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WELCOME
Midface Fractures
PART II
Moderator: Dr. Rajay A. D.
Kamath
Presenter: Dr. Jomi Porinchu
MANAGEMENT OF A TRAUMA
PATIENT
Management
Airway Management
Breathing
Circulation
SAMPLE HISTORY
Examination
Plain Films
Lateral Skull
Waters View
Submentovertex (jug-handle)
Occlusal view
CT Scan
Axial and Coronal views
McGrigor & Campbells and Trapnells Lines
Lines of Dolan and the Elephants of Rogers
C T ( Axial)
CT (coronal)
3 D CT
DEFINITIVE TREATMENT
GOALS .
Disadvantages:
Not a functionally stable form of osteosynthesis.
Requires 2-3 additional weeks of IMF.
5. Open Reduction & Internal Fixation By
Miniplates, Microplates & Screws
Advantages-
1. Functional stability Postop. IMF avoided.
Approaches
1. Intraoral
G-B sulcus (Sublabial)
Marginal gingival (Sulcular)
2. Lower eyelid Sub-ciliary
3. Transconjunctival
4.Upper Lid blepheroplasty
5. Lateral Brow
6. Coronal approach
VESTIBULAR INCISION
Sub-ciliary
Alternative technique : Extended lower eyelid
approach
TRANS-CONJUNCTIVAL
LATERAL EYE BROW
UPPER EYE LID
CORONAL
Mid-face Disimpaction.
Plate Exposure
Devitalized Teeth
References.