litwin D, et al5. . Treatment of Facial Fractures at a Level 1 Trauma Center: Do Medicaid and Non-Medicaid Enrollees Receive the Same Care? J Surg Res. 2020 [acceso: 20/05/2021];252:183-91. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/32278973/ 5.

  6. Al-Bokhamseen M, Salma R, Al-Bodbaij M. Patterns of maxillofacial fractures in Hofuf, Saudi Arabia: A 10-year retrospective case series. Saudi Dent J. 2019 [acceso: 20/05/2021];31(1):129-36. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349956/ 6.

  7. Yu BH, Han SM, Sun T, Guo Z, Cao L, Wu HZ, et al7. . Dynamic changes of facial skeletal fractures with time. Sci Rep. 2020 [acceso: 20/05/2021];10(1):4001. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055228/ 7.

  8. Juncar M, Tent PA, Juncar RI, Harangus A, Mircea R. An epidemiological analysis of maxillofacial fractures: a 10-year cross-sectional cohort retrospective study of 1007 patients. BMC Oral Health. 2021 [acceso: 20/05/2021];21(1):128. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968332/ 8.

  9. Xiao-Dong L, Qiu-Xu W, Wei-Xian L. Epidemiological pattern of maxillofacial fractures in northern China: A retrospective study of 829 cases. Medicine (Baltimore). 2020 [acceso: 20/05/2021];99(9):e19299. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478645/ 9.

  10. Saperi BS, Ramli R, Ahmed Z, Muhd Nur A, Ibrahim MI, Rashdi MF, et al10. . Cost analysis of facial injury treatment in two university hospitals in Malaysia: a prospective study. Clinicoecon Outcomes Res. 2017 [acceso: 20/05/2021];9:107-13. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5304986/ 10.

  11. Phillips BJ, Turco LM. Le Fort Fractures: A Collective Review. Bull Emerg Trauma. 2017 [acceso: 20/05/2021];5(4):221-30. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694594/ 11.

  12. Kaur N, Kaur T, Kaur J, Kaur Y, Kapila S, Sandhu A. Efficacy of Titanium Mesh Osteosynthesis in Maxillofacial Fractures. J Maxillofac Oral Surg. 2018 [access 20/05/2021];17(4):417-24. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181864/ 12.

  13. Gareb B, Roossien CC, van Bakelen NB, Verkerke GJ, Vissink A, Bos RRM, van Minnen B. Comparison of the mechanical properties of biodegradable and titanium osteosynthesis systems used in oral and maxillofacial surgery. Sci Rep. 2020 [acceso: 20/05/2021];10(1):18143. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584639/ 13.

  14. Elarabi MS, Bataineh AB. Changing pattern and etiology of maxillofacial fractures during the civil uprising in Western Libya. Med Oral Patol Oral Cir Bucal. 2018 [acceso: 20/05/2021];23(2):e248-e255. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911362/ 14.

  15. Sánchez Acuña JG, Canals González CJ. Traumatismos del macizo facial. En: Soler Vaillant R, Mederos Curbelo ON. Cirugía. Lesiones graves por traumatismo. La Habana: Ecimed; 2017.

  16. Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017 [acceso: 20/05/2021];26:218. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491718/ 16.

  17. Morales Navarro D. Fracturas mandibulares. En: Morales Navarro D. Fundamentos diagnósticos y terapéuticos del trauma maxilofacial. La Habana: Ecimed; 2021.




2020     |     www.medigraphic.com