Facial Plast Surg 2019; 35(06): 565-577
DOI: 10.1055/s-0039-1700800
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Management of Panfacial Fractures

1   Department of Otolaryngology, Virginia Commonwealth University, Richmond, Virginia
,
Thomas S. Lee
1   Department of Otolaryngology, Virginia Commonwealth University, Richmond, Virginia
,
2   Department of Otolaryngology, University of Rochester, Rochester, New York
,
Dae Ik Yi
1   Department of Otolaryngology, Virginia Commonwealth University, Richmond, Virginia
,
Mofiyinfolu Sokoya
3   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Yadranko Ducic
3   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Institutsangaben
Funding No financial support was received.
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
29. November 2019 (online)

Abstract

The evaluation and management of a patient with panfacial fractures are multifaceted. Herein, we describe basic facial skeletal anatomy, considerations for airway securing, and common concurrent injuries. Finally, we discuss primary and secondary reconstructions of facial trauma including sequencing of repair, available landmarks, and the utility of intraoperative computed tomography imaging and virtual surgical planning with custom implants.

 
  • References

  • 1 Chapleau W, Al-khatib J, Haskin D. , et al; ATLS Subcommittee; American College of Surgeons' Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS®): the ninth edition. J Trauma Acute Care Surg 2013; 74 (05) 1363-1366
  • 2 Tung TC, Tseng WS, Chen CT, Lai JP, Chen YR. Acute life-threatening injuries in facial fracture patients: a review of 1,025 patients. J Trauma 2000; 49 (03) 420-424
  • 3 Papadiochos I, Goutzanis L, Petsinis V. Flail mandible and immediate airway management: traumatic detachment of mandibular lingual cortex results in obstructive dyspnea and severe odynophagia. J Craniofac Surg 2017; 28 (05) 1311-1314
  • 4 Shetty PM, Yadav SK, Upadya M. Submental intubation in patients with panfacial fractures: a prospective study. Indian J Anaesth 2011; 55 (03) 299-304
  • 5 Caron G, Paquin R, Lessard MR, Trépanier CA, Landry PE. Submental endotracheal intubation: an alternative to tracheotomy in patients with midfacial and panfacial fractures. J Trauma 2000; 48 (02) 235-240
  • 6 Muzzi DA, Losasso TJ, Cucchiara RF. Complication from a nasopharyngeal airway in a patient with a basilar skull fracture. Anesthesiology 1991; 74 (02) 366-368
  • 7 Demas PN, Sotereanos GC. The use of tracheotomy in oral and maxillofacial surgery. J Oral Maxillofac Surg 1988; 46 (06) 483-486
  • 8 Wood DE, Mathisen DJ. Late complications of tracheotomy. Clin Chest Med 1991; 12 (03) 597-609
  • 9 Schütz P, Hamed HH. Submental intubation versus tracheostomy in maxillofacial trauma patients. J Oral Maxillofac Surg 2008; 66 (07) 1404-1409
  • 10 Das P, Zhu H, Shah RK, Roberson DW, Berry J, Skinner ML. Tracheotomy-related catastrophic events: results of a national survey. Laryngoscope 2012; 122 (01) 30-37
  • 11 Goldenberg D, Golz A, Netzer A, Joachims HZ. Tracheotomy: changing indications and a review of 1,130 cases. J Otolaryngol 2002; 31 (04) 211-215
  • 12 Nwoku AL, Al-Balawi SA, Al-Zahrani SA. A modified method of submental oroendotracheal intubation. Saudi Med J 2002; 23 (01) 73-76
  • 13 O'Connell JE, Kearns GJ. Submental intubation: a retrospective review of 45 cases. Ir J Med Sci 2013; 182 (03) 309-313
  • 14 Hernández Altemir F. The submental route for endotracheal intubation. A new technique. J Maxillofac Surg 1986; 14 (01) 64-65
  • 15 Kaiser A, Semanoff A, Christensen L, Sadoff R, DiGiacomo JC. Submental intubation: an underutilized technique for airway management in patients with panfacial trauma. J Craniofac Surg 2018; 29 (05) 1349-1351
  • 16 Kita R, Kikuta T, Takahashi M. , et al. Efficacy and complications of submental tracheal intubation compared with tracheostomy in maxillofacial trauma patients. J Oral Sci 2016; 58 (01) 23-28
  • 17 Rodrigues WC, de Melo WM, de Almeida RS, Pardo-Kaba SC, Sonoda CK, Shinohara EH. Submental intubation in cases of panfacial fractures: a retrospective study. Anesth Prog 2017; 64 (03) 153-161
  • 18 Nahum AM. The biomechanics of maxillofacial trauma. Clin Plast Surg 1975; 2 (01) 59-64
  • 19 Follmar KE, Debruijn M, Baccarani A. , et al. Concomitant injuries in patients with panfacial fractures. J Trauma 2007; 63 (04) 831-835
  • 20 Mulligan RP, Mahabir RC. The prevalence of cervical spine injury, head injury, or both with isolated and multiple craniomaxillofacial fractures. Plast Reconstr Surg 2010; 126 (05) 1647-1651
  • 21 Alvi A, Doherty T, Lewen G. Facial fractures and concomitant injuries in trauma patients. Laryngoscope 2003; 113 (01) 102-106
  • 22 Lee TS, Ducic Y, Gordin E, Stroman D. Management of carotid artery trauma. Craniomaxillofac Trauma Reconstr 2014; 7 (03) 175-189
  • 23 Jose A, Nagori SA, Agarwal B, Bhutia O, Roychoudhury A. Management of maxillofacial trauma in emergency: an update of challenges and controversies. J Emerg Trauma Shock 2016; 9 (02) 73-80
  • 24 Curtis W, Horswell BB. Panfacial fractures: an approach to management. Oral Maxillofac Surg Clin North Am 2013; 25 (04) 649-660
  • 25 Degala S, Sundar SS, Mamata KS. A comparative prospective study of two different treatment sequences i.e. bottom up-inside out and topdown-outside in, in the treatment of panfacial fractures. J Maxillofac Oral Surg 2015; 14 (04) 986-994
  • 26 Borad V, Lacey MS, Hamlar DD, Dresner HS, Yadava GK, Schubert W. Intraoperative imaging changes management in orbital fracture repair. J Oral Maxillofac Surg 2017; 75 (09) 1932-1940
  • 27 Cuddy K, Khatib B, Bell RB. , et al. Use of intraoperative computed tomography in craniomaxillofacial trauma surgery. J Oral Maxillofac Surg 2018; 76 (05) 1016-1025
  • 28 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 (01) 64-78
  • 29 He D, Zhang Y, Ellis III E. Panfacial fractures: analysis of 33 cases treated late. J Oral Maxillofac Surg 2007; 65 (12) 2459-2465
  • 30 Kupfer P, Cheng A, Patel A, Amundson M, Dierks EJ, Bell RB. Virtual surgical planning and intraoperative imaging in management of ballistic facial and mandibular condylar injuries. Atlas Oral Maxillofac Surg Clin North Am 2017; 25 (01) 17-23
  • 31 Khader R, Wallender A, Van Sickels JE, Cunningham LL. Secondary reconstruction of panfacial fractures. Oral Maxillofac Surg 2014; 18 (01) 99-109
  • 32 Thor A. Preoperative planning of virtual osteotomies followed by fabrication of patient specific reconstruction plate for secondary correction and fixation of displaced bilateral mandibular body fracture. Craniomaxillofac Trauma Reconstr 2016; 9 (02) 188-194
  • 33 Herford AS, Miller M, Lauritano F, Cervino G, Signorino F, Maiorana C. The use of virtual surgical planning and navigation in the treatment of orbital trauma. Chin J Traumatol 2017; 20 (01) 9-13
  • 34 Kärkkäinen M, Wilkman T, Mesimäki K, Snäll J. Primary reconstruction of orbital fractures using patient-specific titanium milled implants: the Helsinki protocol. Br J Oral Maxillofac Surg 2018; 56 (09) 791-796