Plastic surgical treatment of panfacial fracture
LIU Heng-xin
MA Xian-jie
XIAO Bo
SHI Jun-li
JIN Chang-xin
ZHANG Xi
Abstract：Objective To investigate the methods and results of plastic surgical treatment of panfacial fracture.Methods The clinical data of 25 patients with panfacial fracture treated in our department from September 2013 to December 2016 were retrospectively analyzed to observe the results of surgical treatment,which included intraoperative blood loss,incision scars,facial symmetry,mouth-opening,mandibular deviation during mouth opening,occlusion and related complications.Results The mean intraoperative blood loss was (176 ± 147) ml in the 25 patients.The symmetry of facial contours and occlusion relationships recovered well without any obvious scars.The mouth opening of 22 patients exceeded 3 cm,while the mouth opening in the 3 remaining patients ranged from 2 cm to 3 cm.All of the patients' mouths opened without deviation of mandible.One patient suffered from skin rupture of the external auditory canal and the titanium plate of the condyle was exposed.The wound healed after debridement and removal of the titanium plate.One patient presented with temporal depression,and another patient suffered from injury of the unilateral frontal branch of the facial nerve.Conclusion The combined application of design principles for plastic incisions,tumescent anesthesia and interual fixation techniques is a superior method for restoring the mechanical pillars of the maxillofacial region,facial symmetry and occlusal function.At the same time,the results of the operation are satisfactory with less bleeding and mild scars.
Keywords：Panfacial fracturePlastic surgical treatmentTumescent anesthesiaCosmetic suture
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 737-739,749 )