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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2004, Number 3

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Cir Plast 2004; 14 (3)

Complex facial fractures

Cuenca-Pardo JA, Álvarez-Díaz CJ

Language: Spanish
References: 24
Page: 132-140
PDF size: 197.25 Kb.


ABSTRACT

The experience obtained in immediate attention using a treatment guide in patients that suffered car accidents with severe damage to bone structures and great laceration of soft tissues is reported. Twenty two patients with complex fractures, with laceration and soft tissues avulsion or amputation were treated at the “Magdalena de las Salinas” Traumatology Hospital of the Mexican Institute of Social Security. They all had Baker II or III degree cranioencephalic traumatism. In two of them the eyeball burst, in four there was amaurosis due to compression of the optical nerve, and in four sphenoidal cleavage syndrome. The fractures were multifragmented or comminuted, in 16 panfacial and in six located in the upper third of the face and cranium. Treatment was based on orbit decompression, anatomical reduction of the fractures and fixation with titanium miniplates and screws; bone grafts in the sites where there was loss and soft tissue reconstruction. The patients with scars and sequels were operated again correctively. The best results were in those patients with minimal soft tissue lacerations, even when there was great bone destruction or multiple fractures. Patients with extensive avulsions or facial segment amputations required several surgeries and the results yielded only an improvement of their appearance leaving irreversible functional and aesthetic sequels.


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