Modern surgical treatment of complex facial fractures: A 6-year review

Jason M. Jack, Daniel H. Stewart, Brian D. Rinker, Henry C. Vasconez, Lee Li-Qun Pu

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Open reduction and internal fixation (ORIF) with refined titanium plates and screws have revolutionized the surgical treatment of complex facial fractures, but its outcome remains relatively unknown. The purpose of this study is to review the results of modern surgical treatment of complex facial fractures involving at least two of the three zones of the face. From 1996 to 2002, 54 consecutive patients (41 males, 13 females; age 5-74 years) with complex facial fractures were treated by the plastic surgery service in our institution. All patients had their fractures repaired within 10 days after injury. ORIF of the fractures was performed through standard surgical approaches for the upper, middle, or lower face in a preferred sequence. Multiple rigid fixations were completed with current titanium plates and screws. Postoperative functional problems, residual cosmetic deformities, and reoperations for any complications in each patient were evaluated. All patients have been followed for up to 5 years. Overall, of the 54 consecutive patients in this study, 8 (14.8%) patients had postoperative functional problems, and 7 (13.0%) developed variable postoperative cosmetic deformities. Only nine (16.7%) patients underwent a subsequent reoperation for correction of the functional or cosmetic concern. Thus, we believe that modern surgical treatment of complex facial fractures by way of open treatment and rigid fixation with refined titanium plates and screws has resulted in overall good to excellent outcomes and a relatively low postoperative complication rate.

Original languageEnglish (US)
Pages (from-to)726-731
Number of pages6
JournalJournal of Craniofacial Surgery
Volume16
Issue number4
DOIs
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

Titanium
Cosmetics
Reoperation
Therapeutics
Internal Fracture Fixation
Open Fractures
Plastic Surgery
Wounds and Injuries

Keywords

  • Complex facial fractures
  • Outcome study
  • Rigid fixation titanium plates

ASJC Scopus subject areas

  • Surgery

Cite this

Modern surgical treatment of complex facial fractures : A 6-year review. / Jack, Jason M.; Stewart, Daniel H.; Rinker, Brian D.; Vasconez, Henry C.; Pu, Lee Li-Qun.

In: Journal of Craniofacial Surgery, Vol. 16, No. 4, 07.2005, p. 726-731.

Research output: Contribution to journalArticle

Jack, Jason M. ; Stewart, Daniel H. ; Rinker, Brian D. ; Vasconez, Henry C. ; Pu, Lee Li-Qun. / Modern surgical treatment of complex facial fractures : A 6-year review. In: Journal of Craniofacial Surgery. 2005 ; Vol. 16, No. 4. pp. 726-731.
@article{19c02428564d4df18d77b70f52035758,
title = "Modern surgical treatment of complex facial fractures: A 6-year review",
abstract = "Open reduction and internal fixation (ORIF) with refined titanium plates and screws have revolutionized the surgical treatment of complex facial fractures, but its outcome remains relatively unknown. The purpose of this study is to review the results of modern surgical treatment of complex facial fractures involving at least two of the three zones of the face. From 1996 to 2002, 54 consecutive patients (41 males, 13 females; age 5-74 years) with complex facial fractures were treated by the plastic surgery service in our institution. All patients had their fractures repaired within 10 days after injury. ORIF of the fractures was performed through standard surgical approaches for the upper, middle, or lower face in a preferred sequence. Multiple rigid fixations were completed with current titanium plates and screws. Postoperative functional problems, residual cosmetic deformities, and reoperations for any complications in each patient were evaluated. All patients have been followed for up to 5 years. Overall, of the 54 consecutive patients in this study, 8 (14.8{\%}) patients had postoperative functional problems, and 7 (13.0{\%}) developed variable postoperative cosmetic deformities. Only nine (16.7{\%}) patients underwent a subsequent reoperation for correction of the functional or cosmetic concern. Thus, we believe that modern surgical treatment of complex facial fractures by way of open treatment and rigid fixation with refined titanium plates and screws has resulted in overall good to excellent outcomes and a relatively low postoperative complication rate.",
keywords = "Complex facial fractures, Outcome study, Rigid fixation titanium plates",
author = "Jack, {Jason M.} and Stewart, {Daniel H.} and Rinker, {Brian D.} and Vasconez, {Henry C.} and Pu, {Lee Li-Qun}",
year = "2005",
month = "7",
doi = "10.1097/01.scs.0000168766.33238.22",
language = "English (US)",
volume = "16",
pages = "726--731",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Modern surgical treatment of complex facial fractures

T2 - A 6-year review

AU - Jack, Jason M.

AU - Stewart, Daniel H.

AU - Rinker, Brian D.

AU - Vasconez, Henry C.

AU - Pu, Lee Li-Qun

PY - 2005/7

Y1 - 2005/7

N2 - Open reduction and internal fixation (ORIF) with refined titanium plates and screws have revolutionized the surgical treatment of complex facial fractures, but its outcome remains relatively unknown. The purpose of this study is to review the results of modern surgical treatment of complex facial fractures involving at least two of the three zones of the face. From 1996 to 2002, 54 consecutive patients (41 males, 13 females; age 5-74 years) with complex facial fractures were treated by the plastic surgery service in our institution. All patients had their fractures repaired within 10 days after injury. ORIF of the fractures was performed through standard surgical approaches for the upper, middle, or lower face in a preferred sequence. Multiple rigid fixations were completed with current titanium plates and screws. Postoperative functional problems, residual cosmetic deformities, and reoperations for any complications in each patient were evaluated. All patients have been followed for up to 5 years. Overall, of the 54 consecutive patients in this study, 8 (14.8%) patients had postoperative functional problems, and 7 (13.0%) developed variable postoperative cosmetic deformities. Only nine (16.7%) patients underwent a subsequent reoperation for correction of the functional or cosmetic concern. Thus, we believe that modern surgical treatment of complex facial fractures by way of open treatment and rigid fixation with refined titanium plates and screws has resulted in overall good to excellent outcomes and a relatively low postoperative complication rate.

AB - Open reduction and internal fixation (ORIF) with refined titanium plates and screws have revolutionized the surgical treatment of complex facial fractures, but its outcome remains relatively unknown. The purpose of this study is to review the results of modern surgical treatment of complex facial fractures involving at least two of the three zones of the face. From 1996 to 2002, 54 consecutive patients (41 males, 13 females; age 5-74 years) with complex facial fractures were treated by the plastic surgery service in our institution. All patients had their fractures repaired within 10 days after injury. ORIF of the fractures was performed through standard surgical approaches for the upper, middle, or lower face in a preferred sequence. Multiple rigid fixations were completed with current titanium plates and screws. Postoperative functional problems, residual cosmetic deformities, and reoperations for any complications in each patient were evaluated. All patients have been followed for up to 5 years. Overall, of the 54 consecutive patients in this study, 8 (14.8%) patients had postoperative functional problems, and 7 (13.0%) developed variable postoperative cosmetic deformities. Only nine (16.7%) patients underwent a subsequent reoperation for correction of the functional or cosmetic concern. Thus, we believe that modern surgical treatment of complex facial fractures by way of open treatment and rigid fixation with refined titanium plates and screws has resulted in overall good to excellent outcomes and a relatively low postoperative complication rate.

KW - Complex facial fractures

KW - Outcome study

KW - Rigid fixation titanium plates

UR - http://www.scopus.com/inward/record.url?scp=24644465482&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=24644465482&partnerID=8YFLogxK

U2 - 10.1097/01.scs.0000168766.33238.22

DO - 10.1097/01.scs.0000168766.33238.22

M3 - Article

C2 - 16077328

AN - SCOPUS:24644465482

VL - 16

SP - 726

EP - 731

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 4

ER -