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Panfacial trauma
1112
Poster
new found interest in intermaxillary fixation screws. This poster discusses the use of intermaxillary fixation screws and attempts to establish its role in current practice. doi:10.1016/j.ijom.2007.09.158
P158 The man who blew his vision: a case report S. Moorthy*, S. Wright, B. J. Millar Department of maxillofacial surgery, Newcross Hospital, Wolverhampton WV10 0EN, UK Instructing patients with orbital trauma not to blow their nose is routinely done. In this poster we describe a male patient with multiple facial injuries from an assault. Investigations revealed a unilateral zygomatic complex fracture with orbital floor involvement. In spite of a thorough instruction the patient showed poor compliance and self discharged against medical advice only to re-attend with a complete loss of vision after blowing his nose earlier. The poster will demonstrate clinical features and CT-scan of orbital post-septal pneumocoele with fluid level. Hereby, we aim to highlight a potential irreversible effect of nose blowing in orbital trauma. doi:10.1016/j.ijom.2007.09.159
P159 Mini–locking plates vs mini plates S. Bharat Reddy Coorg institute of dental sciences, Maggula, Virajpet, Karnataka, India Mini plate osteosynthesis has become a standard for craniofacial fixation. Nevertheless, movement & loosening of the screws & plate pressure leading to disturbance in blood supply and bone necrosis poses cause for concern in their success. Self-drilling and self tapping screws & locking mini plates have emerged to overcome this problem. This poster is an attempt to project the advantages of using locking miniplates against miniplates.
C. Naik*, N. A. Malik Department of Oral and Maxillofacial Surgery Nair Hospital Dental College, Mumbai, India Carotid-cavernous fistula a rare complication of Maxillofacial trauma occurs especially due to fracture of greater wing of sphenoid bone. It is of a different type depending on the flow pattern, severity also follows the flow of blood from internal carotid artery to the cavernous sinus. It features gradual exopthalmos, decrease in vision, later death may ensue in case of high flow lesion. A timely diagnosis and proper referral to the Neurosurgeon and Interventional Radiologist can reduce the chances of cavernous sinus thrombosis. This paper presents two cases of facial trauma reported to our institution, later on diagnosed to be carotid cavernous fistula and their treatment. It also shows different type of CCF, etiology, diagnosis, and Maxillofacial surgeon’s role in handling the facial trauma cases. doi:10.1016/j.ijom.2007.09.161
P161 Surgical access to the zygomaticomaxillary complex R. Datta*, H. Batra BRS Dental College and Hospital, Haryana, India Zygomatico-Maxillary Complex Fractures are commonly encountered in oral and maxillofacial surgery practice. Numerous and varied techniques for the reduction and fixation of these fractures have been developed over the years. Surgical access for open reduction and rigid fixation of these fractures depends upon the clinical presentation and radiographic evaluation of the fracture lines. This poster is a presentation of the different surgical approaches used in the management of zygomatico-maxillary complex fractures at our centre.
doi:10.1016/j.ijom.2007.09.163
P163 Reconstruction of facial buttresses in the management of midface fractures S. N. Salman*, N. Iqbal, S. Shafique, S. M. Haider Abbasi Shaheed Hospital, Karachi Medical and Dental College, Karachi, Pakistan Materials: The facial skeleton can be conceptualized as four transverse and four paired vertical buttresses. The buttresses represent areas of relative increased bone thickness that support the functional units of the face in an optimal relation and define form of the face by projecting the overlying soft tissues envelop owing to the retaining of facial form and function on these buttresses as well as mechanical forces exerted on them. The surgeon typically treats any significant buttress displacement using reduction and rigid internal fixation. Transverse buttress reduction restores facial profile and with vertical buttress reduction restores facial height. doi:10.1016/j.ijom.2007.09.164
P164
doi:10.1016/j.ijom.2007.09.162
Transbuccal approach for treatment of posterior mandibular fractures – two case reports
P162
R. Uppal Oral & Maxilofacial Surgery M.N.D.A.V. Dental College, Solan, H.P., India
Panfacial trauma
P160
K. Rajkumar*, R. Sinha, P. Suresh Mennon Department of Oral and Maxillofacial Surgery, AFMC, India
Carotid cavernous fistula: a rare complication of facial trauma, surgeon should be careful
Management of patients with Panfacial trauma can be extremely challenging.
doi:10.1016/j.ijom.2007.09.160
Improper diagnosis, treatment planning and sequencing can produce inadequate results and residual deformities. However with the availability of detailed imaging, rigid fixation bone grafting techniques and proper sequencing outcomes can be optimized. All facets of facial form and function are important and should be preserved. The reestablishment of occlusion, facial height, width and projection is important for prevention of facial deformities and for the psychological and social wellbeing of the individual. The cases presented here are the treated cases of Panfacial trauma in the Armed Forces Medical College, Pune.
Mandibular fractures account for a high percentage of facial injuries. Those in the posterior mandible have increasingly been found to be favourably treated using the transbuccal approach. doi:10.1016/j.ijom.2007.09.165
Poster
new found interest in intermaxillary fixation screws. This poster discusses the use of intermaxillary fixation screws and attempts to establish its role in current practice. doi:10.1016/j.ijom.2007.09.158
P158 The man who blew his vision: a case report S. Moorthy*, S. Wright, B. J. Millar Department of maxillofacial surgery, Newcross Hospital, Wolverhampton WV10 0EN, UK Instructing patients with orbital trauma not to blow their nose is routinely done. In this poster we describe a male patient with multiple facial injuries from an assault. Investigations revealed a unilateral zygomatic complex fracture with orbital floor involvement. In spite of a thorough instruction the patient showed poor compliance and self discharged against medical advice only to re-attend with a complete loss of vision after blowing his nose earlier. The poster will demonstrate clinical features and CT-scan of orbital post-septal pneumocoele with fluid level. Hereby, we aim to highlight a potential irreversible effect of nose blowing in orbital trauma. doi:10.1016/j.ijom.2007.09.159
P159 Mini–locking plates vs mini plates S. Bharat Reddy Coorg institute of dental sciences, Maggula, Virajpet, Karnataka, India Mini plate osteosynthesis has become a standard for craniofacial fixation. Nevertheless, movement & loosening of the screws & plate pressure leading to disturbance in blood supply and bone necrosis poses cause for concern in their success. Self-drilling and self tapping screws & locking mini plates have emerged to overcome this problem. This poster is an attempt to project the advantages of using locking miniplates against miniplates.
C. Naik*, N. A. Malik Department of Oral and Maxillofacial Surgery Nair Hospital Dental College, Mumbai, India Carotid-cavernous fistula a rare complication of Maxillofacial trauma occurs especially due to fracture of greater wing of sphenoid bone. It is of a different type depending on the flow pattern, severity also follows the flow of blood from internal carotid artery to the cavernous sinus. It features gradual exopthalmos, decrease in vision, later death may ensue in case of high flow lesion. A timely diagnosis and proper referral to the Neurosurgeon and Interventional Radiologist can reduce the chances of cavernous sinus thrombosis. This paper presents two cases of facial trauma reported to our institution, later on diagnosed to be carotid cavernous fistula and their treatment. It also shows different type of CCF, etiology, diagnosis, and Maxillofacial surgeon’s role in handling the facial trauma cases. doi:10.1016/j.ijom.2007.09.161
P161 Surgical access to the zygomaticomaxillary complex R. Datta*, H. Batra BRS Dental College and Hospital, Haryana, India Zygomatico-Maxillary Complex Fractures are commonly encountered in oral and maxillofacial surgery practice. Numerous and varied techniques for the reduction and fixation of these fractures have been developed over the years. Surgical access for open reduction and rigid fixation of these fractures depends upon the clinical presentation and radiographic evaluation of the fracture lines. This poster is a presentation of the different surgical approaches used in the management of zygomatico-maxillary complex fractures at our centre.
doi:10.1016/j.ijom.2007.09.163
P163 Reconstruction of facial buttresses in the management of midface fractures S. N. Salman*, N. Iqbal, S. Shafique, S. M. Haider Abbasi Shaheed Hospital, Karachi Medical and Dental College, Karachi, Pakistan Materials: The facial skeleton can be conceptualized as four transverse and four paired vertical buttresses. The buttresses represent areas of relative increased bone thickness that support the functional units of the face in an optimal relation and define form of the face by projecting the overlying soft tissues envelop owing to the retaining of facial form and function on these buttresses as well as mechanical forces exerted on them. The surgeon typically treats any significant buttress displacement using reduction and rigid internal fixation. Transverse buttress reduction restores facial profile and with vertical buttress reduction restores facial height. doi:10.1016/j.ijom.2007.09.164
P164
doi:10.1016/j.ijom.2007.09.162
Transbuccal approach for treatment of posterior mandibular fractures – two case reports
P162
R. Uppal Oral & Maxilofacial Surgery M.N.D.A.V. Dental College, Solan, H.P., India
Panfacial trauma
P160
K. Rajkumar*, R. Sinha, P. Suresh Mennon Department of Oral and Maxillofacial Surgery, AFMC, India
Carotid cavernous fistula: a rare complication of facial trauma, surgeon should be careful
Management of patients with Panfacial trauma can be extremely challenging.
doi:10.1016/j.ijom.2007.09.160
Improper diagnosis, treatment planning and sequencing can produce inadequate results and residual deformities. However with the availability of detailed imaging, rigid fixation bone grafting techniques and proper sequencing outcomes can be optimized. All facets of facial form and function are important and should be preserved. The reestablishment of occlusion, facial height, width and projection is important for prevention of facial deformities and for the psychological and social wellbeing of the individual. The cases presented here are the treated cases of Panfacial trauma in the Armed Forces Medical College, Pune.
Mandibular fractures account for a high percentage of facial injuries. Those in the posterior mandible have increasingly been found to be favourably treated using the transbuccal approach. doi:10.1016/j.ijom.2007.09.165