[Fractures of the midface].
Midfacial fractures have a wide variety of appearance. The original classification by Le Fort is still in use. Nasal-orbital-ethmoidal (NOE) fractures deserve special attention. Next to clinical evaluation detailed computer tomography is necessary. Extended open reduction and internal fixation with various mini- and microplate osteosyntheses as well as immediate reconstruction with calvarian bone are essential components of surgical treatment aiming for adequate function and esthetics. Reduction of increased inner intercanthal distances is a substantial part of the treatment of NOE fractures. Surgical repair within 48-72 hours benefits the final result and limits the number and extent of secondary corrections.
Bos
R R
RR
Afdeling Mondziekten, Kaakchirurgie en Bijzondere Tandheelkunde, Academisch Ziekenhuis Groningen, postbus 30.001, 9700 RB Groningen.
Jansma
J
J
Vissink
A
A
D016025:Bone Transplantation; D004954:Esthetics; D005592:Fracture Fixation; D006801:Humans; D008446:Maxillofacial Injuries / Q000145:classification* / Q000175:diagnosis / Q000601:surgery; D013515:Surgery, Oral; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Middengezichtsfracturen.