This document provides an overview of maxillofacial trauma readiness training for dental officers. It covers evaluation and management of maxillofacial injuries in four phases: emergency care, early care, definitive care, and secondary care. Key points of emergency care include airway management, hemorrhage control, shock treatment, and C-spine stabilization. Early care involves initial fracture stabilization, debridement, diagnosis through imaging and examination. Definitive care consists of treating soft tissue injuries and fractures like mandibular and midface fractures through open or closed reduction methods. Midface fractures include Lefort I, II, III patterns. Nasal-orbital-ethmoid fractures often involve multiple midface structures.
Maxillofacial trauma evaluation and management (nx power lite) /certified fix...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses maxillofacial trauma, including:
1) Nasal and mandibular fractures are most common in community EDs, while midface and zygomatic injuries are most common in trauma centers.
2) Airway management is the top emergency priority, with options including awake intubation, laryngeal mask airway, and cricothyroidotomy.
3) Physical exam involves inspection for deformities and palpation for step-offs and crepitus, with specialized exams for the periorbital region, oral cavity, and mandible.
This document discusses maxillofacial trauma and outlines its causes, types of fractures, bone anatomy, and healing process. It covers the scope of maxillofacial trauma, which includes fractures of the mandible, zygoma, orbital, maxilla and nasal bones. The priorities in management are airway, breathing and circulation. Types of fractures include complete, incomplete, simple, comminuted, compound and complex. Bone healing occurs through either indirect bone healing involving callus formation, or direct bone healing if perfect repositioning and stable fixation is achieved.
This document discusses various types of facial trauma and fractures. It provides details on examining and evaluating patients with facial trauma, including important physical exam findings. It also reviews specific fractures like orbital fractures, LeFort fractures, mandibular fractures, and nasal bone fractures. Radiographic signs of facial fractures and emergency management of airway and hemorrhage are also covered.
This document provides guidelines for managing facial injuries. The key points are:
1. Follow the ATLAS protocol - focus first on airway, breathing, circulation to stabilize the patient before treating fractures.
2. Secure the airway through intubation if needed due to risk of airway loss causing death.
3. Bleeding is usually not severe in facial injuries but control it through packing, cauterization or ligation if present.
4. Examine the head, eyes, spine, limbs, abdomen and chest to check for other injuries before focusing on facial soft tissue lacerations.
This document provides an overview of maxillofacial trauma. It discusses the classification, clinical features, and management of various types of midfacial fractures including Lefort fractures, zygomatic complex fractures, maxillary fractures, orbital floor fractures, and nasal bone fractures. For midfacial fractures, the document describes Lefort's classification system and approaches to reduction and fixation. It also outlines the primary and secondary surveys for maxillofacial trauma patients.
Facial trauma refers to any physical injury to the face and can involve soft tissue injuries like lacerations or bruises, or fractures of facial bones. Symptoms depend on the type of injury, but fractures may cause pain, swelling, loss of function, or changes in facial structure. Facial injuries have the potential to disfigurement or loss of functions like eyesight or jaw movement. Treatment may include bandaging wounds, setting broken bones, antibiotics, and surgery. Outcomes depend on the severity and location of injuries, with potential complications including infection, nerve damage, airway obstruction, and long-term physical or emotional effects.
This document provides information on maxillofacial, ophthalmic, dental, and neck trauma. It discusses the anatomy and injuries related to the face, eyes, ears, nose, mouth, and neck. Some key points include: facial bone fractures can interfere with breathing; LeFort fractures are specially named facial fractures; blows to the eye can cause orbital fractures; dental trauma is common and broken teeth may be aspirated; epistaxis is a common nasal injury; and neck injuries require careful management of the airway. Proper management prioritizes the ABCs and considers risks such as bleeding, foreign bodies, and spinal motion restriction.
Maxillofacial trauma evaluation and management (nx power lite) /certified fix...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses maxillofacial trauma, including:
1) Nasal and mandibular fractures are most common in community EDs, while midface and zygomatic injuries are most common in trauma centers.
2) Airway management is the top emergency priority, with options including awake intubation, laryngeal mask airway, and cricothyroidotomy.
3) Physical exam involves inspection for deformities and palpation for step-offs and crepitus, with specialized exams for the periorbital region, oral cavity, and mandible.
This document discusses maxillofacial trauma and outlines its causes, types of fractures, bone anatomy, and healing process. It covers the scope of maxillofacial trauma, which includes fractures of the mandible, zygoma, orbital, maxilla and nasal bones. The priorities in management are airway, breathing and circulation. Types of fractures include complete, incomplete, simple, comminuted, compound and complex. Bone healing occurs through either indirect bone healing involving callus formation, or direct bone healing if perfect repositioning and stable fixation is achieved.
This document discusses various types of facial trauma and fractures. It provides details on examining and evaluating patients with facial trauma, including important physical exam findings. It also reviews specific fractures like orbital fractures, LeFort fractures, mandibular fractures, and nasal bone fractures. Radiographic signs of facial fractures and emergency management of airway and hemorrhage are also covered.
This document provides guidelines for managing facial injuries. The key points are:
1. Follow the ATLAS protocol - focus first on airway, breathing, circulation to stabilize the patient before treating fractures.
2. Secure the airway through intubation if needed due to risk of airway loss causing death.
3. Bleeding is usually not severe in facial injuries but control it through packing, cauterization or ligation if present.
4. Examine the head, eyes, spine, limbs, abdomen and chest to check for other injuries before focusing on facial soft tissue lacerations.
This document provides an overview of maxillofacial trauma. It discusses the classification, clinical features, and management of various types of midfacial fractures including Lefort fractures, zygomatic complex fractures, maxillary fractures, orbital floor fractures, and nasal bone fractures. For midfacial fractures, the document describes Lefort's classification system and approaches to reduction and fixation. It also outlines the primary and secondary surveys for maxillofacial trauma patients.
Facial trauma refers to any physical injury to the face and can involve soft tissue injuries like lacerations or bruises, or fractures of facial bones. Symptoms depend on the type of injury, but fractures may cause pain, swelling, loss of function, or changes in facial structure. Facial injuries have the potential to disfigurement or loss of functions like eyesight or jaw movement. Treatment may include bandaging wounds, setting broken bones, antibiotics, and surgery. Outcomes depend on the severity and location of injuries, with potential complications including infection, nerve damage, airway obstruction, and long-term physical or emotional effects.
This document provides information on maxillofacial, ophthalmic, dental, and neck trauma. It discusses the anatomy and injuries related to the face, eyes, ears, nose, mouth, and neck. Some key points include: facial bone fractures can interfere with breathing; LeFort fractures are specially named facial fractures; blows to the eye can cause orbital fractures; dental trauma is common and broken teeth may be aspirated; epistaxis is a common nasal injury; and neck injuries require careful management of the airway. Proper management prioritizes the ABCs and considers risks such as bleeding, foreign bodies, and spinal motion restriction.
The document discusses the assessment and management of maxillofacial injuries. It begins with the primary assessment of airway, breathing, circulation, disability and exposure. It then covers airway control and management, breathing issues and types of injuries that can cause inadequate ventilation. Circulation and hemorrhagic shock classification is reviewed. Neurological examination and secondary assessment of specific body regions is also outlined. The document focuses on fractures of the mandible, including epidemiology, classification, diagnosis using history, exam and radiographs, and various treatment modalities like closed/open reduction, internal fixation techniques including miniplates, and principles of fracture healing. Multiple case examples are provided to illustrate concepts.
This document discusses anatomy and injuries of the maxillofacial region. It begins with the anatomy of facial bones and nerves, followed by blood supply. It then discusses types of maxillofacial injuries including causes, initial assessment involving airway, breathing and circulation management, and secondary survey. Specific facial bone fractures are explained such as LeFort fractures of the maxilla, alveolar fractures, and nasoethmoidal fractures. Evaluation involves examination of mobility and deformities of the midface bones.
This document discusses facial injuries, including causes, examination, classification, diagnosis, and management. It covers life-threatening airway issues from facial injuries and importance of careful examination. It classifies mid-face fractures as Le Fort I, II, III and describes characteristics and treatments. Zygomatic fractures and mandible fractures are also discussed, along with management of soft tissue injuries. Radiologic imaging plays a role in evaluation of facial fractures.
This document discusses the assessment and management of maxillofacial trauma. It covers several key areas:
Nasal fractures are common, accounting for up to 58% of facial fractures. Septal hematomas require incision and drainage to prevent necrosis. Nasal deformities and complications like CSF rhinorrhea may also occur.
Mandibular fractures often involve both sides and need thorough oral examination. Imaging includes panoramic x-rays and sometimes CT. Management focuses on reduction with miniplates and treatment of associated injuries.
Orbitozygomatic fractures cause palpable steps, nerve issues, and impaired eye movement. Surgery uses miniplates for internal fixation. Isolated orbital fractures risk diplo
This document discusses maxillofacial trauma, including the pathophysiology, etiology, anatomy, emergency management, history, physical examination, and treatment of various facial bone fractures including the frontal sinus, nasal bones, orbits, zygoma, maxilla, and mandible. Key points covered include airway management, hemorrhage control, imaging modalities like CT scans, fracture classifications like LeFort fractures, and the involvement of specialty services like ENT and neurosurgery.
The document discusses various types of maxillary and mandible fractures, including LeFort fractures and their associated signs and symptoms. It recommends treating open fractures within 48 hours to restore normal occlusion and refers various complex injuries, such as those involving the intracranial cavity, cervical spine, orbit, or facial nerves. The summary emphasizes stabilizing the patient, thoroughly examining for other injuries, managing soft tissues, and referring complex cases for appropriate treatment.
This document discusses the ABCDE approach to managing facial trauma patients. It emphasizes the importance of assessing the airway with cervical spine protection, breathing, circulation and bleeding control, neurological deficits, and examination of the eyes. Specific facial fractures are discussed such as mandible and maxillary fractures. Early plastic surgery referral is recommended to assist with examination, investigations, and initial management while definitive care is planned.
This document provides guidance on assessing and treating facial trauma. It outlines the standard clinical assessment process, including taking a history, performing a general external and neurologic examination, and examining specific areas like the orbit, nose, ears, and occlusion. It then describes common facial bone injuries like nasal, orbital floor, zygomatic, and mandibular fractures. The document concludes with information on classifying facial fractures, local anesthetics used in facial procedures, and guidelines for referring patients with facial fractures to the emergency department for CT imaging and follow-up care.
This document provides information on the management of maxillofacial trauma. It discusses the initial management including airway control and bleeding control. It then describes the secondary survey examining different areas of the face and head. It also classifies common types of facial fractures such as Lefort fractures, mandibular fractures, and fractures of the zygomatic bone and orbit. It concludes with discussing management of soft tissue injuries to the face.
Facial trauma can cause injuries to soft tissues, bones, or both from accidents like car crashes or assaults. Common signs are pain, swelling, bleeding, and changes to facial structure or function. Treatment involves airway management, bleeding control, wound care, and treating underlying bone fractures. Fractures of the maxilla and mandible are classified by location and require techniques like interdental wiring, plates or screws for fixation.
This document provides an overview of maxillofacial injuries, including:
- Causes such as road traffic accidents and violence
- Principles of management including airway control, hemorrhage control, and imaging
- Types of facial bone fractures like frontal sinus fractures, nasal-orbital fractures, zygomatic fractures, LeFort fractures, and mandible fractures
- Guidelines for treatment including closed versus open reduction, fixation methods, and fracture-specific considerations.
The document discusses various types of facial and neck trauma. Facial injuries are commonly caused by motor vehicle collisions, assaults, and child abuse. Evaluation involves imaging like CT scans to diagnose fractures. Treatment depends on the type and severity of the injury but may include closed reduction, open reduction, and reconstruction. Neck injuries are serious due to vulnerability of structures like the airway. Proper management of neck trauma aims to rapidly secure the airway and control bleeding.
This document provides information on maxillofacial trauma and its anaesthetic management. It begins with the relevant anatomy of the maxilla and important structures that can be damaged. It then describes Le Fort fracture patterns and their clinical features. Imaging studies like CT scans are the standard for evaluation. Special considerations for anaesthesia include securing the airway, which can be difficult due to the injuries, and managing blood loss. Various airway techniques are discussed like fiberoptic intubation, retrograde intubation, or surgical airways if needed. Intraoperative management focuses on invasive monitoring, induced hypotension to reduce bleeding, and muscle relaxation.
Motor vehicle collisions are the most common cause of facial trauma. CT is the preferred imaging modality as it is more sensitive for detecting fractures and soft tissue injuries. The most common fractures are nasal bone fractures and zygomatic maxillary complex fractures. Proper imaging allows identification of fractures and displaced bone fragments to guide surgical repair.
Neurological complications in omfs trauma by Dr. Amit T. Suryawanshi, Oral S...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Accidents are the leading cause of facial injuries, with 70% resulting from soft tissue damage. The face is divided into five anatomical regions connected by vertical and horizontal buttresses. Facial fractures are commonly assessed using three standard radiographic views: the Waters view, Caldwell view, and lateral view. Common facial fracture patterns include nasal fractures, orbital fractures, zygomaticomaxillary fractures, and Le Fort fractures classified by the plane of injury.
Face is usually uncovered and is vulnerable to trauma in daily life and road traffic accidents. Oroantral fistula indications, Diagnosis and management.
This document discusses maxillofacial fractures, including:
1. The most common causes are motor vehicle accidents, physical altercations, home accidents, and athletic injuries.
2. Treatment of maxillofacial injuries has three priorities: early care, non-emergent definitive treatment, and emergency care.
3. Facial fractures are classified as open or closed injuries and by the anatomical region affected, such as the frontal bone, orbit, maxilla, nose, zygomatic region, and mandible.
This document discusses various types of maxillofacial trauma including nasal bone fractures, zygomatic fractures, maxillary fractures (LeFort types 1, 2, and 3), frontal sinus/bone fractures, and nasoethmoidal orbital fractures. Key points include:
- Nasal bone fractures are the most common facial trauma and can be depressed or angulated types.
- Zygomatic fractures commonly involve the arch or body, with a tripod fracture being the most serious.
- Maxillary fractures include horizontal LeFort I, pyramidal LeFort II, and craniofacial dislocation LeFort III patterns.
- Frontal sinus fractures result from direct blows and present with crepitus, emp
Este documento describe un absceso dental agudo. Explica que un absceso dental es el resultado de una infección bacteriana que se propaga desde la pulpa del diente a los tejidos circundantes, causando dolor e inflamación. Describe los síntomas, el diagnóstico, el tratamiento y las posibles complicaciones de un absceso dental agudo.
Este documento describe la traumatología dentoalveolar en piezas temporales. Explica que las lesiones más comunes en dientes temporales son las concusiones, luxaciones y avulsiones, y que las fracturas son menos frecuentes. También detalla consideraciones clínicas y radiográficas importantes para el tratamiento de traumatismos en piezas temporales, como el grado de desarrollo radicular, la proximidad con los dientes permanentes subyacentes y la posibilidad de rehabilitación. Además, enfatiza la importancia de
The document discusses the assessment and management of maxillofacial injuries. It begins with the primary assessment of airway, breathing, circulation, disability and exposure. It then covers airway control and management, breathing issues and types of injuries that can cause inadequate ventilation. Circulation and hemorrhagic shock classification is reviewed. Neurological examination and secondary assessment of specific body regions is also outlined. The document focuses on fractures of the mandible, including epidemiology, classification, diagnosis using history, exam and radiographs, and various treatment modalities like closed/open reduction, internal fixation techniques including miniplates, and principles of fracture healing. Multiple case examples are provided to illustrate concepts.
This document discusses anatomy and injuries of the maxillofacial region. It begins with the anatomy of facial bones and nerves, followed by blood supply. It then discusses types of maxillofacial injuries including causes, initial assessment involving airway, breathing and circulation management, and secondary survey. Specific facial bone fractures are explained such as LeFort fractures of the maxilla, alveolar fractures, and nasoethmoidal fractures. Evaluation involves examination of mobility and deformities of the midface bones.
This document discusses facial injuries, including causes, examination, classification, diagnosis, and management. It covers life-threatening airway issues from facial injuries and importance of careful examination. It classifies mid-face fractures as Le Fort I, II, III and describes characteristics and treatments. Zygomatic fractures and mandible fractures are also discussed, along with management of soft tissue injuries. Radiologic imaging plays a role in evaluation of facial fractures.
This document discusses the assessment and management of maxillofacial trauma. It covers several key areas:
Nasal fractures are common, accounting for up to 58% of facial fractures. Septal hematomas require incision and drainage to prevent necrosis. Nasal deformities and complications like CSF rhinorrhea may also occur.
Mandibular fractures often involve both sides and need thorough oral examination. Imaging includes panoramic x-rays and sometimes CT. Management focuses on reduction with miniplates and treatment of associated injuries.
Orbitozygomatic fractures cause palpable steps, nerve issues, and impaired eye movement. Surgery uses miniplates for internal fixation. Isolated orbital fractures risk diplo
This document discusses maxillofacial trauma, including the pathophysiology, etiology, anatomy, emergency management, history, physical examination, and treatment of various facial bone fractures including the frontal sinus, nasal bones, orbits, zygoma, maxilla, and mandible. Key points covered include airway management, hemorrhage control, imaging modalities like CT scans, fracture classifications like LeFort fractures, and the involvement of specialty services like ENT and neurosurgery.
The document discusses various types of maxillary and mandible fractures, including LeFort fractures and their associated signs and symptoms. It recommends treating open fractures within 48 hours to restore normal occlusion and refers various complex injuries, such as those involving the intracranial cavity, cervical spine, orbit, or facial nerves. The summary emphasizes stabilizing the patient, thoroughly examining for other injuries, managing soft tissues, and referring complex cases for appropriate treatment.
This document discusses the ABCDE approach to managing facial trauma patients. It emphasizes the importance of assessing the airway with cervical spine protection, breathing, circulation and bleeding control, neurological deficits, and examination of the eyes. Specific facial fractures are discussed such as mandible and maxillary fractures. Early plastic surgery referral is recommended to assist with examination, investigations, and initial management while definitive care is planned.
This document provides guidance on assessing and treating facial trauma. It outlines the standard clinical assessment process, including taking a history, performing a general external and neurologic examination, and examining specific areas like the orbit, nose, ears, and occlusion. It then describes common facial bone injuries like nasal, orbital floor, zygomatic, and mandibular fractures. The document concludes with information on classifying facial fractures, local anesthetics used in facial procedures, and guidelines for referring patients with facial fractures to the emergency department for CT imaging and follow-up care.
This document provides information on the management of maxillofacial trauma. It discusses the initial management including airway control and bleeding control. It then describes the secondary survey examining different areas of the face and head. It also classifies common types of facial fractures such as Lefort fractures, mandibular fractures, and fractures of the zygomatic bone and orbit. It concludes with discussing management of soft tissue injuries to the face.
Facial trauma can cause injuries to soft tissues, bones, or both from accidents like car crashes or assaults. Common signs are pain, swelling, bleeding, and changes to facial structure or function. Treatment involves airway management, bleeding control, wound care, and treating underlying bone fractures. Fractures of the maxilla and mandible are classified by location and require techniques like interdental wiring, plates or screws for fixation.
This document provides an overview of maxillofacial injuries, including:
- Causes such as road traffic accidents and violence
- Principles of management including airway control, hemorrhage control, and imaging
- Types of facial bone fractures like frontal sinus fractures, nasal-orbital fractures, zygomatic fractures, LeFort fractures, and mandible fractures
- Guidelines for treatment including closed versus open reduction, fixation methods, and fracture-specific considerations.
The document discusses various types of facial and neck trauma. Facial injuries are commonly caused by motor vehicle collisions, assaults, and child abuse. Evaluation involves imaging like CT scans to diagnose fractures. Treatment depends on the type and severity of the injury but may include closed reduction, open reduction, and reconstruction. Neck injuries are serious due to vulnerability of structures like the airway. Proper management of neck trauma aims to rapidly secure the airway and control bleeding.
This document provides information on maxillofacial trauma and its anaesthetic management. It begins with the relevant anatomy of the maxilla and important structures that can be damaged. It then describes Le Fort fracture patterns and their clinical features. Imaging studies like CT scans are the standard for evaluation. Special considerations for anaesthesia include securing the airway, which can be difficult due to the injuries, and managing blood loss. Various airway techniques are discussed like fiberoptic intubation, retrograde intubation, or surgical airways if needed. Intraoperative management focuses on invasive monitoring, induced hypotension to reduce bleeding, and muscle relaxation.
Motor vehicle collisions are the most common cause of facial trauma. CT is the preferred imaging modality as it is more sensitive for detecting fractures and soft tissue injuries. The most common fractures are nasal bone fractures and zygomatic maxillary complex fractures. Proper imaging allows identification of fractures and displaced bone fragments to guide surgical repair.
Neurological complications in omfs trauma by Dr. Amit T. Suryawanshi, Oral S...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Accidents are the leading cause of facial injuries, with 70% resulting from soft tissue damage. The face is divided into five anatomical regions connected by vertical and horizontal buttresses. Facial fractures are commonly assessed using three standard radiographic views: the Waters view, Caldwell view, and lateral view. Common facial fracture patterns include nasal fractures, orbital fractures, zygomaticomaxillary fractures, and Le Fort fractures classified by the plane of injury.
Face is usually uncovered and is vulnerable to trauma in daily life and road traffic accidents. Oroantral fistula indications, Diagnosis and management.
This document discusses maxillofacial fractures, including:
1. The most common causes are motor vehicle accidents, physical altercations, home accidents, and athletic injuries.
2. Treatment of maxillofacial injuries has three priorities: early care, non-emergent definitive treatment, and emergency care.
3. Facial fractures are classified as open or closed injuries and by the anatomical region affected, such as the frontal bone, orbit, maxilla, nose, zygomatic region, and mandible.
This document discusses various types of maxillofacial trauma including nasal bone fractures, zygomatic fractures, maxillary fractures (LeFort types 1, 2, and 3), frontal sinus/bone fractures, and nasoethmoidal orbital fractures. Key points include:
- Nasal bone fractures are the most common facial trauma and can be depressed or angulated types.
- Zygomatic fractures commonly involve the arch or body, with a tripod fracture being the most serious.
- Maxillary fractures include horizontal LeFort I, pyramidal LeFort II, and craniofacial dislocation LeFort III patterns.
- Frontal sinus fractures result from direct blows and present with crepitus, emp
Este documento describe un absceso dental agudo. Explica que un absceso dental es el resultado de una infección bacteriana que se propaga desde la pulpa del diente a los tejidos circundantes, causando dolor e inflamación. Describe los síntomas, el diagnóstico, el tratamiento y las posibles complicaciones de un absceso dental agudo.
Este documento describe la traumatología dentoalveolar en piezas temporales. Explica que las lesiones más comunes en dientes temporales son las concusiones, luxaciones y avulsiones, y que las fracturas son menos frecuentes. También detalla consideraciones clínicas y radiográficas importantes para el tratamiento de traumatismos en piezas temporales, como el grado de desarrollo radicular, la proximidad con los dientes permanentes subyacentes y la posibilidad de rehabilitación. Además, enfatiza la importancia de
Neurological complications in omfs trauma by Dr. Amit Suryawanshi .Oral & M...All Good Things
Description:
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
dr amit suryawanshi,oral and maxillofacial surgery,dentist in pune,pune dentist,clep lip and palate ppt
Use of grafts & alloplastic material in maxillofacial traumaDr. SHEETAL KAPSE
The document discusses various graft materials that can be used for head and neck reconstruction. It covers bone grafts, cartilage grafts, muscle grafts, skin grafts, nerve grafts, vessel grafts, fat grafts, and alloplastic graft materials. For each type of graft, it discusses principles of harvesting and placement, as well as outcomes. Regional sites are described for harvesting bone grafts. Principles of skin graft healing and nerve repair techniques are also summarized. Common alloplastic graft materials discussed include silicone, expanded polytetrafluoroethylene, and high-density polyethylene.
Radigraphic Imaging in Maxillofacial TraumaArjun Shenoy
This document discusses the use of radiographic examination in evaluating maxillofacial trauma. It outlines various projections and views useful for fractures in different areas of the face. It also describes radiographic signs that indicate fractures and indirect signs like soft tissue swelling. While radiography is useful, it must be interpreted carefully alongside a clinical examination. The accurate diagnosis provided by radiography, along with recent advances like spiral CT, allow for effective treatment planning in maxillofacial trauma.
El documento habla sobre el trauma dentoalveolar en dientes temporales y permanentes. Explica que los dientes más vulnerables son los incisivos centrales superiores, y que los traumatismos son más comunes en niños de 8 a 12 años. Detalla la importancia de realizar una evaluación clínica e historial del accidente, y clasifica los diferentes tipos de fracturas, luxaciones y avulsiones dentales, indicando los signos, síntomas y tratamiento de cada una.
03 anaesthetic considerations in maxillofacial trauma surgeryJamil Kifayatullah
This document discusses the challenges of anesthesia for maxillofacial surgery. It covers areas like airway management difficulties due to conditions like Down syndrome or Pierre Robin sequence. It also discusses management of maxillofacial trauma, tumors, preoperative evaluation, induction techniques, intraoperative considerations like blood loss management, and postoperative care. Anesthesia for maxillofacial surgery requires vigilance due to potential airway issues, blood loss concerns, and complex procedures that take place in close proximity to the airway.
Los trumatismos dentales incluyen lesiones del diente, la pulpa, el huevo alveolar y tejidos periodontales. Trauma dentoalveolar es uno de los motivos mas frecuentes de urgencias odontologicas.
The document discusses the anatomy and treatment of condylar fractures of the mandible. It describes the anatomy of the condyle and temporomandibular joint. Various types of condylar fractures are defined, including simple, displaced, comminuted, and pathological fractures. Treatment approaches include closed or open reduction, and fixation methods like plating, wiring, and screws. Post-treatment care involves jaw immobilization, exercises to regain motion, and monitoring for complications like malunion, nerve injury, or joint dysfunction.
Lefort fractures /certified fixed orthodontic courses by Indian dental academy Indian dental academy
This document discusses the diagnosis and treatment of fractures of the middle third of the facial skeleton. It begins by outlining the phases of treatment for maxillofacial injuries - emergency care, early care, definitive care, and secondary care. It then goes into extensive detail about evaluating and managing the airway, controlling hemorrhage and shock, diagnosing fractures through imaging and examination, and approaches for surgically treating common midface fractures like Lefort I, II, and III fractures through open reduction and internal fixation. The goal is to restore facial anatomy and occlusion.
Head and Neck Trauma by Dr. Kenneth DickieKenneth Dickie
Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained the care for Head & Neck Trauma.
f you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
Osteomyelitis/certified fixed orthodontic courses by Indian dental academyIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diseases of maxillary sinus /certified fixed orthodontic courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Alveolar bone grafting and orthodontics /certified fixed orthodontic courses ...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Confirmative, re – organized or unorganized/ dental continuing education coursesIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Diagnostic records /certified fixed orthodontic courses by Indian dental acad...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
This document provides an overview of facio-maxillary injuries, including their classification, diagnosis, and management. It discusses the phases of management, beginning with emergency care such as airway management and control of bleeding. It then covers initial care including stabilization of fractures and soft tissue injuries. Various types of soft tissue and skeletal injuries of the face are classified and their features and management are described. These include nasal, orbital, maxillary, zygomatic, and mandibular fractures as well as dental and nerve injuries. Investigation methods such as CT scanning are outlined. The roles of closed and open reduction techniques and rigid fixation are covered for treatment of fractures.
This document provides information on maxillofacial injuries, including:
- Causes such as road traffic accidents and sports injuries.
- Assessment methods like the Glasgow Coma Scale and Abbreviated Injury Scale.
- Emergency management of airway control and hemorrhage control.
- Types of facial bone fractures like LeFort fractures, nasal-orbital fractures, and zygomatic fractures.
- Diagnostic imaging tools like radiographs, CT scans.
- Treatment approaches like closed reduction, open reduction, and internal fixation.
Treatment planing in dental implants/ orthodontic continuing educationIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Traumatic injuries of teeth /certified fixed orthodontic courses by Indian d...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Classification & management of zygomatic complex fractures including lateral ...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses interceptive orthodontics, which aims to recognize and eliminate potential irregularities in a developing dentofacial complex. It defines interceptive orthodontics and describes common procedures like serial extraction and correction of cross-bites. Serial extraction involves the planned extraction of certain teeth to guide the eruption of permanent teeth. Developing cross-bites should be intercepted early to prevent minor issues from becoming more severe malocclusions. The document provides details on the rationale, indications, contraindications, advantages and disadvantages of serial extraction procedures. It also discusses diagnostic assessments and popular methods like Dewel's method.
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This document discusses surgical procedures for correcting various maxillary deficiencies. It describes LeFort I, II, and III osteotomies for advancing or repositioning the maxilla. Specific deficiencies discussed in detail include maxillary anteroposterior deficiency, excess, vertical deficiency, and combinations thereof. For each, the document outlines characteristic facial and dental features, differential diagnosis, presurgical orthodontics, surgical technique including grafting and fixation considerations, and postsurgical orthodontic treatment. Risk factors for relapse after LeFort I advancement are also examined based on a retrospective study. The document provides an in-depth overview of surgical orthodontic treatment approaches for correcting various maxillary skeletal discrepancies.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Similar to Maxillofacial trauma /certified fixed orthodontic courses by Indian dental academy (20)
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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This document discusses dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
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Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
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Article: https://pecb.com/article
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This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
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বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
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A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
4. Maxillofacial Injuries
• Treatment divided into following
phases
Emergency or initial care
Early care
Definitive care
Secondary care or revision
www.indiandentalacademy.com
5. Emergency Care
•
•
•
•
•
Preserve the airway
Control of hemorrhage
Prevent or control shock
C-Spine stabilization
Control of life-threatening injuries
head injuries, chest injuries, compound
limb fractures, intra-abdominal bleeding
www.indiandentalacademy.com
6. Emergency Care
• Evaluate the airway
Existence & identification of obstruction
Manually clear of fractured teeth, blood
clots, dentures
Endotracheal intubation & packing of
oronasal airway
www.indiandentalacademy.com
7. Emergency Care
• Airway Management
Maintain an intact airway
Protect airway in jeopardy
Provide an airway
• C-Spine injury may be present
• Altered level of consciousness is the
most common cause of upper airway
obstruction
www.indiandentalacademy.com
8. Airway Management
• Chin lift to open intact
airway
• Intubation
Oral: C-spine injury
absent on X ray
Nasotracheal intubation: C-spine injury
suspected or certain
• Surgical Airway
Cricothyroidotomy
Tracheosotomy
www.indiandentalacademy.com
9. Emergency Care
• Extensive vascularity of head & neck
may lead to massive blood loss
Monitor vital signs closely
Intravenous infusion
• Penetrating injuries need to be
explored
Arteriogram
Esophagram
www.indiandentalacademy.com
10. Treatment of Blood Loss & Shock
• Hemorrhage most common cause of
shock after injury
• Multiple injury patients
have hypovolemia
• Goal is to restore organ
perfusion
www.indiandentalacademy.com
11. Treatment of Blood Loss & Shock
• External bleeding controlled by
direct pressure over bleeding site
• Gain prompt access to vascular
system with IV catheters
• Fluid replacement
Ringer’s Lactate
Normal saline
Transfusion
www.indiandentalacademy.com
12. Stabilization of associated injuries
• C-spine injury is primary concern
with all maxillofacial trauma victims
Any patient with injury above clavicle or
head injury resulting in unconscious
state
Any injury produced by high speed
Signs/symptoms of C-Spine injury
Neurologic deficit
Neck pain
www.indiandentalacademy.com
13. Stabilization of associated injuries
• C-spine injury suspected
Avoid any movement of
spinal column
Establish & maintain
proper immobilization until
vertebral fractures or
spinal cord injuries ruled
out
Lateral C-spine
radiographs
CT of C-spine
Neurologic exam
www.indiandentalacademy.com
17. Early Care
Emergency care has stabilized patient
Initial stabilization of fractures
Debridement & dressing of soft tissues
Elective tracheostomy
Physical exam & history
Laboratory tests
Complete head & neck
examination
Diagnosis of maxillofacial injuries
www.indiandentalacademy.com
18. Diagnosis of Maxillofacial Injuries
• Inspection
• Palpation
• Diagnostic Imaging
Plain films
CT
Stereolithography (where available)
www.indiandentalacademy.com
28. Soft tissue injury
Facial lacerations not complicated by
associated injury can be managed in an
ER setting
Large extensive facial and scalp
lacerations are preferably closed in an
operating room environment
www.indiandentalacademy.com
31. Associated Soft Tissue Injury
• Lacrimal System
• Parotid Duct
• Facial Nerve
Surgical repair if posterior to vertical
line drawn from outer canthus of eye
www.indiandentalacademy.com
32. Associated Soft Tissue Injury
Remember to think in 3D
for there are always
other structures involved!
www.indiandentalacademy.com
33. Mandibular Fractures
• Mandible is second
most common
fractured facial bone
• 50% of mandibular
fractures are multiple
Examine patient and
radiographs closely
and suspect additional
fractures
www.indiandentalacademy.com
35. Mandibular Fractures
• Treatment depends on fracture site
and amount of segment
displacement
• Closed reduction
Application of arch bars
Placement into intermaxillary fixation
(IMF)
• Open Reduction
Internal wire fixation
Bone plates
www.indiandentalacademy.com
39. Midface Fractures
•
•
•
•
•
•
•
LeFort I Transverse Maxillary
Lefort II Pyramidal
Lefort III Craniofacial Dysjunction
Zygomatic Complex
Orbital Floor
Nasal Fractures
Naso-orbital/Ethmoid
www.indiandentalacademy.com
40. Midface Fractures
• Three buttresses
allow face to absorb
force
Nasomaxillary
(medial) buttress
Zymaticomaxillary
(lateral) buttress
Pyterigomaxillary
(posterior) buttress
www.indiandentalacademy.com
41. Lefort Classification
• Weakest areas of midfacial complex
when assaulted from a frontal
direction at different levels (Rene’
Lefort, 1901)
Lefort I: above the level of teeth
Lefort II: at level of nasal bones
Lefort III: at orbital level
www.indiandentalacademy.com
42. Lefort Classification
Provides uniform method to describe
the level of major fracture lines
Allows references regarding the
probable points of stability for surgical
treatment
Does not incorporate vertical or
segmental fractures, comminution or
bone loss
www.indiandentalacademy.com
46. Facial Examination
• Evaluate for laceration
• Obvious depression in
skull
• Asymmetry
• Discharge from nose or
ear
Assume CSF leak
• Palpation to note bone
discontinuity
Bimanually in systematic
manner
www.indiandentalacademy.com
47. Facial Examination
• Evaluate mandibular
opening
• Palpation of buccal
vestibule
Crepitus of lateral antral wall
• Occlusion evaluated
Absence and quality
of dentition noted
• Ecchymosis common
finding
• Pharynx evaluated for
laceration & bleeding
www.indiandentalacademy.com
56. Treatment of Midface Fractures
• Once patient’s condition
stabilized, no need to
rush to surgery
Address rapidly
developing edema
Formulate treatment plan
Observe sequelae in the
case of orbital injuries
www.indiandentalacademy.com
57. Diagnosis of Lefort I Fractures
• Direction of force
• Maxilla displaced
posteriorly and inferiorly
Open bite deformity
• Hypoesthesia of
infraorbital nerve
• Malocclusion
• Mobility of maxilla
Noted by grasping maxillary
incisors
www.indiandentalacademy.com
58. Treatment of Lefort I Fractures
Direct exposure of all
involved fractures
Reduction and anatomic
realignment of the
maxillary buttresses to
reestablish
Anterior projection
Transverse width
Occlusion
Restoration of occlusion
using IMF
Internal fixation using
miniplate fixation
www.indiandentalacademy.com
60. Diagnosis of Lefort II and III
• Clinical evaluation provides only a
rough impression since swelling
hides the underlying bony structures
• Plain film radiographs and axial and
coronal CT images are the basis for
precise diagnosis & treatment plan
www.indiandentalacademy.com
61. Diagnosis Lefort II and III
• Bilateral periorbital
edema & ecchymosis
• Step deformity
palpated infraorbital &
nasofrontal area
• CSF rhinorrhea
• Epistaxis
www.indiandentalacademy.com
62. Treatment of Lefort II and III
• Fractures should be treated as early
as the general condition of the
patient allows
• Team approach to treatment
Neurosurgery
Ophthamology
ENT
Plastic surgery
Oral/Maxillofacial surgery
www.indiandentalacademy.com
63. Treatment of Lefort II and III
• Intubation must not interfere with ability
to use IMF
• Exposure & visualization of all fractures
Approaches to inferior rim
Infraorbital
Subciliary
Transconjunctival
Mid lower lid
Coronal approach
Gingivobuccal incision
www.indiandentalacademy.com
64. Fractures
Teeth and occlusion
are the key to
reconstruction and
provide the
foundation upon
which other facial
structures are built
www.indiandentalacademy.com
65. Treatment of Lefort II and III
Severely comminuted fractures
preliminary approximation may be
performed with wire
Establishment of the correct occlusion
Correct reconstruction of the outer
facial frame for proper facial
dimensions
Correct position for nasoethmoidal
complex
www.indiandentalacademy.com
66. Treatment of Lefort II and III
Reestablishment of the correct
intercanthal distance
Infraorbital rim fixated
Orbit is reconstructed
Occlusion unit with IMF is fixated
www.indiandentalacademy.com
67. Lefort II & III Reconstruction
www.indiandentalacademy.com
68. Lefort II & III
Reconstruction
www.indiandentalacademy.com
69. Nasal-Orbital-Ethmoid (NOE)
Fractures
Usually not isolated event
Frequently associated with
multiple midface fractures
Secondary to traumatic
insult to radix area of nose
Low resistance to
directional force
35-80 gm necessary to
produce fracture
www.indiandentalacademy.com
70. Nasal-Orbital-Ethmoid Fractures
• Diagnosis
Ophthalmalogic evaluation
Document visual acuity
Pupillary response to light
Neurologic evaluation
Frontal lobe contusion
Glasgow coma scale
– Increase in ICP and need for monitoring
www.indiandentalacademy.com
71. Nasal-Orbital-Ethmoid Fractures
• Nasal fracture
Comminuted with
posterior displacement
Widened nasal bridge
Splaying of nasal complex
Epistaxis
Severe periorbital edema &
ecchymosis
Subconjunctival hemorrhage
www.indiandentalacademy.com
72. Nasal-Orbital-Ethmoid Fractures
• Clinical signs & symptoms
Traumatic telecanthus
Difficult to measure due
to edema
– Average 33-34 mm
Can measure
interpupillary distance
and divide in half for
approximate intercanthal
distance
– Average 60-65 mm
Damage to lacrimal
apparatus-epiphora
CSF leak
www.indiandentalacademy.com
73. Nasal-Orbital-Ethmoid Fractures
• Radiographic
examination
CT - definitive imaging
modality
Axial images
supplemented with
coronal
Plain films to fail
demonstrate the degree
and location of fractures
secondary to overlapping of bony architecture
www.indiandentalacademy.com
77. Nasal-Orbital-Ethmoid Fractures
• Nasal fractures
Rule out septal hematoma
Remove clots with suction,
incise and drain if present to
prevent septal necrosis
Closed reduction for simple
fractures
Open reduction for severely
displaced fractures
www.indiandentalacademy.com
78. Nasal-Orbital-Ethmoid Fractures
Nasal Fractures
• Treatment
Restoration of form
and function
Proper reduction of
nasal fractures
Correction of medial
canthal ligament
disruption
Correction of lacrimal
system injuries
www.indiandentalacademy.com
79. Nasal-Orbital-Ethmoid Fractures
• Surgical considerations
Definitive surgery as
soon as possible after:
Appropriate
consultations
Definitive radiographic
imaging
Significant edema
allowed to resolve
www.indiandentalacademy.com
80. Nasal-Orbital-Ethmoid Fractures
• Surgical considerations
The final phase involves reduction of
the NOE and nasal bone fractures
Access to NOE through existing
lacerations, bicoronal flap, or local
incisions
www.indiandentalacademy.com
81. Nasal-Orbital-Ethmoid Fractures
• Lacrimal system injury
When the medial canthal ligament has
been injured or displaced, damage to
the lacrimal system should be assumed
Nasolacrimal duct is often damaged
within its bony course
Epiphora: Need to evaluate patency of
the nasolacrimal system
www.indiandentalacademy.com
86. Acknowledgements
• DIS would like to thank Lt Col Jeff
Armstrong for his expertise in
providing this briefing for local
facilities
• For any questions concerning this
presentation, please contact DIS at
DSN 792-7676
www.indiandentalacademy.com
87. Thank you
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com