Craniofacial Trauma: Diagnosis and Management by Nicolas Hardt

By Nicolas Hardt

The e-book covers the whole scope of traumatology within the very important border sector among the neuro- and viscerocranium. It specializes in diagnostic operation making plans and the interdisciplinary administration of craniofacial accidents.
In the 1st half, the category and epidemiology of craniofacial fractures are defined and particular difficulties are mentioned. the second one half bargains with radiologic diagnostics and uncomplicated neurosurgical measures. the most a part of the e-book covers operative rules and a step by step description of not easy and smooth tissue reconstruction after craniofacial trauma. issues of craniofacial accidents and overdue reconstruction of craniofacial defects, together with computer-assisted making plans, are coated within the ultimate part.

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Additional resources for Craniofacial Trauma: Diagnosis and Management

Sample text

Schwab 1995) 34 Orbito-maxillary fractures, maxillo-mandibular frac­ tures, zygomatic-mandibular fractures, zygomatic-orbitalmaxillary fractures, zygomatic-orbito-cranial fractures, fronto-maxillary fractures, PFs. 2 Central Midface Fractures Central midface fractures include fractures of the Le Fort I- and II-type. The central midface block is unhinged from the rest of the facial skeleton and dislocated ­posteriorly or maybe even wedged. The dislocation is partially determined by the direction of the applied force and partially by the muscular tension applied by the pterygoidal muscles.

In direct paracoronal scanning, patient positioning is uncomfortable because reclination of the head is required. Furthermore, the CT gantry has to be tilted leaving less space for the patient (a). In the images, tooth artifacts superimpose relevant structures (b). Axial thin-section CT scanning allows comfortable patient positioning and scanning without gantry tilt (c). Artifacts remain in the plane of the teeth and do not go across relevant structures (d). 4 Ultrasonography only a single dataset in the axial plane is required.

23) 46 Fig. 23 Subcranial fractures with avulsion of the viscerocranium from the neurocranium. 3. 4 Central Cranio-Frontal Fractures Craniofacial fractures are subdivided into: • Comminuted cranio-maxillary fractures (CCMFs) −− a combination of differing cranio-maxillary fracture types with variable involvement of the orbital, naso-ethmoidal, and frontal regions • Comminuted panfacial fractures (PFs) −− which comprise the frontofacial region and the total facial skeleton The complex CFFs in the central frontal region affect the frontal sinus, the naso-ethmoidal complex and the neighboring orbital region either as isolated or combined fractures (Gross 1984; Donald 1998).

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