Controversies in Maxillofacial Trauma

Daniel J Meara; Lewis C Jones

doi:10.1016/j.coms.2017.06.002

Controversies in Maxillofacial Trauma

Oral Maxillofac Surg Clin North Am. 2017 Nov;29(4):391-399. doi: 10.1016/j.coms.2017.06.002.

Authors

Daniel J Meara¹, Lewis C Jones²

Affiliations

¹ Department of Oral and Maxillofacial Surgery & Hospital Dentistry, Christiana Care Health System, 501 West 14th Street, Suite 2W40, Wilmington, DE 19801, USA. Electronic address: dmeara@christianacare.org.
² Department of Surgical and Hospital Dentistry, University of Louisville, 501 South Preston Street, Louisville, KY 40241, USA.

PMID: 28987223
DOI: 10.1016/j.coms.2017.06.002

Abstract

Craniomaxillofacial trauma management has continued to improve and evolve as a result of advances in technology and scientific inquiry. Controversies exist where there is little evidence-based literature to guide treatment in frontal sinus management, rigid versus absorbable fixation, open versus closed treatment of mandibular condyle fractures, extraction of teeth in the line of fracture, optimal timing for repair of mandible fractures, antibiotic use for facial wounds and fractures, and reconstructive materials in orbital fracture reconstruction. This article reviews current literature to resolve some of the controversies, to improve patient care by reducing variability and uncertainty in the optimal management of facial trauma patients.

Keywords: Antibiotics for facial injuries; Facial fractures; Open versus closed treatment; Timing of surgical repair; Titanium and absorbable fixation.

Publication types

Review

MeSH terms

Anti-Bacterial Agents / therapeutic use
Conservative Treatment
Fracture Fixation / instrumentation
Fracture Fixation / methods*
Humans
Mandibular Fractures / therapy
Maxillofacial Injuries / therapy*
Oral Surgical Procedures
Skull Fractures / therapy
Tooth Extraction

Substances

Anti-Bacterial Agents