PDF icon Download PDF
Open Access
CC BY 4.0 · Indian J Plast Surg
DOI: 10.1055/s-0045-1802344
Ideas and Innovations

A Simplified Working Classification for Planning and Management of Facial Fractures

Mukesh K. Sharma 
1   Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
,
Rahul Saini 
1   Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
,
Bulli B. Boyidi 
1   Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
,
Vaddi S. Babu 
1   Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
› Author Affiliations
Funding None.
› Further Information
Also available ateRefMedOne
  Permissions and Reprints
Preview

Abstract

Facial fractures are commonly encountered by plastic and maxillofacial surgeons. Although very diversified in nature, their treatment planning requires a thorough knowledge of the facial anatomy and advanced treatment modalities. With the advent of three-dimensional computed tomography, it has become a lot easier to diagnose and treat them accordingly. It is important to categorize facial fractures for an effective liaison between the radiologists, surgeons, and medical staff involved in their management. Various classification schemes have been made to classify them, but they are cumbersome to remember and communicate among treating doctors. We present a new yet simple facial fracture classification that is based on the facial buttresses involved. This helps in better and uniform management of fracture patterns and also anticipates future complications that may arise from such fractures, if any.

Keywords

facial fractures - buttresses - Le Fort - open reduction and internal fixation - RML classification

Authors' Contributions

M.K.S. and R.S. formulated the idea, innovation, and the text of the manuscript. R.S. contributed to the figures and pictures. B.B.B. and V.S.B. gave inputs on fine modification of the manuscript.


Patients' Consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his/her consent for his/her images and other clinical information to be reported in the journal. The patient understands that her/his name and initials will not be published and due efforts will be made to conceal his/her identity, but anonymity cannot be guaranteed.




Publication History

Article published online:
28 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India