Document Detail


Craniofacial traumas: immediate and delayed treatment.
MedLine Citation:
PMID:  11314306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 1998, 28 patients with craniofacial fractures have been under observation at the Emergency Room of the Policlinico Umberto I of Rome. Twenty-six patients have undergone reduction and contention surgery of the fractures. The diagnosis of the fractures has been achieved through CT axial scanning and coronal reconstruction as well as with three-dimensional CT. The CT spiral was used in those cases that required more rapid intervention, whereas the MRI was used to evaluate the condition of the eyeball. Twenty of such patients underwent surgical treatment a few hours after the trauma and, in such cases, excellent aesthetic and functional results were achieved. The general and neurological conditions of six patients did not permit prematurely proceeding with surgery. Two patients died a few hours after the trauma of the injuries sustained. Of the six patients who underwent delayed treatment, acceptable functional and aesthetic results were achieved in four, whereas the remaining two patients had inadequate results. The results we have obtained show that it is possible to achieve the best results, both aesthetic and functional, through immediate treatment. Delayed treatment is carried out at least 2 weeks after the trauma because of the patient's condition and presents reconstruction difficulties that do not guarantee a satisfactory aesthetic reconstruction as well as, in some cases, an effective functional restoration.
Authors:
R Becelli; G Renzi; M Perugini; G Iannetti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  11     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2000 May 
Date Detail:
Created Date:  2001-04-20     Completed Date:  2001-05-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  D    
Affiliation:
Maxillo-Facial Department, University of Rome La Sapienza, Viale Regina Elena 287/a, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Esthetics
Eye Injuries / diagnosis
Facial Bones / injuries*,  radiography,  surgery
Female
Follow-Up Studies
Fracture Fixation
Frontal Bone / injuries
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Middle Aged
Orbital Fractures / surgery
Reconstructive Surgical Procedures
Skull Fractures / radiography,  surgery*
Temporal Bone / injuries
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Zygomatic Fractures / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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