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Posttraumatic missile facial injuries
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21st ICOMS 2013—Abstracts: Oral Papers
by gender, age, type of craniosynostosis and complications. The average follow up period was one year. Results: All patients had good performance in terms of aesthetics and functionality. There were no cases of severe complications. The most frequent complication was a slight infection of the surgical wound. In all cases resolved with conservative measures, combining direct closure or local flap. Use of titanium osteosynthesis in craniofacial surgery showed problems like difficult adaptation and interference with bone growth. A new method using resorbable plates and pins based on the welding principle by ultrasounds can improve the fixation technique. Conclusions: The emergence of a osteosynthesis system based on the welding system has improve the surgical treatment of craniosynostosis in terms of mechanics, material handling and reducing surgical time. http://dx.doi.org/10.1016/j.ijom.2013.07.162 T7. Cranio-Maxillo-Facial Traumatology T7.OR001 The outcome of repair of high energy zygomatic fractures in regard to diplopia, enophthalmos and malar eminence malposition H. Al-Alawy ∗ , A. Muna Surgical Specialties Hospital, United States Background and objectives: A zygomatic fracture is one of the most common types of maxillofacial injuries. A lot of controversies are present regarding the surgical approaches, reduction and amount of fixation needed in repairing such fractures. The outcome of repair of high energy fractures had been studied. Methods: Only high energy zygomatic fractures were included in the study (10 cases of total 60 zygomatic fractures). Preoperative and postoperative assessment of diplopia, enophthalmos and malar eminence malposition was done with registration of timing of repair, surgical access, fixation points and use of bone graft. Results: 100% of cases had preoperative enophthalmos and malar eminence malposition and no case has diplopia. 90% of cases had three points fixation and 10% had four points fixation and all needed orbital reconstructions. 10% of cases had postoperative enophthalmos and malar eminence malposition and one patient had diplopia postoperatively. The early postoperative complication rate was 40% and late complication rate was 10%. Conclusions: Meticulous multiple sites open reduction (specially the lateral orbital wall) with multiple points fixations (at least three points) and simultaneous orbital reconstruction provide the best aesthetic and functional results of repairing high energy zygomatic fractures. Key words: high energy zygomatic fracture; orbital reconstruction http://dx.doi.org/10.1016/j.ijom.2013.07.163
T7.OR002 Maxillofacial injuries experienced in support of Syrian freedom N. Alasseri Riyadh Military Hospital, Saudi Arabia Oral and maxillofacial surgeons play an important role in the treatment of patients in wartime, because many wounded individuals suffer from injuries in the facial area, maxillofacial surgeons represent a vital part of the trauma team. Since the beginning of the Syrian uprising in 2011, war victims have been facing daily attacks from different weapons, firearms mainly resulting in serious lifethreatening injuries. The aim of this presentation is to evaluate the patterns of these complex maxillofacial gunshot injuries sustained in the modern warfare by sampling a number of patients from the Syrian causalities, those who have been treated by our team in the Syrian refugee camps in Turkey (September 2012) and also to discuss the management of these unique injuries as they represent a new challenging entity in the trauma field encountered by maxillofacial surgeons today. http://dx.doi.org/10.1016/j.ijom.2013.07.164 T7.OR003 Posttraumatic missile facial injuries T. Aldelaimi ∗ University of Anbar, College of Dentistry, Department Of Oral and Maxillofacial Surgery, Iraq Background and objectives: One of the most demanding aspects of emergency medicine is the management of patients who have suffered facial trauma. Difficult circumstances such as the high number of casualties, severity of the facial wounds, coupled with the limited number of operating rooms and hospital beds, were a constant challenge to the surgeons. This study present different types of facial missile injuries and their surgical managements. Methods: The following study focuses on maxillofacial injuries that were treated at Maxillofacial Unit, Ramadi Teaching Hospital and Department of Oral & Maxillofacial Surgery, College of Dentistry, Anbar University, Iraq, during the period of May 2008 to April 2012. The (100) cases were chosen on the basis of them being only oral and maxillofacial injuries including 80 (80%) males and 20 (20%) females with age range from 8 to 75 years old. Results: Most cases were in the age group (20–29) years, (60) patients were injured with missile fragments, isolated soft tissue injuries were found in (20) patients while, skeletal injuries were found in (80) patients, facial nerve injuries which found in (11) patients. Conclusions: Blast injury survivors usually experience multiple injuries that are characterized by gross contamination. The severity of these injuries depends on the type of missile site of injuries and the amount of soft tissue loss and bone destroyed. Key words: missile; war injuries; mandible; trauma. Disclosure: The author do not have any financial relationships with the manufacturer/supplier of any commercial products or services related to the work. http://dx.doi.org/10.1016/j.ijom.2013.07.165
21st ICOMS 2013—Abstracts: Oral Papers
by gender, age, type of craniosynostosis and complications. The average follow up period was one year. Results: All patients had good performance in terms of aesthetics and functionality. There were no cases of severe complications. The most frequent complication was a slight infection of the surgical wound. In all cases resolved with conservative measures, combining direct closure or local flap. Use of titanium osteosynthesis in craniofacial surgery showed problems like difficult adaptation and interference with bone growth. A new method using resorbable plates and pins based on the welding principle by ultrasounds can improve the fixation technique. Conclusions: The emergence of a osteosynthesis system based on the welding system has improve the surgical treatment of craniosynostosis in terms of mechanics, material handling and reducing surgical time. http://dx.doi.org/10.1016/j.ijom.2013.07.162 T7. Cranio-Maxillo-Facial Traumatology T7.OR001 The outcome of repair of high energy zygomatic fractures in regard to diplopia, enophthalmos and malar eminence malposition H. Al-Alawy ∗ , A. Muna Surgical Specialties Hospital, United States Background and objectives: A zygomatic fracture is one of the most common types of maxillofacial injuries. A lot of controversies are present regarding the surgical approaches, reduction and amount of fixation needed in repairing such fractures. The outcome of repair of high energy fractures had been studied. Methods: Only high energy zygomatic fractures were included in the study (10 cases of total 60 zygomatic fractures). Preoperative and postoperative assessment of diplopia, enophthalmos and malar eminence malposition was done with registration of timing of repair, surgical access, fixation points and use of bone graft. Results: 100% of cases had preoperative enophthalmos and malar eminence malposition and no case has diplopia. 90% of cases had three points fixation and 10% had four points fixation and all needed orbital reconstructions. 10% of cases had postoperative enophthalmos and malar eminence malposition and one patient had diplopia postoperatively. The early postoperative complication rate was 40% and late complication rate was 10%. Conclusions: Meticulous multiple sites open reduction (specially the lateral orbital wall) with multiple points fixations (at least three points) and simultaneous orbital reconstruction provide the best aesthetic and functional results of repairing high energy zygomatic fractures. Key words: high energy zygomatic fracture; orbital reconstruction http://dx.doi.org/10.1016/j.ijom.2013.07.163
T7.OR002 Maxillofacial injuries experienced in support of Syrian freedom N. Alasseri Riyadh Military Hospital, Saudi Arabia Oral and maxillofacial surgeons play an important role in the treatment of patients in wartime, because many wounded individuals suffer from injuries in the facial area, maxillofacial surgeons represent a vital part of the trauma team. Since the beginning of the Syrian uprising in 2011, war victims have been facing daily attacks from different weapons, firearms mainly resulting in serious lifethreatening injuries. The aim of this presentation is to evaluate the patterns of these complex maxillofacial gunshot injuries sustained in the modern warfare by sampling a number of patients from the Syrian causalities, those who have been treated by our team in the Syrian refugee camps in Turkey (September 2012) and also to discuss the management of these unique injuries as they represent a new challenging entity in the trauma field encountered by maxillofacial surgeons today. http://dx.doi.org/10.1016/j.ijom.2013.07.164 T7.OR003 Posttraumatic missile facial injuries T. Aldelaimi ∗ University of Anbar, College of Dentistry, Department Of Oral and Maxillofacial Surgery, Iraq Background and objectives: One of the most demanding aspects of emergency medicine is the management of patients who have suffered facial trauma. Difficult circumstances such as the high number of casualties, severity of the facial wounds, coupled with the limited number of operating rooms and hospital beds, were a constant challenge to the surgeons. This study present different types of facial missile injuries and their surgical managements. Methods: The following study focuses on maxillofacial injuries that were treated at Maxillofacial Unit, Ramadi Teaching Hospital and Department of Oral & Maxillofacial Surgery, College of Dentistry, Anbar University, Iraq, during the period of May 2008 to April 2012. The (100) cases were chosen on the basis of them being only oral and maxillofacial injuries including 80 (80%) males and 20 (20%) females with age range from 8 to 75 years old. Results: Most cases were in the age group (20–29) years, (60) patients were injured with missile fragments, isolated soft tissue injuries were found in (20) patients while, skeletal injuries were found in (80) patients, facial nerve injuries which found in (11) patients. Conclusions: Blast injury survivors usually experience multiple injuries that are characterized by gross contamination. The severity of these injuries depends on the type of missile site of injuries and the amount of soft tissue loss and bone destroyed. Key words: missile; war injuries; mandible; trauma. Disclosure: The author do not have any financial relationships with the manufacturer/supplier of any commercial products or services related to the work. http://dx.doi.org/10.1016/j.ijom.2013.07.165