88 results match your criteria Endoscopic Management of Facial Fractures


Upper Eyelid Approach for the Reconstruction of Isolated Fractures of the Anterior Wall of the Frontal Sinus.

J Craniofac Surg 2018 Oct;29(7):1903-1905

Loma Linda University, Loma Linda.

The management of frontal sinus fractures can vary widely depending on involvement of the anterior wall, the posterior wall, and the frontonasal duct. The main morbidity associated with isolated anterior wall fractures is an aesthetic deformity. Treatment includes coronal, endoscopic, and transcutaneous approaches. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005004DOI Listing
October 2018
6 Reads

Outcome of Surgically Treated Fractures of the Condylar Process by an Endoscopic Assisted Transoral Approach.

J Oral Maxillofac Surg 2019 Jan 24;77(1):133.e1-133.e9. Epub 2018 Aug 24.

Fellow, Clinic for Cranio-Maxillofacial Surgery, University Hospital, Zurich, Switzerland.

Purpose: Fractures of the condylar process are frequent. Ideal management of these fractures, as discussed in the literature, is controversial. Some recent meta-analyses have favored open reduction and internal fixation using various approaches. Read More

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http://dx.doi.org/10.1016/j.joms.2018.08.013DOI Listing
January 2019
1 Read

Endoscopic-Assisted Intraoral Open Reduction Internal Fixation of Mandibular Subcondylar Fractures: Initial Experiences from a Tertiary-Care Maxillofacial Center in India.

Craniomaxillofac Trauma Reconstr 2018 Sep 12;11(3):183-191. Epub 2017 Jun 12.

Department of Dentistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Puducherry, India.

Management of condylar fractures is a highly controversial and debatable area. Open reduction and internal fixation (ORIF) using an extraoral approach has certain benefits over the nonsurgical treatment. Risk of damage to the facial nerve and an extraoral scar remains constant deterrents. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603457
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http://dx.doi.org/10.1055/s-0037-1603457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078704PMC
September 2018
2 Reads

Blunt rupture of the thoracic duct after severe thoracic trauma.

Trauma Surg Acute Care Open 2018 20;3(1):e000183. Epub 2018 Jun 20.

Department of Surgery, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA.

A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018842PMC
June 2018
10 Reads

Referral patterns from emergency department to otolaryngology clinic.

Laryngoscope 2018 05 20;128(5):1062-1067. Epub 2017 Nov 20.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.

Objectives/hypothesis: Patients who present to the emergency department (ED) with various otolaryngologic disorders are frequently referred to an otolaryngologist for follow-up care. Our aim was to further characterize this group as it has not been well described in the literature.

Study Design: Cross-sectional retrospective study. Read More

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http://dx.doi.org/10.1002/lary.26868DOI Listing
May 2018
5 Reads

Endoscopic Removal of Displaced Sagittal Intracapsular Condylar Fracture.

J Craniofac Surg 2017 Nov;28(8):2036-2037

*Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, Dental School at Araraquara, UNESP †Medicine School at University Center of Araraquara, UNIARA, Araraquara, Brazil.

Fractures involving the mandibular condyle are among the most common fractures of facial bones and still generate great discussion concerning therapeutic issues. Several factors have influence on the decision of treatment management of these fractures. In some patients, even when there is displacement of fractured fragments, the choice for conservative treatment is made. Read More

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http://dx.doi.org/10.1097/SCS.0000000000003952DOI Listing
November 2017
1 Read

Current Management of Subcondylar Fractures of the Mandible, Including Endoscopic Repair.

Facial Plast Surg Clin North Am 2017 Nov;25(4):577-580

Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University, 241 CWB, 750 East Adams Street, Syracuse, NY 13210, USA.

Treatment of subcondylar fractures has been the subject of debate for many years. Options for treatment include physical therapy, elastic maxillomandibular fixation, and open repair. Proper imaging and clinical evaluation are imperative when deciding on the best management option. Read More

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http://dx.doi.org/10.1016/j.fsc.2017.06.008DOI Listing
November 2017
9 Reads

Transnasal endoscopic ultrasound-guided reduction of maxillary sinus wall fracture.

Eur Arch Otorhinolaryngol 2017 Sep 12;274(9):3383-3390. Epub 2017 Jun 12.

Department of Anatomy, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju, 61469, Republic of Korea.

Surgical morbidity from open reduction and internal fixation (ORIF) of maxillary sinus wall fracture often surpasses the benefits of ORIF. Hence, the authors devised transnasal endoscopic-assisted reduction of maxillary sinus wall fracture (TERM) without internal fixation as a minimally invasive surgery for maxillary sinus wall fracture. The purpose of this study was to investigate the feasibility of TERM in cadavers and patients. Read More

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http://dx.doi.org/10.1007/s00405-017-4637-1DOI Listing
September 2017
16 Reads

Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.

Craniomaxillofac Trauma Reconstr 2017 Jun 3;10(2):106-116. Epub 2017 Feb 3.

Division of Head and Neck Surgery and Communication Sciences, Department of Surgery, Duke University Medical Center, Durham, North Carolina.

The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on plastic surgeons and oral and maxillofacial surgeons is heretofore unknown. A cross-sectional survey was performed to assess the practice pattern variations in frontal sinus fracture management across multiple surgical disciplines. Read More

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http://dx.doi.org/10.1055/s-0037-1599196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435490PMC
June 2017
7 Reads

Frontal Sinus Fractures.

Semin Plast Surg 2017 May;31(2):80-84

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

The frontal bone serves a protective role, representing the transition between the facial skeleton and the cranium. Within its enclosure, the frontal sinus lies adjacent to many important intracranial structures, and injury to this region has severe complications if not properly managed. Historically, the goals of frontal sinus fracture management have been to best prevent intracranial complications with invasive procedures, but a recent shift favoring conservative management now aims to preserve the form and function of the frontal sinus and its outflow tract. Read More

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http://dx.doi.org/10.1055/s-0037-1601371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423803PMC
May 2017
10 Reads

Evaluation of a Minimally Disruptive Treatment Protocol for Frontal Sinus Fractures.

JAMA Facial Plast Surg 2017 May;19(3):225-231

Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.

Importance: Despite common goals of frontal sinus fracture treatment (restoring forehead contour and creating a safe sinus), there remains significant variability in evaluation and treatment.

Objective: To describe our experience with a minimally disruptive treatment protocol for the treatment of frontal sinus fractures.

Design, Setting, And Participants: Analysis of prospectively collected data from 2010 through 2015 at a level 1 trauma center. Read More

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http://dx.doi.org/10.1001/jamafacial.2016.1769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5539999PMC
May 2017
4 Reads

Mandibular Subcondylar Fractures: A Review on Treatment Strategies.

Electron Physician 2016 Oct 25;8(10):3144-3149. Epub 2016 Oct 25.

DMD, Resident of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Shariati General Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Condylar injuries are often subjected to discussion and controversy in maxillofacial surgery as they constitute many of the facial fractures. The condylar area has a great clinical value due to its important components. Vital components in this area are susceptible to functional disability due to either the fracture itself or the subsequent surgical intervention. Read More

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http://dx.doi.org/10.19082/3144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5133042PMC
October 2016
6 Reads

A new approach to nasoseptal fractures: Submucosal endoscopically assisted septoplasty and closed nasal reduction.

J Craniomaxillofac Surg 2016 Oct 16;44(10):1635-1640. Epub 2016 Jul 16.

Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile.

Background: Nasal bone fracture is the most common among facial bone fractures. The prevalence of concomitant septal and nasal bone fractures fluctuates between 34% and 96.2%. Read More

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http://dx.doi.org/10.1016/j.jcms.2016.07.004DOI Listing
October 2016
4 Reads

Controversies in the Management of the Trauma Patient.

Facial Plast Surg Clin North Am 2016 Aug 24;24(3):299-308. Epub 2016 May 24.

Department of Otolaryngology, SUNY Upstate, 750 East Adams Street, Syracuse, NY 13207, USA.

Facial trauma is a significant cause of morbidity in the United States. Despite the large volume of trauma surgeries at most academic institutions, there is still controversy regarding management of many traumatic injuries. The literature lacks clear-cut best practices for most fractures. Read More

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http://www.researchgate.net/profile/Alexios_Adamides/publica
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607745/pdf/jnma
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http://www.scielo.br/pdf/clin/v63n5/20.pdf
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http://dx.doi.org/10.1016/j.fsc.2016.03.006DOI Listing
August 2016
3 Reads

Contemporary Approach to the Diagnosis and Management of Cerebrospinal Fluid Rhinorrhea.

Ochsner J 2016 ;16(2):136-42

Department of Otorhinolaryngology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

Background: Cerebrospinal fluid (CSF) rhinorrhea, when left untreated, can lead to meningitis and other serious complications. Treatment traditionally has entailed an open craniotomy, although the paradigm has now evolved to encompass endoscopic procedures. Trauma, both accidental and iatrogenic, causes the majority of leaks, and trauma involving skull base and facial fractures is most likely to cause CSF rhinorrhea. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896656PMC
June 2016
3 Reads

An aesthetic approach in the repair of anterior frontal sinus fractures.

Authors:
T Fattahi S Salman

Int J Oral Maxillofac Surg 2016 Sep 4;45(9):1104-7. Epub 2016 May 4.

Department of Oral and Maxillofacial Surgery, University of Florida Health Science Center, Jacksonville, FL, USA.

The management of upper facial trauma is a common responsibility of surgeons taking care of maxillofacial injuries. Historically, the most commonly used surgical approach has been the bi-temporal (coronal) incision. As is well known, the coronal incision carries some inherent complications such as hair loss, long scars, and increased length of hospital stay. Read More

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http://dx.doi.org/10.1016/j.ijom.2016.04.008DOI Listing
September 2016
7 Reads

Update on mandibular condylar fracture management.

Curr Opin Otolaryngol Head Neck Surg 2016 Aug;24(4):273-8

Department of Otolaryngology - Head and Neck Surgery, University of Florida, Gainesville, Florida, USA.

Purpose Of Review: Fractures of the mandibular condyle have provided a lasting source of controversy in the field of facial trauma. Concerns regarding facial nerve injury as well as reasonable functional outcomes with closed management led to a reluctance to treat with an open operative intervention. This article reviews how incorporating new technologies and surgical methods have changed the treatment paradigm. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000272DOI Listing
August 2016
4 Reads

Maxillofacial Fractures: Midface and Internal Orbit-Part II: Principles and Surgical Treatment.

Facial Plast Surg 2015 Aug 15;31(4):357-67. Epub 2015 Sep 15.

Department of Otorhinolaryngology-Head and Neck Surgery, Cantonal Hospital, St. Gallen, Switzerland.

Current clinical assessment and imaging techniques were described in part 1, and this article presents a systematic review of the surgical treatment principles in the management of midface and internal orbit fractures from initial care to definitive treatment, including illustrative case examples. New developments enabled limited surgical approaches by standardization of osteosynthesis principles regarding three-dimensional buttress reconstruction, by newly developed individualized implants such as titanium meshes and, especially for complex fracture patterns, by critical assessment of anatomical reconstruction through intraoperative endoscopy, as well as intra- and postoperative imaging. Resorbable soft tissue anchors can be used both for ligament and soft tissue resuspension to reduce ptosis effects in the cheeks and nasolabial area and to achieve facial aesthetics similar to those prior to the injury. Read More

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http://dx.doi.org/10.1055/s-0035-1563693DOI Listing
August 2015
2 Reads

Experience with the transparotid approach via a mini-preauricular incision for surgical management of condylar neck fractures.

J Craniomaxillofac Surg 2015 Oct 31;43(8):1595-601. Epub 2015 Jul 31.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Craniofacial Research Center, 222, Maijin Road, Keelung, Taiwan.

Introduction: The aim of this study was to describe our experiences of a mini-preauricular transparotid approach for direct reduction and plating of condylar neck fractures.

Materials And Methods: A retrospective study was conducted on 58 patients from 2009 to 2011 with 69 condylar neck fractures in Chang Gung Memorial Hospital. The fractures were treated surgically either with a 2-cm mini-preauricular and transparotid approach in 29 patients with 36 fractures, or via endoscope-assisted intraoral, or facelift or retromandibular approaches in a control group of 29 patients with 32 fractures. Read More

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http://dx.doi.org/10.1016/j.jcms.2015.07.023DOI Listing
October 2015
13 Reads

Benefits of the Retrocaruncular Approach to the Medial Orbit: A Clinical And Anatomic Study.

Ann Plast Surg 2016 Mar;76(3):295-300

From the *Division of Plastic and Reconstructive Surgery, University of Wisconsin Hospital and Clinics, Madison, WI; †Straub Clinic and Hospital, Plastic Surgery Practice, Honolulu, HI; ‡Department of Plastic Surgery, Wake Forest Medical Center, Winston-Salem, NC; and §Department of Plastic and Reconstructive Surgery, Loma Linda University, Loma Linda, CA.

Background: Current trends in the management of medial orbital wall fractures are toward the development of transconjunctival incisions and the use of endoscopic-assisted methods. Different authors have suggested variations of the medial transconjunctival approach.

Methods: (1) In 30 fresh cadaver orbits, the classic transcaruncular approach was compared with the precaruncular and retrocaruncular approach under magnified dissection. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000531DOI Listing
March 2016
7 Reads

Transoral vs. extraoral approach in the treatment of condylar neck fractures.

J Craniomaxillofac Surg 2015 Mar 18;43(2):224-31. Epub 2014 Nov 18.

Department of Oral and Maxillofacial Surgery, Johann Wolfgang Goethe-University, Theodor-Stern-Kai 7, 60596 Frankfurt am Main, Germany.

Purpose: The aim of this study was to assess a non-endoscopic transoral versus extraoral technique in the open reduction and internal fixation of displaced or dislocated fractures of the condylar neck.

Material And Methods: A total of 104 patients, treated from 2007 to 2012 with 114 class II or class IV fractures according to Spiessl and Schroll were included in this study. Facial nerve function, scarring, pain and functional clinical parameters, such as protrusion, mediotrusion and maximum interincisal distance, were judged clinically (at 21 ± 12. Read More

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http://dx.doi.org/10.1016/j.jcms.2014.11.010DOI Listing
March 2015
2 Reads

[Outcome of endoscopically assisted surgical treatment of mandibular condyle fractures: a retrospective study of 22 patients].

Rev Stomatol Chir Maxillofac Chir Orale 2014 Dec 7;115(6):333-42. Epub 2014 Nov 7.

Service de chirurgie maxillo-faciale et plastique, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Étienne cedex 2, France; Laboratoire SNA-EPIS, EA 4607, université Jean-Monnet, 42055 Saint-Étienne cedex 2, France; Faculté de médecine, université Jean-Monnet, 42023 Saint-Étienne cedex 2, France; CREATIS-LRMN, CNRS UMR 5220 - Inserm U1044 - université Lyon 1 - INSA Lyon, 7, avenue Jean-Capelle, 69621 Villeurbanne cedex, France. Electronic address:

Introduction: The condylar region is a frequent localization of mandibular fractures; there are various types of management. Mini-invasive endoscopic surgery is an alternative to open reduction. We had as goal to evaluate the outcome of this technique. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22136533140012
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http://dx.doi.org/10.1016/j.revsto.2014.10.005DOI Listing
December 2014
8 Reads

[Methodological aspects of surgical approach in victims with severe multiple craniofacial trauma in consideration of severity of traumatic injury].

Vestn Khir Im I I Grek 2014 ;173(3):49-54

It is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniofacial injuries and the development of rational surgical strategy on this base. Different scales such as AIS, CRIS, ISS, PTS, TRISS, TRISSCAN, CRAMS et. Read More

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March 2015
6 Reads

Position paper from the IBRA Symposium on Surgery of the Head--the 2nd International Symposium for Condylar Fracture Osteosynthesis, Marseille, France 2012.

J Craniomaxillofac Surg 2014 Oct 29;42(7):1234-49. Epub 2014 Mar 29.

Department of Oral and Maxillofacial Surgery (Head and Chair: Prof. Andreas Neff), UKGM GmbH, University Hospital of Marburg, Faculty of Medicine, Philipps University, Marburg, Germany.

Background: This is a position paper from the 2nd International Bone Research Association (IBRA) Symposium for Condylar Fracture Osteosynthesis 2012 was held at Marseille, succeeding the first congress in Strasbourg, France, in 2007. The goal of this IBRA symposium and this paper was to evaluate current trends and potential changes of treatment strategies for mandibular condylar fractures, which remain controversial over the past decades.

Methods: Using a cross-sectional study design, we enrolled the consensus based on the panel of experts and participants in the IBRA Symposium 2012. Read More

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http://dx.doi.org/10.1016/j.jcms.2014.03.005DOI Listing
October 2014
18 Reads

Management of subcondylar mandible fractures in the adult patient.

J Craniofac Surg 2014 Jan;25(1):166-71

From the *Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts; †University of Heidelberg Medical School, Heidelberg, Germany; ‡Harvard School of Dental Medicine, Boston, Massachusetts; and §Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

The treatment of subcondylar mandible fractures is a topic of debate and can be variable even though these fractures are commonly seen. Historically, the treatment algorithm was between open reduction and closed treatment. Now, recent technical advances regarding the use of the endoscope in the field of craniofacial surgery provide additional treatment options. Read More

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http://pdfs.journals.lww.com/jcraniofacialsurgery/2014/01000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000000498DOI Listing
January 2014
4 Reads

Transoral Open Reduction for Subcondylar Fractures of the Mandible Using an Angulated Screwdriver System.

Ann Plast Surg 2015 Sep;75(3):295-301

From the *Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon; and †Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Gumi, Republic of Korea.

Background: The management of subcondylar mandibular fractures has been a matter of controversy. Although closed reduction is the most useful method, it can be difficult to achieve anatomical reduction with this technique compared with open reduction and internal fixation (ORIF). Most surgeons prefer to treat subcondylar fractures by extraoral approaches rather than intraoral approaches because extraoral approaches provide good visualization of the operative field. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000011DOI Listing
September 2015
3 Reads

Distraction osteogenesis.

Facial Plast Surg Clin North Am 2014 Feb;22(1):139-46

ENT and Facial Plastic Surgery, Children's Hospitals and Clinics of Minnesota, University of Minnesota Medical School, 2530 Chicago Avenue S, Suite 450, Minneapolis, MN 55404, USA. Electronic address:

James Sidman, MD, and Sherard A. Tatum, MD, address the following questions for discussion and debate. Is neonatal distraction osteogenesis (DO) better than lip-tongue adhesion or tracheotomy for micrognathic airway compromise? What role does DO have in adult orthognathic surgery situations? In monobloc and Le Fort III procedures, are internal or external devices preferable? What role does DO play in craniofacial microsomia? Is endoscopic DO better than open procedures for synostosis management? How has your technique changed or evolved over the past 5 years and what has doing this technique taught you? Read More

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http://dx.doi.org/10.1016/j.fsc.2013.09.003DOI Listing
February 2014
5 Reads

Imaging of laryngeal trauma.

Eur J Radiol 2014 Jan 27;83(1):142-54. Epub 2013 Oct 27.

Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14, Switzerland. Electronic address:

External laryngeal trauma is a rare but potentially life-threatening situation in the acutely injured patient. Trauma mechanism and magnitude, maximum focus of the applied force, and patient related factors, such as age and ossification of the laryngeal cartilages influence the spectrum of observed injuries. Their correct diagnosis and prompt management are paramount in order to avoid patient death or long-term impairment of breathing, swallowing and speaking. Read More

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http://dx.doi.org/10.1016/j.ejrad.2013.10.021DOI Listing
January 2014
2 Reads

A simplified approach for the reduction of specific closed anterior table frontal sinus fractures.

Br J Oral Maxillofac Surg 2014 Jan 13;52(1):81-4. Epub 2013 Nov 13.

PO BOX 2159, Ascot, QLD 4007, Australia.

We describe a simplified approach to the management of closed anterior table fractures of the frontal sinus. Forty-seven patients were diagnosed with this type of fracture during a 3-year period. Of these, 6 had minimally-invasive periosteal raising of the anterior table through a small perieyebrow skin incision, and access to the fracture was through a small trephine or the edge of the fracture itself. Read More

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http://dx.doi.org/10.1016/j.bjoms.2013.09.012DOI Listing
January 2014
2 Reads
1.133 Impact Factor

Contemporary management of traumatic fractures of the frontal sinus.

Otolaryngol Clin North Am 2013 Oct;46(5):733-48

Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, 6501 Fannin Suite NA 102, Houston, Texas 77030, USA.

This article discusses the classic and contemporary management strategies for treating frontal sinus fractures. The goals of management of frontal sinus fractures are to create a safe sinus by minimizing the likelihood of early and late complications while preserving the function of the sinus and maintaining the cosmetic appearance of the upper face. The assessment and classification of patients with frontal sinus injuries, their management, and the treatment of complications are reviewed. Read More

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http://dx.doi.org/10.1016/j.otc.2013.07.005DOI Listing
October 2013
2 Reads

MDCT in the assessment of laryngeal trauma: value of 2D multiplanar and 3D reconstructions.

AJR Am J Roentgenol 2013 Oct;201(4):W639-47

1 Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14, Switzerland.

Objective: The purpose of this study was to analyze fracture patterns and related effects of laryngeal trauma and to assess the value of 2D multiplanar reformation (MPR) and 3D reconstruction.

Materials And Methods: Among 4222 consecutively registered trauma patients who underwent emergency MDCT, 38 patients had presented with laryngeal trauma. Axial, 2D MPR, 3D volume-rendered, and virtual endoscopic images were analyzed retrospectively by two blinded observers according to predefined criteria. Read More

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http://dx.doi.org/10.2214/AJR.12.9813DOI Listing
October 2013
13 Reads

Endoscopic approach to maxillo-facial trauma.

Ann Ital Chir 2013 Jul-Aug;84(4):371-6

Aim: This article reviews the application of endoscope-assisted techniques to the treatment of maxillofacial trauma and discusses some aspects of these techniques and reporting our experience.

Introduction: In the last decades, diagnostical imaging, surgical techniques and surgical instrument development allowed a great progress in management of facial fractures. In recent years, to some Authors, endoscopic approach to maxillofacial trauma has become common for reducing zygomatic arch, orbital blow-out, medial orbital wall, frontal sinus and subcondylar mandibular fractures. Read More

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April 2015
4 Reads

A systematic review of the endoscopic management of orbital floor fractures.

JAMA Facial Plast Surg 2013 Mar;15(2):126-30

Divisions of Plastic and Reconstructive Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Objective: To determine the safety and efficacy of the endoscopic management of isolated orbital floor fractures.

Methods: A systematic review was performed using electronic databases. Studies investigating the reconstruction of isolated orbital floor fractures using an endoscopic approach were considered for inclusion. Read More

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http://dx.doi.org/10.1001/jamafacial.2013.595DOI Listing
March 2013
4 Reads

Transient total facial nerve paralysis: an unusual complication of transoral endoscopic-assisted management of subcondylar fracture.

J Craniofac Surg 2012 May;23(3):e268-70

Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan, Republic of Korea.

Endoscopic-assisted repair of subcondylar fractures is an additional tool for management; however, there is a steep learning curve. Generally, this technique allows good visualization of the fracture site for reduction through an incision with an acceptable cosmetic result. Recently, the surgical techniques and technology as well as the indications for endoscopic facial fracture repair are in development; there are few available data in the literature regarding detail complications and recovery processes following endoscopic fracture treatment. Read More

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https://insights.ovid.com/crossref?an=00001665-201205000-001
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http://dx.doi.org/10.1097/SCS.0b013e31824e2c4bDOI Listing
May 2012
7 Reads

[Maxillofacial fractures: midface and internal orbit. Part 2: therapeutic options].

Unfallchirurg 2012 Feb;115(2):145-63; quiz 164

Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Ludwig-Maximilians-Universität--Klinikum Innenstadt, Lindwurmstraße 2a, Munich, Germany.

While the state of the art of clinical assessment and imaging techniques were described in Part 1, this contribution presents a systematic review of the surgical treatment principles in the management of midface and internal orbit fractures from initial care to definitive treatment, including illustrative case examples. New developments and advances are characterized by limited versus extended surgical approaches, by standardization of osteosynthesis principles with regard to three-dimensional buttress reconstruction, by newly developed individualized implants such as titanium meshes and, especially for complex fracture patterns, by critical assessment of anatomical reconstruction through intraoperative endoscopy, as well as intraoperative and postoperative imaging. Newly developed resorbable soft tissue anchors can be used both for ligament and soft tissue resuspension in order to reduce ptosis effects in the cheeks and nasolabial area to achieve facial aesthetics similar to those prior to the injury. Read More

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http://link.springer.com/10.1007/s00113-011-2111-x
Publisher Site
http://dx.doi.org/10.1007/s00113-011-2111-xDOI Listing
February 2012
4 Reads

Pitfalls in endoscopic treatment of mandibular subcondylar fractures.

J Craniofac Surg 2011 Nov;22(6):2260-3

Division of Otolaryngology, The George Washington University, Washington, DC, USA.

Objectives: The facial trauma surgeon should be able to list indications for endoscopic treatment of mandibular condyle fractures and discuss the limitations and complications of the technique.

Background: The ideal treatment of mandibular subcondylar fractures continues to be debated. Acceptable results are often obtained with conservative measures such as mandibular maxillary fixation followed by elastics. Read More

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http://dx.doi.org/10.1097/SCS.0b013e31823270e3DOI Listing
November 2011
16 Reads

[Diagnosis and treatment of injuries to the frontal skull base].

HNO 2011 Aug;59(8):791-9

Klinik für Hals-Nasen-Ohrenheilkunde, Kopf-Halschirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081 Ulm, Deutschland.

The role of ENT surgery in the management of anterior skull base defects has become increasingly important in recent years. Transnasal endoscopic surgical techniques and intraoperative navigation enable a minimally invasive approach in a large proportion of patients, thus helping to avoid morbidity typically associated with neurosurgical subfrontal approaches. Whereas traffic accidents and sport injuries are the main causes of anterior skull base trauma in the civilian setting, penetrating injuries caused by gunshots and improvised explosive devices (IEDs) play an increasing role in the military arena and terroristic attacks. Read More

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http://link.springer.com/10.1007/s00106-011-2338-4
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http://dx.doi.org/10.1007/s00106-011-2338-4DOI Listing
August 2011
2 Reads

Endoscope-assisted transoral reduction and internal fixation versus closed treatment of mandibular condylar process fractures--a prospective double-center study.

J Oral Maxillofac Surg 2012 Feb 12;70(2):384-95. Epub 2011 Jun 12.

Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.

Purpose: The aim of this international AO-study was to compare the functional outcome after open versus closed treatment of mandibular condylar neck fractures.

Patients And Methods: A prospective comparative study with two follow-ups (FU) at 8-12 weeks and 1 year was undertaken in two clinics, which exclusively privileged either surgical or conservative treatment due to different therapeutic agendas. Patients from clinic 1 (ENDO group) received endoscope-assisted transoral open reduction and internal fixation, whereas patients from clinic 2 (CONS group) were treated conservatively without surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391110023
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http://dx.doi.org/10.1016/j.joms.2011.02.035DOI Listing
February 2012
6 Reads

[Facial nerve decompression through transmastoid, extralabyrinthine, subtemporal approach for management of facial paralysis in temporal bone fracture].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2011 Jan;25(1):6-7, 10

Department of Otolaryngology, Baoan People's Hospital of Shenzhen, Shenzhen, 518101, China.

Objective: To investigate the clinical outcomes of facial nerve decompression via transmastoid, extra labyrinthine,subtemporal approach for management of facial paralysis in temporal bone fracture.

Method: Twenty-six cases of traumatic facial paralysis (House-Brackmann grade III-V) hospitalized between January 2006 and April 2008 received facial nerve decompression surgery. There were 4 patients diagnosed as House-Braekmann Grade III, 12 as Grade V in and 10 as Grade VI. Read More

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January 2011
4 Reads

Modification of surgical technique in isolated zygomatic arch fracture repair: seven case studies.

Int J Oral Maxillofac Surg 2009 Oct 17;38(10):1096-100. Epub 2009 Jun 17.

Department of Head and Neck-Plastic Surgery, Sir Run Run Shaw Hospital, Medical School, Institute of Micro-Invasive Surgery of Zhejiang University, Zhejiang, PR China.

Closed reduction is applied in most cases of isolated zygomatic arch fracture. Open reduction and internal rigid fixation through a coronal incision have to be performed in other comminuted arch fractures. The authors introduced an endoscopic-assisted approach via a small preauricular incision to achieve reposition and osteosynthesis of isolated zygomatic arch fractures. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S090150270900891
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http://dx.doi.org/10.1016/j.ijom.2009.05.004DOI Listing
October 2009
7 Reads

Endoscopic reduction of medial orbital wall fractures using the rolled silastic sheet technique.

J Trauma 2009 May;66(5):1421-4; discussion 1424

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Hallym University, Chuncheon, Korea.

Background: Endoscopic reduction has become common for reducing medial orbital wall fractures because of its various advantages. Nevertheless, there is no standard method of nasal packing to support the orbital contents to maintain the reduction. We evaluated the outcomes of endoscopic reduction of medial orbital wall fractures using the rolled Silastic sheet technique. Read More

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http://pdfs.journals.lww.com/jtrauma/2009/05000/Endoscopic_R
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/TA.0b013e31819db71bDOI Listing
May 2009
4 Reads

Transcutaneous transfrontal approach through a small peri-eyebrow incision for the reduction of closed anterior table frontal sinus fractures.

J Plast Reconstr Aesthet Surg 2010 May 27;63(5):763-8. Epub 2009 Mar 27.

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Transcutaneous or endoscopic approaches are commonly used to reduce closed anterior table frontal sinus fractures. However, transcutaneous approaches cause serious skin sequelae, and endoscopic approaches have a steep learning curve. To resolve these problems, between 2001 and 2008, a transcutaneous transfrontal approach through a small peri-eyebrow skin incision was used in 17 male patients. Read More

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http://dx.doi.org/10.1016/j.bjps.2009.01.085DOI Listing
May 2010
4 Reads

Endoscopic repair of anterior table frontal sinus fractures.

Authors:
E Bradley Strong

Facial Plast Surg 2009 Feb 10;25(1):43-8. Epub 2009 Feb 10.

Department of Otolaryngology, University of California Davis School of Medicine, Sacramento, California 95817, USA.

Frontal sinus fractures account for 5 to 15% of all maxillofacial injuries. The majority of these fractures are the result of high-velocity injuries such as motor vehicle accidents, assaults, and sporting events. The treatment algorithm for complex frontal sinus fractures is controversial due to the associated risks of brain injury, meningitis, cerebrospinal fluid fistula, and mucocele formation. Read More

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http://dx.doi.org/10.1055/s-0028-1112231DOI Listing
February 2009
3 Reads

Endoscopic endonasal management of medial orbital blowout fractures.

Facial Plast Surg 2009 Feb 10;25(1):17-22. Epub 2009 Feb 10.

Department of Otolaryngology, Ehime University School of Medicine, Toon, Ehime, Japan.

This study demonstrated that endoscopic endonasal sinus surgery is a successful technique for reducing medial orbital blowout fractures and does not cause complications. Twenty-three patients with isolated medial blowout fractures that did not involve the inferior wall underwent reduction surgery using the endoscopic endonasal approach. Surgery was indicated if the patient experienced persistent diplopia, ocular motility limitation, or enophthalmos. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0028-1112227
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http://dx.doi.org/10.1055/s-0028-1112227DOI Listing
February 2009
5 Reads

Endoscopic management of orbital floor fractures.

Facial Plast Surg 2009 Feb 10;25(1):8-16. Epub 2009 Feb 10.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

The management of orbital floor fractures involves several issues. Different surgeons have diverse opinions about who needs surgery and how best to do it. This is especially so with regard to use of transantral diagnostic and therapeutic endoscopic surgery over traditional lower eyelid approaches. Read More

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http://dx.doi.org/10.1055/s-0028-1112226DOI Listing
February 2009
3 Reads

Depressed anterior table fracture: a minimally invasive method of reduction.

Ear Nose Throat J 2009 Jan;88(1):734-5

Spokane Ear, Nose & Throat Clinic and Surgery Center, Spokane, WA, USA.

One-third of frontal sinus fractures are isolated to the anterior table. Traditional approaches to the reduction of an isolated anterior table fracture include the coronal incision, the bilateral brow incision, an endoscopic brow lift with an incision either directly over the fracture or in the brow, and delayed repair with a camouflaging implant. We describe a case involving a 14-year-old boy with a depressed anterior table fracture that we successfully treated using a minimally invasive technique requiring only one 2-cm incision. Read More

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January 2009
3 Reads

Evolution in diagnosis and repairing of orbital medial wall fractures.

J Craniofac Surg 2009 Jan;20(1):191-3

Department of Maxillo-Facial Surgery, University of La Sapienza II Medicine and Surgery Faculty, S Andrea Hospital, Rome, Italy.

In the last decades, diagnostical imaging, surgical techniques, alloplastic materials, and surgical instruments development allowed a great progress in management of orbital fractures; the aim of the present study was to focus on the progress and changes in the management of orbital medial wall fractures. Isolated medial wall fractures are not a common clinical evidence, and those necessitating surgery is relatively rare. Diagnostical refinements allowed to detect such fractures more commonly than suspected, and the indications to surgical treatment had been increased by the progresses that minimized morbidity of patients and allowed better restoration of the functional anatomy. Read More

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http://dx.doi.org/10.1097/SCS.0b013e318191ceaaDOI Listing
January 2009
11 Reads

Endoscopic approach to maxillofacial trauma.

J Craniofac Surg 2009 Jan;20(1):154-6

Department of Plastic and Hand Surgery, University of Minnesota, Regions Hospital, St Paul, Minnesota, USA.

Endoscopic approaches to maxillofacial trauma have included their use in temporomandibular joint arthroscopy, zygomatic arch repair, repair after orbital trauma, repair of frontal sinus fractures, and finally in the repair of subcondylar mandibular fractures. These techniques provide exciting new options for the management of facial fractures. Many of the techniques provide a steep learning curve and require specialized equipment. Read More

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http://dx.doi.org/10.1097/SCS.0b013e318191cfb8DOI Listing
January 2009
5 Reads

Airway management in patients with facial trauma.

J Craniofac Surg 2009 Jan;20(1):21-3

Division of Plastic, Miller School of Medicine, University of Miami, Miami, Florida 33101, USA.

Management of the airway is a major concern in patients with maxillofacial trauma (gunshot wounds, facial fractures, cervical spine injuries, laryngotracheal injuries) because a compromised airway can lead to death. The method of intubation to use in these patients remains a controversial topic. Although there are many options available, each one has specific indications, and the choice will ultimately depend on the patient's situation and the expertise of the trauma team. Read More

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https://insights.ovid.com/crossref?an=00001665-200901000-000
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http://dx.doi.org/10.1097/SCS.0b013e318190327aDOI Listing
January 2009
3 Reads

Transoral endoscopic-assisted management of subcondylar fractures in 17 patients: an alternative to open reduction with rigid internal fixation and closed reduction with maxillomandibular fixation.

Int J Oral Maxillofac Surg 2009 Jan 25;38(1):19-25. Epub 2008 Dec 25.

Department of Maxillofacial-Head and Neck Surgery, University Hospital La Princesa, Madrid, Spain.

The authors evaluate the results of transoral endoscopic-assisted open reduction and miniplate fixation of subcondylar fractures. Seventeen patients were treated from August 2005 to April 2007. Inclusion criteria were: adult patients, inability to achieve adequate occlusion with closed reduction, dislocation of the condylar fragment between 10 and 45 degrees , and 2-mm inter-fragment overlapping. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S090150270800391
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http://dx.doi.org/10.1016/j.ijom.2008.11.011DOI Listing
January 2009
5 Reads