Reducing Risks for Midface and Mandible Fracture Repair

Néha Datta; Sherard A Tatum

doi:10.1016/j.fsc.2023.01.014

Reducing Risks for Midface and Mandible Fracture Repair

Facial Plast Surg Clin North Am. 2023 May;31(2):307-314. doi: 10.1016/j.fsc.2023.01.014. Epub 2023 Feb 26.

Authors

Néha Datta¹, Sherard A Tatum²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Upstate Medical University, State University of New York, 750 East Adams Street, Syracuse, NY 13210, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
² Department of Otolaryngology-Head and Neck Surgery, Upstate Medical University, State University of New York, 750 East Adams Street, Syracuse, NY 13210, USA. Electronic address: tatums@upstate.edu.

PMID: 37001933
DOI: 10.1016/j.fsc.2023.01.014

Abstract

The midface skeleton provides structural scaffolding to the middle third of the face. Complications associated with fracture repair in these regions can result from incomplete, inaccurate, or delayed assessment, poor initial and subsequent reduction and fixation, infection, uncontrolled hemorrhage, hardware failure and associated soft tissue injuries. A systematic approach to managing the patient with facial trauma that includes Acute Trauma Life Support principles, early reconstruction, and precise reduction and fixation is essential to reducing the short-term and long-term risks of complications.

Keywords: Craniomaxillofacial; Facial trauma; Fracture repair; Mandible fracture; Maxillary fracture; Maxillofacial; Midface; Safety.

Publication types

Review

MeSH terms

Facial Injuries* / surgery
Fracture Fixation*
Humans
Mandible / surgery
Mandibular Fractures* / surgery
Skull Fractures* / surgery