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Pau, M; Reinbacher, KE; Feichtinger, M; Navysany, K; Kärcher, H.
The mandibular symphysis as a starting point for the occlusal-level reconstruction of panfacial fractures with bicondylar fractures and interruption of the maxillary and mandibular arches: report of two cases.
J Craniomaxillofac Surg. 2014; 42(4):e51-e56 (- Case Report)
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Autor/innen der Med Uni Graz:
Feichtinger Matthias
Feichtinger Michael
Kärcher Hans
Navysany Kawe
Pau Mauro
Reinbacher Knut
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Abstract:
Panfacial fractures represent a challenge, even for experienced maxillofacial surgeons, because all references for reconstructing the facial skeleton are missing. Logical reconstructive sequencing based on a clear understanding of the correlation between projection and the widths and lengths of facial subunits should enable the surgeon to achieve correct realignment of the bony framework of the face and to prevent late deformity and functional impairment. Reconstruction is particularly challenging in patients presenting with concomitant fractures at the Le Fort I level and affecting the palate, condyles, and mandibular symphysis. In cases without bony loss and sufficient dentition, we believe that accurate fixation of the mandibular symphysis can represent the starting point of a reconstructive sequence that allows successful reconstruction at the Le Fort I level. Two patients were treated in our department by reconstruction starting in the occlusal area through repair of the mandibular symphysis. Both patients considered the postoperative facial shape and profile to be satisfactory and comparable to the pre-injury situation. Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Athletic Injuries - surgery
Bone Plates -
Dental Arch - injuries
Dental Occlusion -
Facial Bones - injuries
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans -
Imaging, Three-Dimensional - methods
Male -
Mandible - surgery
Mandibular Condyle - injuries
Mandibular Fractures - surgery
Maxillary Fractures - surgery
Nasal Bone - injuries
Orbital Fractures - surgery
Palate, Hard - injuries
Reconstructive Surgical Procedures - methods
Skull Fractures - surgery
Tomography, X-Ray Computed - methods
Zygomatic Fractures - surgery

Find related publications in this database (Keywords)
Mandibular symphysis
Panfacial fracture
Repair sequence
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