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Severe panfacial fractures. They are not decreasing. Management and complications
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21st ICOMS 2013—Abstracts: Oral Papers
T7.OR041 Severe panfacial fractures. They are not decreasing. Management and complications M. Meirelles 1,∗ , A.M. Azevedo 2 , F. Versiani 2 , L. Oliveira 2 , P. Bartholo 3 1
HFAG/HEAPN, Italy HEAPN, Italy 3 UGF Resident, Italy 2
Many preventing methods are being developed to decrease facial fractures, and they proved to be effective. It can be seen, specially in Europe, that panfacial fractures are not as common as in the biggest cities of Brazil, where the amount of these fractures is increasing. Classical fractures as Le Fort ones is no more common due trauma aetiological changes. Surgeons have to be updated to the biomechanical aspects and reconstruction concepts of these traumas to deal with management and its often complications. Great importance should be given to this particular kind of fractures to improve surgical results. http://dx.doi.org/10.1016/j.ijom.2013.07.203 T7.OR042 Are new fixation devices enough to treat all facial trauma? M. Meirelles ∗ , P. Bartholo, A. Azevedo, F. Versiani HEAPN, Brazil The objective of this presentation is to compare results and analyse the aspects that should be considered when choosing dental and skeletal devices to improve results in treating maxillofacial trauma. All the facial trauma operated since June 2012 by the Oral and Maxillofacial Department at Adão Pereira Nunes State Hospital in Rio de Janeiro, Brazil are being analysed based on clinical examination, patients complaints, and radiological considerations and relationed to surgical and specifics factors such as: timing, surgical time, amount of teeth, trauma severity. Timing and amount of teeth seem to be essential factors to be considered when electing dental and skeletal devices presenting less post-op. complications. Conventional and old styled means of fixation such as arch bars, wires, MMF are still useful when treating specific but still frequent kinds of facial fractures. http://dx.doi.org/10.1016/j.ijom.2013.07.204
injury was 34.36 years with the age range being 7–75 years. The highest incidence of fractures was seen in the third decade of life followed by the second decade, 4th decade, 5th, 6th, 7th and 8th decades. Conclusion: The protocol of two point fixation was found to be adequate in most cases of zygomatic complex fractures in terms of stability and restoration of contour and function. http://dx.doi.org/10.1016/j.ijom.2013.07.205 T7.OR044 A 10-year (2002–2011) retrospective review of 1786 patients and 2212 maxillofacial fractures treated surgically at Coimbra University Hospital, Portugal T. Neto 1,∗ , I. Amado 2 , J.P. Marcelino 2 , L. Barroso 2 , S. Ferreira 2 , R. Nunes 2 , S.Bitoque 2 , D. Sanz 2 , I. Correia-Sá 1 , A. Ferreira 2 1
Maxillofacial Surgery Unit of Department of Plastic, Reconstructive, Aesthetic Surgery, Maxillofacial Surgery and Burn Unit, Hospital São João, Portugal 2 Department of Maxillofacial Surgery, Centro Hospitalar Universitário de Coimbra, Portugal The aim of the present study was to analyse the patterns and treatment modalities of maxillofacial fractures treated surgically during the last decade at the Department of Maxillofacial Surgery of University Hospital Center of Coimbra, Portugal. The medical records of 1786 patients, and 2212 maxillofacial fractures treated surgically between 1 January 2002 and 31 December 2011 were analysed retrospectively. Age, sex, type of fracture, association of fractures and methods of treatment were studied. From the 2212 fractures operated in the last 10 years, 77.55% were in male patients, predominantly in young adults, between 19 and 30 years. Pediatric fractures accounted for 12% of cases. The most common fractures were jaw (35%), malar (22%), nasal (21%), LeFort (7%), zygomatic arch (5%) and orbital floor (5%). Submental intubation was used in 1.51% and tracheostomy in 0.83% of patients. The challenging ballistic trauma facial fractures corresponded to 1.06% of cases. Open surgery with internal stable fixation was indicated for most of the patients. There was a progressive decrease in maxillofacial fracture cases in the last decade. This large 10 years review study could improve our understanding of the pattern and treatment of maxillofacial fractures in Portugal. Maxillofacial, facial, fracture, trauma, retrospective.
T7.OR043
http://dx.doi.org/10.1016/j.ijom.2013.07.206
Management of zygomatic complex fractures – 9 year review in the Indian armed forces
T7.OR045
S. Menon
The MOXAIC system: a novel approach for classification of major maxillofacial wound
Vydehi Institute of Dental Sciences, Bangalore, India
H.H. Nguyen
Aim: This retrospective study was done to analyse the management of zygomatic complex fractures necessitating surgical intervention in two of the largest tertiary care hospital of the Indian Armed Forces in a 9 year period in terms of incidence, cause, pattern and treatment. Materials and methods: Three hundred cases of zygomatic complex fractures treated during this period were analysed. Results: The main aetiology in zygomatic complex fractures was road traffic accidents (RTA) followed by sport injuries, accidental falls and domestic violence. The average age at the time of
Viet Duc University Hospital, Germany Introduction: Although methods for classifying facial fractures have been extensively described in the literature, corresponding classification systems for Major Maxillofacial Wounds (MMW) are few. We present our primary results on application of the new classification system MOXAIC for MMW. Patients and methods: A retrospective study was conducted on patients with MMW who underwent emergency surgery at Viet Duc University hospital from 11/2004 to 12/2008. MMW
21st ICOMS 2013—Abstracts: Oral Papers
T7.OR041 Severe panfacial fractures. They are not decreasing. Management and complications M. Meirelles 1,∗ , A.M. Azevedo 2 , F. Versiani 2 , L. Oliveira 2 , P. Bartholo 3 1
HFAG/HEAPN, Italy HEAPN, Italy 3 UGF Resident, Italy 2
Many preventing methods are being developed to decrease facial fractures, and they proved to be effective. It can be seen, specially in Europe, that panfacial fractures are not as common as in the biggest cities of Brazil, where the amount of these fractures is increasing. Classical fractures as Le Fort ones is no more common due trauma aetiological changes. Surgeons have to be updated to the biomechanical aspects and reconstruction concepts of these traumas to deal with management and its often complications. Great importance should be given to this particular kind of fractures to improve surgical results. http://dx.doi.org/10.1016/j.ijom.2013.07.203 T7.OR042 Are new fixation devices enough to treat all facial trauma? M. Meirelles ∗ , P. Bartholo, A. Azevedo, F. Versiani HEAPN, Brazil The objective of this presentation is to compare results and analyse the aspects that should be considered when choosing dental and skeletal devices to improve results in treating maxillofacial trauma. All the facial trauma operated since June 2012 by the Oral and Maxillofacial Department at Adão Pereira Nunes State Hospital in Rio de Janeiro, Brazil are being analysed based on clinical examination, patients complaints, and radiological considerations and relationed to surgical and specifics factors such as: timing, surgical time, amount of teeth, trauma severity. Timing and amount of teeth seem to be essential factors to be considered when electing dental and skeletal devices presenting less post-op. complications. Conventional and old styled means of fixation such as arch bars, wires, MMF are still useful when treating specific but still frequent kinds of facial fractures. http://dx.doi.org/10.1016/j.ijom.2013.07.204
injury was 34.36 years with the age range being 7–75 years. The highest incidence of fractures was seen in the third decade of life followed by the second decade, 4th decade, 5th, 6th, 7th and 8th decades. Conclusion: The protocol of two point fixation was found to be adequate in most cases of zygomatic complex fractures in terms of stability and restoration of contour and function. http://dx.doi.org/10.1016/j.ijom.2013.07.205 T7.OR044 A 10-year (2002–2011) retrospective review of 1786 patients and 2212 maxillofacial fractures treated surgically at Coimbra University Hospital, Portugal T. Neto 1,∗ , I. Amado 2 , J.P. Marcelino 2 , L. Barroso 2 , S. Ferreira 2 , R. Nunes 2 , S.Bitoque 2 , D. Sanz 2 , I. Correia-Sá 1 , A. Ferreira 2 1
Maxillofacial Surgery Unit of Department of Plastic, Reconstructive, Aesthetic Surgery, Maxillofacial Surgery and Burn Unit, Hospital São João, Portugal 2 Department of Maxillofacial Surgery, Centro Hospitalar Universitário de Coimbra, Portugal The aim of the present study was to analyse the patterns and treatment modalities of maxillofacial fractures treated surgically during the last decade at the Department of Maxillofacial Surgery of University Hospital Center of Coimbra, Portugal. The medical records of 1786 patients, and 2212 maxillofacial fractures treated surgically between 1 January 2002 and 31 December 2011 were analysed retrospectively. Age, sex, type of fracture, association of fractures and methods of treatment were studied. From the 2212 fractures operated in the last 10 years, 77.55% were in male patients, predominantly in young adults, between 19 and 30 years. Pediatric fractures accounted for 12% of cases. The most common fractures were jaw (35%), malar (22%), nasal (21%), LeFort (7%), zygomatic arch (5%) and orbital floor (5%). Submental intubation was used in 1.51% and tracheostomy in 0.83% of patients. The challenging ballistic trauma facial fractures corresponded to 1.06% of cases. Open surgery with internal stable fixation was indicated for most of the patients. There was a progressive decrease in maxillofacial fracture cases in the last decade. This large 10 years review study could improve our understanding of the pattern and treatment of maxillofacial fractures in Portugal. Maxillofacial, facial, fracture, trauma, retrospective.
T7.OR043
http://dx.doi.org/10.1016/j.ijom.2013.07.206
Management of zygomatic complex fractures – 9 year review in the Indian armed forces
T7.OR045
S. Menon
The MOXAIC system: a novel approach for classification of major maxillofacial wound
Vydehi Institute of Dental Sciences, Bangalore, India
H.H. Nguyen
Aim: This retrospective study was done to analyse the management of zygomatic complex fractures necessitating surgical intervention in two of the largest tertiary care hospital of the Indian Armed Forces in a 9 year period in terms of incidence, cause, pattern and treatment. Materials and methods: Three hundred cases of zygomatic complex fractures treated during this period were analysed. Results: The main aetiology in zygomatic complex fractures was road traffic accidents (RTA) followed by sport injuries, accidental falls and domestic violence. The average age at the time of
Viet Duc University Hospital, Germany Introduction: Although methods for classifying facial fractures have been extensively described in the literature, corresponding classification systems for Major Maxillofacial Wounds (MMW) are few. We present our primary results on application of the new classification system MOXAIC for MMW. Patients and methods: A retrospective study was conducted on patients with MMW who underwent emergency surgery at Viet Duc University hospital from 11/2004 to 12/2008. MMW