Update in Midface and Panfacial Trauma Management

详细信息    查看全文

• 作者：Raj Dedhia ; Travis T. Tollefson
• 关键词：Panfacial fractures ; Intraoperative imaging ; Antibiotic prophylaxis ; Maxillomandibular fixation ; Zygomatico ; orbito ; maxillary fractures ; Le Fort ; Mandible
• 刊名：Current Otorhinolaryngology Reports
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：3
• 期：4
• 页码：215-220
• 全文大小：486 KB
• 参考文献：1.Kochhar A, Byrne PJ. Surgical management of complex midfacial fractures. Otolaryngol Clin N Am. 2013;46(5):759鈥?8.CrossRef
  2.Gruss JS, Van Wyck L, Phillips JH, Antonyshyn O. The importance of the zygomatic arch in complex midfacial fracture repair and correction of posttraumatic orbitozygomatic deformities. Plast Reconstr Surg. 1990;85(6):878鈥?0.CrossRef PubMed
  3.Manson PN, Clark N, Robertson B, et al. Subunit principles in midface fractures: the importance of sagittal buttresses, soft-tissue reductions, and sequencing treatment of segmental fractures. Plast Reconstr Surg. 1999;103(4):1287鈥?06.CrossRef PubMed
  4.鈥?Curtis W, Horswell BB. Panfacial fractures: an approach to management. Oral Maxillofac Surg Clin N Am. 2013;25(4):649鈥?0. Curtis et al.鈥檚 review discusses important principles regarding restoration of facial projection, width and height, as well as soft-tissue management in panfacial trauma. It shares current thinking and approach in managing panfacial trauma.
  5.Stanley RB. Use of intraoperative computed tomography during repair of orbitozygomatic fractures. Arch Facial Plast Surg. 1999;1(1):19鈥?4.CrossRef PubMed
  6.Strong EB, Tollefson TT. Intraoperative use of CT imaging. Otolaryngol Clin N Am. 2013;46(5):719鈥?2.CrossRef
  7.Hoelzle F, Klein M, Schwerdtner O, et al. Intraoperative computed tomography with the mobile CT Tomoscan M during surgical treatment of orbital fractures. Int J Oral Maxillofac Surg. 2001;30(1):26鈥?1.CrossRef PubMed
  8.Hoffmann J, Krimmel M, Dammann F, Reinert S. Feasibility of intraoperative diagnosis with a mobile computed tomography scanner. Mund Kiefer Gesichtschir. 2002;6(5):346鈥?0.CrossRef PubMed
  9.Hoffmann J, Dammann F, Troitzsch D, Krimmel M, G眉licher D, Reinert S. Intraoperative computer tomography control within the scope of maxillofacial traumatology using a mobile scanner. Biomed Tech (Berl). 2002;47(6):155鈥?.CrossRef
  10.Heiland M, Schmelzle R, Hebecker A, Schulze D. Intraoperative 3D imaging of the facial skeleton using the SIREMOBIL Iso-C3D. Dentomaxillofac Radiol. 2004;33(2):130鈥?.CrossRef PubMed
  11.Heiland M, Schulze D, Blake F, Schmelzle R. Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. Int J Oral Maxillofac Surg. 2005;34(4):369鈥?5.CrossRef PubMed
  12.Pohlenz P, Blake F, Blessmann M, et al. Intraoperative cone-beam computed tomography in oral and maxillofacial surgery using a C-arm prototype: first clinical experiences after treatment of zygomaticomaxillary complex fractures. J Oral Maxillofac Surg. 2009;67(3):515鈥?1.CrossRef PubMed
  13.Wilde F, Lorenz K, Ebner AK, Krauss O, Mascha F, Schramm A. Intraoperative imaging with a 3D C-arm system after zygomatico-orbital complex fracture reduction. J Oral Maxillofac Surg. 2013;71(5):894鈥?10.CrossRef PubMed
  14.鈥?Shaye DA, Tollefson TT, Strong EB. Use of intraoperative computed tomography for maxillofacial reconstructive surgery. JAMA Facial Plast Surg. 2015;17(2):113鈥?. An important case series discussing efficiency, radiation dosing and revision rates in multiple types of facial fractures. This paper is unique in that they establish efficiency as a function of surgeon experience using intraoperative CT.
  15.Barrett DM, Halbert TW, Fiorillo CE, Park SS, Christophel JJ. Cost-based decision analysis of postreduction imaging in the management of mandibular fractures. JAMA Facial Plast Surg. 2015;17(1):28鈥?2.CrossRef PubMed
  16.Stuck BA, H眉lse R, Barth TJ. Intraoperative cone beam computed tomography in the management of facial fractures. Int J Oral Maxillofac Surg. 2012;41(10):1171鈥?.CrossRef PubMed
  17.Ellis E, Perez D. An algorithm for the treatment of isolated zygomatico-orbital fractures. J Oral Maxillofac Surg. 2014;72(10):1975鈥?3.CrossRef PubMed
  18.Kim JW, Wu J, Shen SG, Xu B, Shi J, Zhang S. Interdisciplinary surgical management of multiple facial fractures with image-guided navigation. J Oral Maxillofac Surg. 2015;73:1767鈥?7.CrossRef PubMed
  19.Yu H, Shen SG, Wang X, Zhang L, Zhang S. The indication and application of computer-assisted navigation in oral and maxillofacial surgery-Shanghai鈥檚 experience based on 104 cases. J Craniomaxillofac Surg. 2013;41(8):770鈥?.CrossRef PubMed
  20.鈥⑩€?Mundinger GS, Borsuk DE, Okhah Z, et al. Antibiotics and facial fractures: evidence-based recommendations compared with experience-based practice. Craniomaxillofac Trauma Reconstr. 2015;8(1):64鈥?8. This a comprehensive review of current evidence regarding antibiotic prophylaxis for facial fractures. It discusses current deficiencies in the literature and challenges to development universal guidelines as well as the discrepancy between current evidence and practice.
  21.Morris LM, Kellman RM. Are prophylactic antibiotics useful in the management of facial fractures? Laryngoscope. 2014;124(6):1282鈥?.CrossRef PubMed
  22.鈥⑩€?Zix J, Schaller B, Iizuka T, Lieger O. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Part 1: orbital fractures in 62 patients. Br J Oral Maxillofac Surg. 2013;51(4):332鈥?. This trial provides the high level of evidence for antibiotics in orbital fractures. There was no difference in the infection rates or side effects between the 1-day vs 5-day post-operative antibiotic prophylaxis study groups.
  23.鈥⑩€?Schaller B, Soong PL, Zix J, Iizuka T, Lieger O. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomized, double-blind, placebo-controlled pilot clinical study. Part 2: Mandibular fractures in 59 patients. Br J Oral Maxillofac Surg. 2013;51(8):803鈥?. This trial provides the high level of evidence for post-operative antibiotic prophylaxis in mandible fractures. The authors鈥?sought to answer the following research question: among patients with mandibular fractures involving the alveolus, those treated with a 5-day compared to those with a 1-day postoperative course of antibiotic, showed no difference in the incidence of infection.
  24.鈥⑩€?Soong PL, Schaller B, Zix J, Iizuka T, Mottini M, Lieger O. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Part 3: Le Fort and zygomatic fractures in 94 patients. Br J Oral Maxillofac Surg. 2014;52(4):329鈥?3. This trial provides the highest possible level of evidence for post-operative antibiotic prophylaxis in midface fractures.
  25.Mottini M, Wolf R, Soong PL, Lieger O, Nakahara K, Schaller B. The role of postoperative antibiotics in facial fractures: comparing the efficacy of a 1-day versus a prolonged regimen. J Trauma Acute Care Surg. 2014;76(3):720鈥?.CrossRef PubMed
  26.Aderhold L, Jung H, Frenkel G. Untersuchungen 眉ber den werteiner Antibiotika Prophylaxe bei Kiefer-Gesichtsverletzungen. Eine prospective Studie. Dtsch Zahn盲rztl Z. 1983;38:402.
  27.Lauder A, Jalisi S, Spiegel J, Stram J, Devaiah A. Antibiotic prophylaxis in the management of complex midface and frontal sinus trauma. Laryngoscope. 2010;120(10):1940鈥?.CrossRef PubMed
  28.Saman M, Kadakia S, Ducic Y. Postoperative maxillomandibular fixation after open reduction of mandible fractures. JAMA Facial Plast Surg. 2014;16(6):410鈥?.CrossRef PubMed
  29.West GH, Griggs JA, Chandran R, Precheur HV, Buchanan W, Caloss R. Treatment outcomes with the use of maxillomandibular fixation screws in the management of mandible fractures. J Oral Maxillofac Surg. 2014;72(1):112鈥?0.CrossRef PubMed
  30.鈥?Bali R, Sharma P, Garg A. Incidence and patterns of needlestick injuries during intermaxillary fixation. Br J Oral Maxillofac Surg. 2011;49(3):221鈥?. This is an important article discussing the danger of needlestick injuries and makes a case for seeking safer methods of establishing intermaxillary fixation.
  31.Omeje KU, Rana M, Adebola AR, et al. Quality of life in treatment of mandibular fractures using closed reduction and maxillomandibular fixation in comparison with open reduction and internal fixation鈥攁 randomized prospective study. J Craniomaxillofac Surg. 2014;42(8):1821鈥?.CrossRef PubMed
  32.Coletti DP, Salama A, Caccamese JF. Application of intermaxillary fixation screws in maxillofacial trauma. J Oral Maxillofac Surg. 2007;65(9):1746鈥?0.CrossRef PubMed
  33.Arthur G, Berardo N. A simplified technique of maxillomandibular fixation. J Oral Maxillofac Surg. 1989;47(11):1234.CrossRef PubMed
  34.Rai A, Datarkar A, Borle RM. Are maxillomandibular fixation screws a better option than Erich arch bars in achieving maxillomandibular fixation? A randomized clinical study. J Oral Maxillofac Surg. 2011;69(12):3015鈥?.CrossRef PubMed
  35.Schulte-geers M, Kater W, Seeberger R. Root trauma and tooth loss through the application of pre-drilled transgingival fixation screws. J Craniomaxillofac Surg. 2012;40(7):e214鈥?.CrossRef PubMed
  
• 作者单位：Raj Dedhia (1)
  Travis T. Tollefson (2)
  
  1. Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, CA, USA
  2. Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Blvd., Suite 7200, Sacramento, CA, 95817, USA
  
• 刊物主题：Otorhinolaryngology;
• 出版者：Springer US
• ISSN：2167-583X

文摘

Panfacial fractures are often sequenced to repair from stable craniofacial structures to provide a framework. The purpose of this review will be to outline the literature and provide opinion on the current practice related to controversy in the management of midface and panfacial fractures. Three areas of concentration will be the use of intraoperative imaging, indications for antibiotic prophylaxis, and novel maxillomandibular fixation (MMF) materials. There has been increased exploration of intraoperative imaging; however, developing indications for use is limited by currently available cost-effectiveness and outcome data. Guidance for antibiotic usage is also limited, particularly by inadequate high-level evidence. Alternatives to the traditional interdental wiring for MMF are being investigated as a potentially faster and safer method. Current data and future explorations are discussed in this review. Keywords Panfacial fractures Intraoperative imaging Antibiotic prophylaxis Maxillomandibular fixation Zygomatico-orbito-maxillary fractures Le Fort Mandible