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Craniofacial Fractures

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Manual of Internal Fixation in the Cranio-Facial Skeleton

Abstract

In the case of multiple facial fractures an order of treatment should be developed. In the past “inside out,”“top to bottom,” or “bottom to top” philosophies have prevailed, each with its own vigorous proponents [1]. Recently an “outside to inside” management scheme for the midface has been proposed emphasizing the zygomatic arch [2]. The exact order of treatment is not as important as the development of a plan which permits accuracy of anatomic positioning of the various facial segments. Exposure, identification, and fixation of the facial buttresses (Fig. 4.1.1a), guarantees best correct alignment and stabilization of facial fractures. Because of the face’s complexity and multiple parts it is important that an order of facial fracture treatment be developed to address Le Fort (midface) and accompanying fractures. Such midface “extended” fractures (combining two or more areas) are referred to as “panfacial”fractures.

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Author information

Authors and Affiliations

  1. Ass. Professor, Craniofacial Program Division of Plastic Surgery, The Hospital for Sick Children Toronto, Ontario, M5G 1X8, Canada

    C. R. Forrest M.D., M.Sc., F.R.C.S.(C)

  2. Ass. Professor of Maxillofacial Surgery Clinic for Reconstructive Surgery Unit for Maxillofacial, Surgery University Clinics of Basel, Kantonsspital, 4031 Basel, Switzerland

    B. Hammer M.D., D.M.D.

  3. Professor of Plastic Surgery Chief of Division of Plastic, Reconstructive and Maxillofacial Surgery Johns Hopkins University Baltimore, MD, 21287–0981, USA

    P. N. Manson M.D.

  4. Ass. Professor of Plastic Surgery Division of Plastic Surgery, University of California, Los Angeles, CA, 90095, USA

    B. Markowitz M.D., F.A.C.S.

  5. Craniofacial Program Division of Plastic Surgery, The Hospital for Sick Children Toronto, Ontario, M5G 1X8, Canada

    J. H. Phillips M.D., F.R.C.S.(C)

  6. Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery, University Clinics of Basel, Kantonsspital, 4031 Basel, Switzerland

    J. Prein M.D., D.M.D.

  7. Associate Professor of Plastic Surgery, Brown University Providence, R.I, 02905, USA

    P. Sullivan M.D.

Authors
  1. C. R. Forrest M.D., M.Sc., F.R.C.S.(C)
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  2. B. Hammer M.D., D.M.D.
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  3. P. N. Manson M.D.
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  4. B. Markowitz M.D., F.A.C.S.
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  5. J. H. Phillips M.D., F.R.C.S.(C)
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Editor information

Editors and Affiliations

  1. University Clinics of Basel, 4031, Basel, Switzerland

    Joachim Prein (Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery) (Professor of Maxillofacial Surgery Chairman of Clinic for Reconstructive Surgery Unit for Maxillofacial Surgery)

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© 1998 Springer-Verlag Berlin Heidelberg

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Forrest, C.R. et al. (1998). Craniofacial Fractures. In: Prein, J. (eds) Manual of Internal Fixation in the Cranio-Facial Skeleton. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58789-4_4

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  • DOI: https://doi.org/10.1007/978-3-642-58789-4_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63732-2

  • Online ISBN: 978-3-642-58789-4

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