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Comprehensive care of bilateral maxillary fractures
Author(s) -
Stone John W.
Publication year - 1973
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197302000-00004
Subject(s) - splints , medicine , reduction (mathematics) , surgery , fixation (population genetics) , dentistry , population , geometry , mathematics , environmental health
Facial injuries are an increasingly frequent clinical problem. The opportunity for a successful with present methods is excellent; thus, the gaauntlet to the facial surgeon. Accurate detailed injury analysis and records are essential for satisfactory results. Step wise surgical procedures working anatomically from within outward in an organized adequately equipped surgical setting have been stressed. Meticulous postoperative care combined with appropriate consultation eases the surgeon's burden and reduces untoward sequelae. Complications were minimal in this series. Dental injuries were frequent and required long term rehabilitation. Improvement is required in the care of comminuted nasal‐ethmoid‐orbit fractures. Transnasal wiring passed through the nasal structures and external padded splints helps but is not foolproof. Severe ocular injuries were disturbingly common. Our capabilities for visual restoration have severe limitations. This review of facial injury care is but the prologue before the future conquest of scar maturation processes, the development of adhesives for bone fragment reduction fixation, and the ready replacement of flesh, bone, and special sense organs. We are continuing to build on timeless laws of careful analysis, accurate reduction, and solid fixation utilizing stable structures.