Update in Midface and Panfacial Trauma Management

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Panfacial fractures are often sequenced to repair from stable craniofacial structures to provide a framework. The purpose of this review will be to outline the literature and provide opinion on the current practice related to controversy in the management of midface and panfacial fractures. Three areas of concentration will be the use of intraoperative imaging, indications for antibiotic prophylaxis, and novel maxillomandibular fixation (MMF) materials. There has been increased exploration of intraoperative imaging; however, developing indications for use is limited by currently available cost-effectiveness and outcome data. Guidance for antibiotic usage is also limited, particularly by inadequate high-level evidence. Alternatives to the traditional interdental wiring for MMF are being investigated as a potentially faster and safer method. Current data and future explorations are discussed in this review.

Original languageEnglish (US)
Pages (from-to)215-220
Number of pages6
JournalCurrent Otorhinolaryngology Reports
Volume3
Issue number4
DOIs
StatePublished - Dec 2015

Keywords

  • Antibiotic prophylaxis
  • Intraoperative imaging
  • Le Fort
  • Mandible
  • Maxillomandibular fixation
  • Panfacial fractures
  • Zygomatico-orbito-maxillary fractures

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Immunology and Allergy
  • Clinical Neurology

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