Management of Combined Frontonaso-Orbital/Skull Base Fractures and Telecanthus in 355 Cases
| Autor: | Joram Raveh, Markus Zingg, Thiery Vuillemin, Kurt Laedrach |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Neurosurgery Telecanthus Hospitals University Cerebral contusion Otolaryngology Postoperative Complications Clinical Protocols medicine Humans Nasal Bone Complication rate Elevated Intracranial Pressure Craniofacial Orbital Fractures Reduction (orthopedic surgery) Orthodontics Anthropometry Skull Fractures business.industry Incidence Head neck General Medicine medicine.disease Surgery Radiography Skull Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Frontal Sinus business Switzerland Follow-Up Studies |
| Zdroj: | Archives of Otolaryngology - Head and Neck Surgery. 118:605-614 |
| ISSN: | 0886-4470 |
| DOI: | 10.1001/archotol.1992.01880060053014 |
| Popis: | • In regard to the multiple problems of reconstruction concerning this fracture pattern, we developed various methods to achieve optimal results. As various vital regions, apart from the nasoethmoidal fractures and aesthetics, are involved, the proposed classification has direct implication for the surgical procedure. Even in intracranial fragment dislocations, cerebral contusion, and elevated intracranial pressure, the subcranial approach, in contrast with the transfrontal access, enables early definitive management of the skull base and the external facial frame in a one-stage procedure. Another method, the symmetrical centripetal compression of the canthal ligaments and naso-orbital bone fragments, enables correct reduction of the telecanthus. The significant reduction of morbidity and complication rate to a minimum confirms the efficiency of our treatment modalities. ( Arch Otolaryngol Head Neck Surg. 1992;118:605-614) |
| Databáze: | OpenAIRE |
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