A 27-year-old man presented to the emergency department after he was alleged to have had his face and head stamped on. On arrival, he had a Glasgow Coma Score of 15 and no indication at that time for a CT scan of the head. Facial radiographs demonstrated bilateral facial fractures with a LeFort II injury pattern. A left ‘eyebrow sign’ (wide arrow figure 1) was noted in keeping with an orbital b...

AIM This article reviews the application of endoscope-assisted techniques to the treatment of maxillofacial trauma and discusses some aspects of these techniques and reporting our experience. INTRODUCTION In the last decades, diagnostical imaging, surgical techniques and surgical instrument development allowed a great progress in management of facial fractures. In recent years, to some Author...

Dear Sir, It is widely recognized that 3-dimensional computed tomography (3D-CT) is useful for diagnosing facial bone fractures.1 However, it can be sometimes difficult to obtain such specialized 3D-CT images from radiologists because of the unusual and specific nature of the request. Moreover, it sometimes takes a long time before the 3D photographs are received. Consequently, we have develope...

The term “evidence-based medicine,” first used in the 1980s in Canada, is defined as “the conscious, explicit, and critical use of the best available evidence to make medical decisions regarding the care of individual patients.” This study sought to estimate the viability of evi ­ dence­based medicine in modern craniofacial surgery practice 44 years after Paul Tessier first started it by showca...

Persisted bleeding from facial fractures after nasal packing or direct pressure is not common, however if it happens, the mortality rate is very high. The study of the treatment for this group of surviving patients was made to find the guideline for management of these patients. From the period of 1 January 1993 to 31 December 2002, 3756 cases of facial fractures were treated at the Trauma Cent...

Introduction: To describe a modified technique for submental intubation in severely traumatized maxillofacial patients and to evaluate complications arising from the procedure.  Materials and Methods: Submental intubation was performed in twelve patients with maxillofacial trauma ,from 2007 – 2012, which were operated under general anesthesia for treatment of facial fractures. Results: The pati...

introduction: mandibular fracture is the most common facial bone fracture due to facial trauma. a variety of imagings have been used for diagnosis of mandibular fractures. however, the choice of imaging for diagnosis of mandibular fractures is controversial.present study compares the accuracy of the three most common imaging methods in mandibular fracture diagnosis panoramic radiography, corona...

Nasotracheal intubation should be performed in patients with jaw fractures because maxillomandibular fixation is required. However, when there are concomitant fractures of the nose and facial bones, an intubation tube positioned at the nose makes it difficult to perform an intricate surgery. In order to overcome these problems, a variety of ways to change the position of the tube have been intr...

Orbital injuries are often missed out when they occur concomitantly with other facial bone fractures. Clinical examination and plain radiographic findings alone may prove inadequate in the detection of orbital floor fractures. Refined imaging techniques like CT scans and MRI are immensely helpful in the diagnosis of orbital blowout fractures. A case of 'impure' orbital blowout fracture which we...