Traumatic Injuries of the Head and Neck
Safety features and warnings abound but facial trauma remains in today's society of high speed transports, extreme sports, in the workplace, or even at home.The scope of injuries which can occur to the craniofacial skeleton and its overlying soft tissue are endless. Damage can be as subtle as a mild abrasion or as devastating as a third degree burn or open facial fracture. Obviously, the mode of evaluation and resultant treatment plan is completely dependent upon the presenting problem. With the craniofacial approach to skeletal injuries of the face and jaws, primary good repair can be expected in cases where they are treated at centers of excellence dedicated to this treatment of massive or major trauma.
Even complex nerve reconstructions are now available to re-animate the injured face. Scar contractures can be released. Microvascular transfer of large hard and soft tissue allows for the complete reconstruction of absent facial structures. Advanced craniofacial techniques, using skin, cartilage or bone grafts, combined with new plating and wiring systems, all offer a modern day approach to reconstructive surgery and effectively reconstruct the most complex of facial fractures.
Preoperative frontal view of 37-year-old patient after facial trauma sustained from a horseback-riding accident. Postoperative frontal view 3 months after C-osteotomy of the orbit with malar and intraorbital demineralized bone grafting. The soft-tissue correction included a lateral canthopexy and a right subperiosteal elevation of the soft tissues of the face. Pre and postoperative lateral views.
Every patient's case is unique. Please contact us for a consultation.
Preoperative frontal view of 38-year-old patient with a cranial-orbital deformity resulting from a gunshot wound. Preoperative submental vertex view demonstrates the absence of the cranial vault and orbit. Postoperative frontal view 6 years after reconstruction and insertion of an orbital prosthesis. Postoperative frontal view of patient after reconstruction.
Every patient's case is unique. Please contact us for a consultation.
Preoperative frontal view of a 32-year-old patient with posttraumatic facial retrusion after bilateral naso-orbital-ethmoid fractures, Lefort III fracture, and multiple mandibular fractures. Postoperative frontal view 4 years after Lefort I maxillary advancement with cranial bone grafting to the nose. Preoperative lateral view shows the same patient with vertical shortening of the midface, nasal-bone decompression, and mandibular restrusion. Postoperative lateral view 4 years after surgical correction.
Every patient's case is unique. Please contact us for a consultation.