medigraphic.com
ISSN 1560-4381 (Print)

2022, Number 3

<< Back

Correo Científico Médico 2022; 26 (3)

Surgical treatment of panfacial fractures applied to a high complexity clinical case

García CCA, Soler IE, Niño PA, Batista MK

Language: Spanish
References: 13
Page:
PDF size: 427.71 Kb.


ABSTRACT

Panfacial fractures are those involving the two facial halves separated by a fracture at the Lefort I level. The management of panfacial and midfacial trauma requires not only knowledge of the basic principles and techniques of osteosynthesis, but also a regulated action protocol before the surgical act and adapted to each patient. In this case, it was controlled and protected the air way, cervical spine, breath, circulation, neurological status, exposition and environmental control for patient stabilization. Surgical treatment of panfacial fractures can range from initial damage control surgery, stabilization, reduction, and surgical fixation of the fractured segments through osteosynthesis to immediate interventions for the reconstruction of tissues affected by trauma. For the treatment of panfacial fractures, there is a surgical system that aims to contain and/or minimize acute damage and allow a morphological and functional reduction. We report a clinical case of panfacial fracture whose treatment followed this therapeutic approach. Reportamos un caso clínico de fractura panfacial, del municipio de Mayarí, provincia de Holguín, Cuba, cuyo tratamiento siguió esta sistemática terapeútica.


REFERENCES

  1. Muñoz Vidal J, García Gutiérrez JJ, Gabilondo Zubizarreta FJ. Organización en el tratamiento del traumatismo panfacial y de las fracturas complejas del tercio medio. Cir Plást Iberolatinoam.2009 [citado 25/07/2022];35(1). Disponible en:https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922009000100010&lng=en&nrm=iso&tlng=en

  2. Charry JD, Bermeo JM, Montoya KF, Calle Toro JS, Núñez LR, Poveda G. Índice de shock como factor predictor de mortalidad en el paciente con trauma penetrante de tórax. Rev Colomb Cir. 2015 [citado 25/08/2022];30(1):24-28. Disponible en: https://www.redalyc.org/service/redalyc/downloadPdf/3555/355538978003/6

  3. Morales Navarro D, Aguila Nogueira Y, Grau León IB. Comportamiento del trauma maxilofacial grave. Rev Cubana Estomatol. 2018 [citado 02/02/2020];55(4). Disponible en: http://scielo.sld.cu/pdf/est/v55n4/a01_1506.pdf

  4. Elarabi MS, Bataineh AB. Changing pattern and etiology of maxillofacial fractures during the civil uprising in Western Libya. Med Oral Patol Oral Cir Bucal. 2018 [citado 25/08/2022];23(2):248-255. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911362/

  5. Teshome A, Andualem G, Tsegie R, Seifu S. Two years retrospective study of maxillofacial trauma at a tertiary center in North West Ethiopia. BMC Res Notes. 2017 [citado 25/05/2022];10(1):373. Disponible en:https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-017-2670-1

  6. Malik S, Singh G, Kaur G, Yadav S, Mittal HC. Orofacial trauma in rural India: A clinical study. Chin J Traumatol. 2017 [citado 25/06/2022];20(4):216-221. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555248/

  7. Freitas de Souza Júnior E, Araújo de Morais HH, de Souza Lucena EE, Lopes de Paiva Cavalcanti JR, Pierdoná Guzen F,Pessoa de Araújo D,et al. State of the art in the treatment of mandibular fractures caused by firearms: case report. Rev Gaúch Odontol. 2018 [citado 25/01/2022];66(1):88-95. Disponible en:https://doi.org/10.1590/1981-863720180001000123387

  8. Morales Navarro D, Aguila Nogueira Y, Vila Morales D. Procederes del manejo inicial del politrauma maxilofacial y trauma maxilofacial grave. Rev Cubana Estomatol. 2018 [citado 25/04/2021];55(3):1-15. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072018000300006&lng=es

  9. Mardones M, Bravo R, Fernández MÁ, Gunckel R, Torres C. Sistemática en el tratamiento quirúrgico de las fracturas panfaciales aplicado a un caso clínico de alta complejidad. Int J Odontostomat. 2020 [citado 25/02/2022];14(4). Disponible en:https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000400590&lang=pt

  10. Kim J, Choi JH, Chung YK, Kim SW. Panfacial bone fracture and medial to lateral approach. Arch Craniofac Surg. 2016 [citado 02/08/2022];17(4):181-185. Disponible en:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556833/

  11. Curtis W, Horswell BB. Panfacial fractures: An approach to management. Oral Maxillofac Surg Clin North Am. 2013 [citado 06/09/2022];25(4):649-660. Disponible en:https://www.sciencedirect.com/science/article/abs/pii/S1042369913001064

  12. Yang R, Zhang C, Liu Y, Li Z, Li Z. Why should we start from mandibular fractures in the treatment of panfacial fractures? J Oral Maxillofac Surg. 2012 [citado 25/08/2022]; 70(6):1386-1392. Disponible en:https://www.sciencedirect.com/science/article/abs/pii/S0278239111017290

  13. Wang L, Lee TS, Wang W, Yi DI, Sokoya M, Ducic Y. Surgical management of panfacial fractures. Facial Plast Surg. 2019 [citado 25/07/2022];35(6):565-577. Disponible en: http://medicinaycirugiaoralymaxilofacial.info/wp-content/uploads/2019/12/altemir-facial-plastic-surgery-2019.pdf




2020     |     www.medigraphic.com