title: Complex craniofacial trauma resulting from fireworks blast.
abstract: The authors report the case of a patient who sustained a complex craniofacial trauma secondary to a recreational fireworks blast. Initial assessment and management were performed with a multidisciplinary approach to achieve control of cerebral hemorrhage, debridement of wounds and brain, isolation of the brain from the external environment, reconstruction of the cranial base floor, and orbital and facial reconstruction. Modification of multiple conventional approaches, along with a multispecialty surgical team, were used to deal effectively with this unusual patient who was treated by single-stage immediate management. Reconstruction of both the intracranial and extracranial compartments was considered successful with a satisfactory cosmetic result.
authors: Department of Maxillo-Facial Surgery, University of Messina, Messina, Italy.
authors: Fabio
authors: F
authors: Romano
authors: Luciano
authors: L
authors: Catalfamo
authors: Enrico Nastro
authors: EN
authors: Siniscalchi
authors: Alfredo
authors: A
authors: Conti
authors: Filippo Flavio
authors: FF
authors: Angileri
authors: Francesco Saverio
authors: FS
authors: De Ponte
authors: Francesco
authors: F
authors: Tomasello
mesh_terms: D001753:Blast Injuries / Q000209:etiology*; D020201:Brain Hemorrhage, Traumatic / Q000209:etiology; D002056:Burns / Q000209:etiology*; D053834:Explosive Agents / Q000009:adverse effects; D005131:Eye Injuries / Q000209:etiology; D018460:Fractures, Comminuted / Q000209:etiology; D005625:Frontal Lobe / Q000293:injuries; D020197:Head Injuries, Penetrating / Q000209:etiology*; D046648:Hematoma, Subdural, Intracranial / Q000209:etiology; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000209:etiology; D008446:Maxillofacial Injuries / Q000209:etiology*; D008875:Middle Aged; D009917:Orbital Fractures / Q000209:etiology; D011998:Recreation; D019291:Skull Base / Q000293:injuries; D012887:Skull Fractures / Q000209:etiology; D013100:Sphenoid Bone / Q000293:injuries; D015051:Zygomatic Fractures / Q000209:etiology
chemical_list: D053834:Explosive Agents