Search Our Scientific Publications & Authors

Ear Nose Throat J 2020 May 29:145561320930927. Epub 2020 May 29.

J Craniofac Surg 2020 May 19. Epub 2020 May 19.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.

Background: The most prevalent form of facial bone fractures is nasal fractures. The surgical procedures used for these fractures are relatively simple, but complete correction is not easy because the nasal bone is small and identifying the fracture site by palpation is difficult. This study aimed to investigate the efficacy of intraoperative surgical navigation systems in nasal bone fracture surgery through a prospective analysis. Read More

Vet Surg 2020 Apr 29. Epub 2020 Apr 29.

Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio.

Objective: To describe the repair of unstable facial fractures by using Foley catheter balloons as intrasinus bolsters.

Study Design: Case report ANIMALS: Two weanling foals with unilateral fractures of the sinus and orbit secondary to kick injuries. Preoperative imaging that included positive contrast dacrocystorhinography and computed tomography confirmed severe comminution of facial fractures and nasolacrimal duct disruption in both foals. Read More

J Int Med Res 2020 Apr;48(4):300060520920043

Department of Otorhinolaryngology, Wuxi Huishan District People's Hospital, Wuxi, P.R. China.

Objective: This study was performed to evaluate the clinical efficacy of endoscopic endonasal open reduction of fractures of the frontal process of the maxilla (FFPM).

Methods: We performed a retrospective study of patients who underwent endoscopic endonasal open reduction of FFPM from December 2013 to October 2018. The preoperative assessment included nasal endoscopy, computed tomography imaging, and three-dimensional craniofacial reconstruction. Read More

PeerJ 2020 15;8:e8793. Epub 2020 Apr 15.

Department of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Purpose: To develop a risk prediction model for postoperative sarcopenia in elderly patients with patellar fractures in China.

Patients And Methods: We conducted a community survey of patients aged ≥55 years who underwent surgery for patellar fractures between January 2013 and October 2018, through telephone interviews, community visits, and outpatient follow-up. We established a predictive model for assessing the risk of sarcopenia after patellar fractures. Read More

Ann R Coll Surg Engl 2020 Apr 24:1-4. Epub 2020 Apr 24.

Pennine Acute Hospitals NHS Trust, Manchester, UK.

Introduction: Guidelines for nasal injury state that assessment should be at 7-10 days post-injury and manipulation within 14 days. We performed a plan, do, study, act improvement cycle to assess whether a dedicated nasal fracture service led to better outcomes.

Materials And Methods: A retrospective study was carried out of all patients undergoing manipulation under anaesthesia for nasal trauma between February 2013 and December 2016 in a district general hospital. Read More

J Plast Reconstr Aesthet Surg 2020 May 21;73(5):934-941. Epub 2020 Jan 21.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial hospital, Linkou, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine, Taoyuan, Taiwan; Chang Gung University, Taoyuan, Taiwan; Department of Plastic Surgery, Xiamen Chang Gung Memorial Hospital, Xiamen, China. Electronic address:

Background: Telecanthus results from medial canthal tendon (MCT) disruption, which can result from traumatic naso-orbito-ethmoid (NOE) fractures. Several methods, using different anchoring materials, incision approaches, or fixation positions, have been proposed for MCT reconstruction. Herein, we report our experience in treating MCT disruption using ipsilateral transnasal medial canthopexy with a Y-V approach. Read More

Arch Craniofac Surg 2020 Feb 20;21(1):7-14. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

Background: It is difficult to completely fix nasal bone fractures with closed reduction, as it is often accompanied by septal cartilage damage, and this often results in postoperative secondary deformities. Thus, patients are often reluctant to undergo closed reduction surgery. The present study aimed to evaluate aesthetic and functional satisfaction, as well as satisfaction with and complications of closed reduction, according to nasal bone fracture type. Read More

Arch Craniofac Surg 2020 Feb 20;21(1):3-6. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Daegu Catholic University School of Medicine, Daegu, Korea.

Nowadays, the incidence of nasal bone fracture is increasing because of social complexity with frequent social activity, and reduction of fractures is relatively simple and can be corrected in short operation time. However, the postoperative results are known to be less satisfied with higher complication rates relatively. These problems could have resulted from inaccurate recognition and interpretation of fracture aspect, inaccurate planning of operation resulting in under or overcorrection, ignoring septal management, complication related nasal packings with removal, postoperative management, and patient satisfaction with complication. Read More

Clin Cosmet Investig Dent 2020 19;12:41-48. Epub 2020 Feb 19.

Department of Orthodontics and Dentofacial Orthopaedics, UCMS College of Dental Surgery, Bhairahawa, Rupandehi, Nepal.

Introduction: Airway management in patients with panfacial fracture remains a challenge to anesthesiologists and surgeons. Submental intubation is an effective and less invasive alternative to tracheostomy during intraoperative airway management where orotracheal and nasotracheal intubation are not appropriate options. In addition, submental intubation allows proper access to oronasal airways and occlusion during intraoperative management. Read More

Ann Maxillofac Surg 2019 Jul-Dec;9(2):345-348

Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bengaluru, Karnataka, India.

Objective: The objective of this study is to analyze the maxillofacial fracture pattern from road traffic accidents (RTAs) in cases treated surgically in a tertiary hospital during July 2008-June 2018.

Materials And Method: Data available in the department of oral and maxillofacial surgery of the institution of patients with maxillofacial fractures sustained due to RTAs that were treated in the department between the period July 2008 and June 2018 were collected and analyzed. The variables analyzed for the study were etiology, gender, age, and type of fracture. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):e179-e182

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

This study reviews the epidemiology, diagnostic heuristics, and field management of sports-related facial injuries for sideline physicians.Facial injuries account for 3% to 29% of sports injuries, and sports injuries account for 11.3% to 42. Read More

BMC Anesthesiol 2019 12 16;19(1):228. Epub 2019 Dec 16.

Department of Anaesthesiology and Pain Medicine, Konyang University Hospital, Myunggok Medical Research Center, Konyang University College of Medicine, 158, Gwangeodong-ro, Seo-gu, Daejeon, 35365, South Korea.

Background: Sugammadex allows rapid recovery from rocuronium-induced neuromuscular blockade. Succinylcholine is often used for brief surgeries but is associated with myalgia, headache, histamine release, and increased lactate levels. Thus, we hypothesized that succinylcholine may affect emergence agitation (EA) and compared the effects of succinylcholine and rocuronium-sugammadex on EA in patients undergoing closed reduction of a nasal bone fracture under general anesthesia. Read More

Maxillofac Plast Reconstr Surg 2019 Dec 27;41(1):53. Epub 2019 Nov 27.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University, 42, Jebong-ro, Dong-gu, Gwangju, 61469 Republic of Korea.

Background: The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):265-268

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Purpose: Pedestrian trauma due to motor vehicle crashes can be especially destructive to the pediatric population as the facial skeleton is immature and developing. Almost half of crashes resulting in pedestrian death involved alcohol consumption, and children are often victims of irresponsible driving. The objective of this study was to examine the prevalence of facial fractures in this patient population in order to analyze management strategies that optimize functional recovery. Read More

Facial Plast Surg 2019 Dec 29;35(6):590-601. Epub 2019 Nov 29.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

The nasal bones are among the most commonly fractured bones in the facial skeleton. Proper management of nasal trauma acutely is important in minimizing secondary deformities and impaired function with nasal airway obstruction. Septal hematoma, if present, should be drained right away. Read More

BMJ Case Rep 2019 Nov 25;12(11). Epub 2019 Nov 25.

ENT, Morriston Hospital, Swansea, UK.

Nasal fracture accounts for over 50% of facial fractures and is a frequent presentation to ear, nose and throat emergency clinics. Optimal management of nasal injuries with deformity is by manipulation under anaesthetic and should be offered when appropriate. A healthy 27-year-old woman presented with a lateral nasal wall mass with purulent discharge 1 month following manipulation. Read More

Medicina (Kaunas) 2019 Nov 9;55(11). Epub 2019 Nov 9.

Department of Oral and Maxillofacial Surgery, University of Oradea, 10, Piața 1 Decembrie Street, 410073 Oradea, Bihor, Romania.

Naso-orbito-ethmoid (NOE) fractures associated with anterior and posterior frontal sinus wall fractures are among the most challenging cranio-maxillofacial injuries. These represent a major emergency, having a potentially severe clinical picture, with intracranial hemorrhage, cerebrospinal fluid (CSF) leak, meningeal lesions, pneumocephalus, contusion or laceration of the brain matter, coma, and in some cases death. In this article, we present the case of a 30-year-old patient with the diagnosis of NOE fracture associated with bilateral anterior and posterior frontal sinus wall fractures caused by a horse kick, with a fulminant post-traumatic alteration of the neurological status and major impairment of the midface bone architecture. Read More

J Surg Res 2020 03 23;247:524-529. Epub 2019 Oct 23.

Division of Trauma and Acute Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address:

Background: The appropriate duration of antibiotic therapy for surgical site infection (SSI) prevention in traumatic mandibular fracture repair is unknown, and practices vary significantly. The objective of this study was to characterize antibiotic duration and outcomes after surgical repair of traumatic mandibular fracture.

Methods: A single-center, retrospective analysis of all adult patients who underwent surgical fixation of a mandible fracture between January 2014 and December 2016 was performed. Read More

Arch Craniofac Surg 2019 Oct 20;20(5):284-288. Epub 2019 Oct 20.

Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital, Jinju, Korea.

Background: Closed reduction of nasal fracture with various instrument is performed to treat nasal fracture. Depending on the type of nasal fracture and the situation in which it is being operated, the surgeon will determine the surgical tool. The objective of this study was to investigate whether a periosteal elevator (PE) was a proper device to perform closed reduction for patients with simple nasal fractures. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):e43-e45

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA.

Nasal bone stabilization, in the setting of comminuted nasal fracture or surgical osteotomy, represents a challenging surgical experience. Postoperative shifting of osseous fragments may result in compromised outcomes in an otherwise well-performed procedure. Although prior studies have reported nasal bone fixation with implementation of wires, plates, or halos, these techniques are often difficult to employ routinely. Read More

Ear Nose Throat J 2019 Oct 17:145561319882114. Epub 2019 Oct 17.

Otorhinolaryngology Head and Neck Surgery, Fudan University, Shanghai, China.

Background/purpose: To retrospectively analyze the epidemiological features, clinical diagnosis, and treatment of 610 patients with maxillofacial fractures, while providing a reference for the prevention and optimized treatment of maxillofacial fractures.

Methods: Data of patients with maxillofacial fractures who were treated and followed up at the Second People's Hospital of Kashi Prefecture from June 2012 to April 2018 were summarized. The epidemiological features, clinical manifestations, fracture sites, treatment methods, and results were analyzed. Read More

J Craniofac Surg 2019 Nov-Dec;30(8):2375-2377

Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University College of Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Conventional open reduction and internal fixation of frontal sinus anterior wall fractures are associated with risks of visible scarring and limited access to the nasofrontal duct. The goal of this study was to report the minimally invasive surgical techniques and their results in cases with frontal sinus anterior wall fractures. A retrospective study was performed on 20 consecutive cases of isolated anterior wall fractures of the frontal sinus between July, 2008 and February, 2017. Read More

J Korean Assoc Oral Maxillofac Surg 2019 Aug 28;45(4):192-198. Epub 2019 Aug 28.

Department of Periodontology, Navodaya Dental College, Raichur, India.

Objectives: Oral and maxillofacial surgeons must gain mastery of various approaches to the midface due to the increasing incidence, complexity, and severity of presenting midfacial fractures. Unlike in the case of other body parts, the need to preserve facial aesthetics makes it more difficult for the surgeon to select an approach for managing the facial injuries. The midfacial degloving (MFD) approach is a combination of intraoral and intranasal incisions made to access the midface without any external incision. Read More

Niger J Clin Pract 2019 Sep;22(9):1307-1310

Plastic and Reconstructive Surgery Division, Ophthalmology Department, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Midfacial fracture is discontinuity of the bone affect maxilla, palate, zygomatico-maxillary complex, nasal bones, orbits, nasal-orbital-ethmoid complex, and frontal sinus. Delayed treatment can lead to malunion or nonunion bone. A 28 years old man presented with epiphora of the left eye and upgaze diplopia. Read More

Arch Craniofac Surg 2019 Aug 20;20(4):251-254. Epub 2019 Aug 20.

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

Posttraumatic pseudoaneurysms of the sphenopalatine artery are rare. Only a few cases have been reported. We report two cases of hemorrhage due to pseudoaneurysm of the sphenopalatine artery. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):e22-e26

Centre for Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur.

Aim: The objective of this review was to determine the different types of surgical intervention in the management of nasal bone fractures, the outcomes, and complications associated with each intervention.

Methods: A search was conducted using the PubMed and Cochrane Database of Systematic Review databases from January 1, 1997 until September 9, 2017. The search strategy was constructed using the Population Intervention Comparison Outcome framework with keywords related to nasal fracture and its treatment. Read More

J Oral Maxillofac Surg 2020 Apr 5;78(4):611.e1-611.e6. Epub 2019 Jul 5.

Assistant Professor, Trauma Research Center, and Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran. Electronic address:

Purpose: Morbidity and death after facial trauma are substantial issues of concern both in civilians and in military personnel. This cross-sectional retrospective study sought to assess the prevalence, pattern, treatment, and complications of soft and hard tissue injuries of the face in military personnel from 2012 to 2018.

Patients And Methods: This cross-sectional, retrospective, chart study analyzed the descriptive statistics of 591 patients by use of Microsoft Excel software (version 2013; Microsoft, Redmond, WA); we assessed military casualties treated at our hospital from 2012 to 2018. Read More

Craniomaxillofac Trauma Reconstr 2019 Sep 12;12(3):175-182. Epub 2018 Apr 12.

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

The purpose of this study was to assess the outcomes of patients with nasal trauma during a long period of time and determine factors predisposing to complications after nasal trauma treatment. A retrospective cohort study was conducted that included all patients who were attended for a nasal trauma between January and December 2010. In 2015, the charts were retrospectively reviewed and the patients were prospectively followed up looking for outcomes after treatment of nasal trauma. Read More

Plast Reconstr Surg 2019 11;144(5):951e-952e

National University Hospital Singapore, Singapore.

Am Surg 2019 Jul;85(7):730-732

There is an absence of literature regarding nasoorbitoethmoid (NOE) facial fractures. Although NOE fractures are uncommon, there are a significant number in the pediatric population. These fractures also often occur in conjunction with other facial fractures because the NOE region adjoins the nose, orbit, maxilla, and cranium. Read More

BMC Anesthesiol 2019 08 7;19(1):144. Epub 2019 Aug 7.

Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 13496, South Korea.

Background: Nasal bone fracture is the most common type of facial fracture, and the high incidence of severe emergence agitation occurring after closed reduction of the nasal bone fracture can be challenging to manage. The purpose of this trial was to evaluate whether pre-operative administration of dexmedetomidine is effective in reducing the incidence and severity of emergence agitation in adults undergoing closed reduction of nasal bone fractures.

Methods: In this randomized controlled trial, 90 patients who were scheduled to undergo closed reduction of a nasal bone fracture were prospectively included and were randomly assigned to either the control group (n = 45; 0. Read More

Korean J Anesthesiol 2019 12 3;72(6):599-605. Epub 2019 Aug 3.

Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

Background: Postoperative desaturation in older individuals is rarely addressed in the literature. The objective of this retrospective study was to investigate whether a preoperative spirometric test and arterial blood gas analysis (ABGA) might predict postoperative desaturation after spinal anesthesia in extreme older patients.

Methods: The medical records of 399 patients (age ≥ 80 yrs) who were administered spinal anesthesia for a femur neck fracture surgery were retrospectively reviewed. Read More

Indian J Otolaryngol Head Neck Surg 2019 Jun 4;71(2):225-232. Epub 2018 Sep 4.

Department of Oral and Maxillofacial Surgery, Haldia Institute of Dental Sciences and Research, West Bengal University of Health Sciences, Haldia, West Bengal India.

The nasoorbitoethmoidal fractures remain the most complex of all facial fractures to diagnose and treat mainly because of the intricate anatomy and difficulty in fracture fixation. The number of such fractures are increasing with the more incidence of high-speed, high-force accidents. The nasoorbitoethmoidal fractures rarely occur as an isolated event. Read More

J Craniofac Surg 2019 Oct;30(7):2030-2033

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY.

Background: Alignment of the zygomaticosphenoid suture is fundamental to reduction of zygomaticomaxillary complex fractures. To prevent a rotational deformity, the correct angle of the zygoma relative to the cranial base must be restored. Clinically, this can be a challenge, especially when there is comminution of the zygomaticosphenoid suture. Read More

J Craniofac Surg 2019 Oct;30(7):e617-e619

Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejoen, South Korea.

A nasal bone fracture is one of the most common facial injuries and is often treated by closed reduction. Typically, 2 to 3 weeks are needed for patients to return to daily life because the operation is performed after swelling around the fracture site is reduced. This study aimed to investigate that hyaluronidase injection could reduce swelling, perform early operation and return to daily life accelerated. Read More

J Orthop Trauma 2019 Oct;33(10):506-513

Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD.

Objectives: To determine factors predictive of postoperative surgical site infection (SSI) after fracture fixation and create a prediction score for risk of infection at time of initial treatment.

Design: Retrospective cohort study.

Setting: Level I trauma center. Read More

Otolaryngol Head Neck Surg 2019 10 11;161(4):613-619. Epub 2019 Jun 11.

Department of Otorhinolaryngology, San Juan de Dios Hospital, Santiago, Chile.

Objective: To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions.

Study Design: Randomized controlled trial.

Subjects And Methods: We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. Read More

Aesthetic Plast Surg 2019 12 6;43(6):1607-1614. Epub 2019 Jun 6.

Department of Plastic Surgery, Korea University College of Medicine, Korea University Guro Hospital, 148 Gurodong-Gil, Guro-Ku, Seoul, 08308, South Korea.

Background: There are no studies about the treatment of nasal bone fractures in patients with dorsal augmentations using silicone implants. We aimed to describe the characteristics of nasal bone fracture in patients who underwent rhinoplasty and compare the difference between closed reduction and conservative treatment of nasal bone fractures in patients with a history of rhinoplasty.

Methods: Between January 2013 and June 2018, a total of 463 patients were admitted to our center for nasal bone fracture; 17 patients with nasal bone fractures who underwent rhinoplasty were included, of which, five underwent closed reduction in the nasal bone and 12 underwent conservative treatment. Read More

Curr Opin Otolaryngol Head Neck Surg 2019 Aug;27(4):253-260

Department of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.

Purpose Of Review: Frontal sinus fracture management is evolving. This article will highlight recent literature and provide an evidence-based algorithm in the contemporary management of frontal sinus fractures.

Recent Findings: The role of transnasal endoscopic treatment of frontal sinus fractures has expanded to include fracture reduction and posterior table reconstruction. Read More

Plast Surg (Oakv) 2019 May 13;27(2):135-140. Epub 2019 Mar 13.

Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.

Background: Zygoma is a very crucial component for the anteroposterior positioning of the midface and for the maintenance of facial contours. Zygomatic fractures are considered as the second most common type of facial fractures following nasal fractures. We have developed a new reduction technique called "lever," which is based on the application of lifting force as an alternative to the methods in which the pulling force is applied. Read More

J Orthop Surg Res 2019 May 6;14(1):119. Epub 2019 May 6.

Department of Spinal Surgery, China-Japan Friendship Hospital, Beijing, 100029, People's Republic of China.

Background: To investigate the efficacy and safety of endoscopic transnasal anterior release and posterior reduction without odontoidectomy to treat irreducible atlantoaxial dislocation (IAAD).

Methods: A series of 9 patients with IAAD underwent endoscopic transnasal anterior release and posterior reduction without odontoidectomy. Etiology, instrumentation, fusion rate, and complications were documented. Read More

Arch Craniofac Surg 2019 Apr 20;20(2):89-93. Epub 2019 Apr 20.

Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Prophylactic antibiotic administration after surgery for a nasal bone fracture is performed due to concerns about infection-related complications, such as, toxic shock syndrome. To evaluate the validity and efficacy of antibiotic use, we compared the results obtained and the bacterial profiles of nasal packing materials in patients that underwent closed reduction for a nasal bone fracture with or without prophylactic antibiotic administration.

Methods: Thirty consecutive patients with a nasal bone fracture, but without an open wound, that underwent closed reduction during March to August 2017 were included in the present study. Read More

Can J Surg 2019 04;62(2):105-110

From the Department of Maxillofacial and Oral Surgery, University Hospital Center Split, Split, Croatia (Lupi-Ferandin); Dental Medicine Program, University of Split School of Medicine, Split, Croatia (Galic); the Split Sleep Medicine Center, University of Split School of Medicine, Split, Croatia (Ivkovic, Pecotic, Dogas); and the Department of Neuroscience, University of Split School of Medicine, Split, Croatia (Pecotic, Dogas).

Background: Midface fractures can cause airway obstruction and breathing disturbances. The purpose of the present study was to determine the prevalence of undiagnosed obstructive sleep apnea (OSA) among patients with surgically treated maxillary and zygomatic fractures.

Methods: We retrospectively analyzed the medical records of 44 patients who had undergone surgical treatment of maxillary or zygomatic fractures between Jan. Read More

J Stomatol Oral Maxillofac Surg 2019 Dec 9;120(6):534-539. Epub 2019 Mar 9.

Department of oral and maxillofacial surgery, Rouen university hospital, 1, rue de Germont, 76000 Rouen, France; Laboratory of anatomy, Rouen faculty of medicine, 22, boulevard Léon-Gambetta, 76000 Rouen, France; French national institute for health (inserm), LIMICS UMR-1142, 76000 Rouen, France.

Purpose: Nasomaxillary fractures can be mistaken for fractures confined to the nasal bones, resulting in inappropriate treatments that jeopardize patient outcomes. Our purpose here was to provide information on nasomaxillary fractures via a retrospective study and literature review.

Material And Methods: We retrospectively collected clinical, computed tomography (CT), therapeutic, and outcome data in consecutive patients managed for unilateral impacted nasomaxillary fractures at our centre over a 5-year period (2013-2017). Read More

Arch Craniofac Surg 2019 Feb 20;20(1):31-36. Epub 2019 Feb 20.

Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.

Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images.

Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Read More

Arch Craniofac Surg 2019 Feb 20;20(1):24-30. Epub 2019 Feb 20.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. Read More

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More