The management of orbital fractures is one of the most interesting and difficult areas in facial trauma. The consequences of an orbital fracture are sometimes dramatic. They include varying types of defects from a loss of vision to diplopia, loss of an eye, epiphora, a disturbing loss of facial sensation, or even an unacceptable appearance of the eye and the hard and soft tissues around it. The...

Pediatric maxilla facial fractures are rare compared to adult maxilla facial injuries. However, they follow a different pattern of presentation and management principles. As the facial bones in children are in the developing stage, they have to be managed using the most conservative methods possible. Since children have a less hemodynamic reserve, other serious injuries have to be also dealt si...

INTRODUCTION: Mechanical falls are a common cause of facial trauma in the elderly. It has been shown that the likelihood of sustaining a facial fracture due to a fall increases with age following infancy. While craniomaxillofacial fractures are most common during the first three decades of life, elderly patients more frequently require lengthy hospital stays and have shown increased surgical co...

INTRODUCTION: Mechanical falls are a common cause of facial trauma in the elderly. It has been shown that the likelihood of sustaining a facial fracture due to a fall increases with age following infancy. While craniomaxillofacial fractures are most common during the first three decades of life, elderly patients more frequently require lengthy hospital stays and have shown increased surgical co...

A 19-year-old man sustained a right parasymphyseal fracture and bilateral condylar neck fractures in a motor vehicle accident. The parasymphyseal fracture was treated by open reduction and internal fixation, and the subcondylar fractures were treated with closed reduction and maxillomandibular fixation. Three days postoperatively, a near-complete left facial nerve palsy developed. Facial nerve ...

BACKGROUND AND PURPOSE Conventional thinking among radiologists is that the mandible acts as a closed "ring" that needs to fracture at 2 points, though the frequency of multiple mandible fractures has been reported to be only as high as 67%. However, many of these studies did not use CT to confirm the presence of suggested fractures and excluded nondisplaced fractures. The purpose of this study...

Pediatric trauma involving the bones of the face is associated with severe injury and disability. Although much is known about the epidemiology of facial fractures in adults, little is known about injury patterns and outcomes in children. The most common facial fractures were mandible, nasal and maxillary/zygoma. The most common mechanisms of injury are motor vehicle collisions, violence and fa...

Dentists may be asked to provide consultations for patients who have sustained trauma to their facial structures. Supraorbital rim fractures, although uncommon, must be recognized and promptly referred to an oral and maxillofacial surgeon or other specialist skilled in the management of facial bone fractures. Supraorbital rim fractures commonly coexist with other craniomaxillofacial injuries, e...

OBJECTIVE To determine if patterns of facial injuries differed between those of female assault victims with maxillofacial injuries and those of female patients with maxillofacial injuries from other causes. METHODS We reviewed the medical and dental records of 326 adult female facial trauma patients treated by otolaryngologists and oral/maxillofacial surgeons at the University of Kentucky Med...

We describe a case of severe traumatic brain injury with multiple facial and skull fractures where CT angiogram (CTA) failed to yield a definite result of brain death as an ancillary test. A 28-year-old man was admitted following a road traffic accident with a Glasgow Coma Score (GCS) of 3/15 and fixed pupils. CT brain revealed uncal herniation and diffuse cerebral oedema with associated multip...