Purpose of review: Craniomaxillofacial trauma is one of the most complex clinical conditions in contemporary maxillofacial surgery. Vital structures and possible functional and esthetic sequelae are important considerations following this type of trauma and intervention. Despite the best efforts of the primary surgery, there are a group of patients that will have poor outcomes requiring secondary reconstruction to restore form and function. The purpose of this study is to review current concepts on secondary reconstruction to the maxillofacial complex. Recent findings: The evaluation of a posttraumatic patient for a secondary reconstruction must include an assessment of the different subunits of the upper face, middle face, and lower face. Virtual surgical planning and surgical guides represent the most important innovations in secondary reconstruction over the past few years. Intraoperative navigational surgery/computed-assisted navigation is used in complex cases. Facial asymmetry can be corrected or significantly improved by segmentation of the computerized tomography dataset and mirroring of the unaffected side by means of virtual surgical planning. Navigational surgery/computed-assisted navigation allows for a more precise surgical correction when secondary reconstruction involves the replacement of extensive anatomical areas. The use of technology can result in custom-made replacements and prebent plates, which are more stable and resistant to fracture because of metal fatigue. Summary: Careful perioperative evaluation is the key to positive outcomes of secondary reconstruction after trauma. The advent of technological tools has played a capital role in helping the surgical team perform a given treatment plan in a more precise and predictable manner.
http://ift.tt/2u2JEy5
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
►
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
- ► Φεβρουαρίου (2693)
- ► Ιανουαρίου (3198)
-
▼
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
▼
Ιουλίου
(4578)
-
▼
Ιουλ 08
(59)
- Gut microbiome, metabolome, and allergic diseases
- Survey on the proper use of an adrenaline auto-inj...
- Total lower lip and chin reconstruction with radia...
- Mycoplasma pneumoniae as a cause of vulvar ulcers ...
- Editorial Board
- Immune complexes containing malondialdehyde (MDA) ...
- Idiopathic T cell lymphopenia identified in New Yo...
- Assessment of human papillomavirus awareness in as...
- Revision rates and time to revision following endo...
- Quality indicators of laryngeal cancer care in com...
- Treatment disparities in the management of epistax...
- Early versus late inpatient awake transcervical in...
- Reducing sedation time for thyroplasty with aryten...
- Use of failure-to-rescue to identify international...
- Intraoperative dexamethasone alters immune cell po...
- Duty of candour: a statutory obligation or just th...
- A diffuse hematoma caused by spontaneous rupture o...
- Editorial introductions
- What is global surgery?
- Secondary reconstruction of maxillofacial trauma
- Complications in facial Mohs defect reconstruction
- Update on injectables in the nose
- Latest advances in the management of facial synkin...
- Surgical orthodontics
- Big data in facial plastic and reconstructive surg...
- Global surgery: current evidence for improving sur...
- Masseteric to buccal branch nerve transfer
- Zygomaticomaxillary complex fractures: diagnosis a...
- Pediatric nasal surgery: timing and technique
- Current opinion in otolaryngology and head and nec...
- 3D Printing: current use in facial plastic and rec...
- Cosmetic bone contouring
- Pathogenicity and genetic profile of oral Porphyro...
- Sleep bruxism and related risk factors in adults: ...
- Effects of melatonin on the proliferation and diff...
- Regulatory myeloid cells: an underexplored contine...
- Prolonged and high dosage of tigecycline – success...
- Myo-inositol and selenium reduce the risk of devel...
- STAT6 Reliably Distinguishes Solitary Fibrous Tumo...
- Mixed papillary-sarcomatoid carcinoma of the penis...
- STAT6 Reliably Distinguishes Solitary Fibrous Tumo...
- STAT6 Reliably Distinguishes Solitary Fibrous Tumo...
- The Impact of Liver Graft Injury on Cancer Recurre...
- Effects of residual hearing on cochlear implant ou...
- Hearing loss in children with growth hormone defic...
- A novel management of streptococcal pharyngotonsil...
- Intracranial complications of CSOM in pediatric pa...
- The construing of trainee clinical psychologists i...
- The effects of prostate cancer-related plexin-B1 m...
- The contribution of the frontal lobes to propositi...
- Taking a line for a walk': Axpanding architectural...
- MOCDroid: multi-objective evolutionary classifier ...
- Analysing temporal performance profiles of UAV ope...
- Support vector machines for drug discovery
- Studies on the interplay between the microtubule c...
- A study on performance metrics and clustering meth...
- Studies on aspects that affect chromatin structure...
- Time-Resolved Spectroscopic Investigation of Charg...
- Sustained myrmecophagy in Nigerian chimpanzees: Pr...
-
▼
Ιουλ 08
(59)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου