Skip to main content

Trauma

  • Chapter
  • First Online:
Facial Plastic and Reconstructive Surgery
  • 2140 Accesses

Abstract

Management of facial trauma is a broad and complex field. Significant, often life-threatening, comorbidities need always be considered when evaluating patients with head and neck trauma. After stabilizing the airway and cardiovascular issues, prudent evaluation involves assessment of soft tissue, ocular, dental, facial skeleton, and calvarium. The diverse and complex anatomy of the region requires special considerations regarding injuries to the parotid gland/duct, periocular area, nose, lips, and facial nerve, among others. Additionally, proper and timely repair of facial skeletal fractures is important to optimize both functional and aesthetic results. Avoiding large facial incisions often requires special approaches to the facial skeleton, and an adequate understanding of the anatomy and technique is imperative to minimize complications while achieving adequate reduction/fixation. Special consideration is indicated in panfacial fractures where determining premorbid anatomy may be difficult. Accurate diagnosis and careful reduction and fixation will result in better outcomes while minimizing complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Binns H. Early treatment of facial injuries. In: Mathog RH, editor. Maxillofacial trauma. Baltimore: Williams & Wilkins; 1984. p. 103.

    Google Scholar 

  • Brandt MT, Hag RH. Open versus closed reduction of adult mandibular condyle fractures: a review of the literature regarding the evolution of current thoughts on management. J Oral Maxillofac Surg. 2003;61(11):1324–32.

    Article  PubMed  Google Scholar 

  • Ellis 3rd E, Muniz O, Anand K. Treatment of considerations for comminuted mandibular fractures. J Oral Maxillofac Surg. 2003;61(8):861–70.

    Article  PubMed  Google Scholar 

  • Gruss JS, Mackinnon SE. Complex maxillary fractures: role of buttress reconstruction and immediate bone grafts. Plast Reconstr Surg. 1986;78(1):9–22.

    Article  CAS  PubMed  Google Scholar 

  • Hollier LH, Thorton J, Pazmino P, Stal S. The management of orbitozygomatic fractures. Plast Reconstr Surg. 2003;111(7):2386–92.

    Article  PubMed  Google Scholar 

  • Hosal BM, Beatty RL. Diplopia and enophthalmos after surgical repair of blowout fracture. Orbit. 2002;21(1):27–33.

    Article  PubMed  Google Scholar 

  • Lazaridou M, Iliopoulos C, Antoniades K, Tilaveridis I, Dimitrakopoulos I, Lazaridis N. Salivary gland trauma: a review of diagnosis and treatment. Craniomaxillofac Trauma Reconstr. 2012;5(4):189–96. doi:10.1055/s-0032-1313356.

    Article  PubMed  PubMed Central  Google Scholar 

  • Manolidis S. Frontal sinus injuries: associated injuries and surgical management of 93 patients. J Oral Maxillofac Surg. 2004;62(7):882–91.

    Article  PubMed  Google Scholar 

  • Markowitz BL, Manson PN, Sargent L, Vander Kolk CA, Yaremchuk M, Glassman D, et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg. 1991;87(5):843–53.

    Article  CAS  PubMed  Google Scholar 

  • Maus M. Update on orbital trauma. Curr Opin Ophthal. 2001;12:329–34.

    Article  CAS  Google Scholar 

  • Papel ID. Facial plastic and reconstructive surgery. 3rd ed. New York: Thieme Medical Publishers, Inc.; 2002.

    Google Scholar 

  • Staffel JG. Optimizing treatment of nasal fractures. Laryngoscope. 2002;112(10):1709–19.

    Article  PubMed  Google Scholar 

  • Sykes JM, Dugan Jr FM. Evaluation and management of eyelid trauma. Facial Plast Surg. 1994;10(2):157–71. NY: Thieme.

    Article  CAS  PubMed  Google Scholar 

  • Tung TC, Tseng WS, Chen CT, Lai JP, Chen YR. Acute life threatening injuries in facial fracture patients: a review of 1025 patients. J Trauma. 2000;49(3):420–4.

    Article  CAS  PubMed  Google Scholar 

  • Wenig BL. Management of panfacial fractures. Otolaryngol Clin North Am. 1991;24(1):93–101.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John Harbison M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Harbison, J. (2016). Trauma. In: Wong, BF., Arnold, M., Boeckmann, J. (eds) Facial Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-18035-9_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18035-9_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18034-2

  • Online ISBN: 978-3-319-18035-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics