Arch Craniofac Surg.  2013 Oct;14(2):119-123. 10.7181/acfs.2013.14.2.119.

Delayed Reduction of Facial Bone Fractures

• Lee KS
• Park JB
• Song SH
• Oh SH
• Kang NH

• KMID: 2266980
• DOI: http://doi.org/10.7181/acfs.2013.14.2.119

Abstract

Except for special situations, it is generally agreed that best results in the treatment of facial fractures is expected if reduction is done within the first 2 or 3 weeks after injury. We reduced facial bone fractures at 4 to 7 weeks after trauma. A 44-year-old female patient underwent open reduction for her right zygomaticomaxillary complex fracture at 7 weeks after injury. A 59-year-old female patient underwent surgery for the right mandible body and left parasymphysis fractures at 4 weeks after injury. Using traditional approaches, granulation tissue and callus were removed from the fracture sites, and malunited fracture lines were separated by a small osteotome. We reduced the displaced fractured zygoma and mandible to their normal anatomical positions and fixed them using titanium plates. No complications such as asymmetry, malunion, malocclusion, or trismus were seen. Unfavorable asymmetric facial contours were corrected, and we obtained good occlusion with favorable bony alignment. The functional and aesthetic outcomes were satisfactory. Through removal the callus and limited osteotomy, a successful approach to the previously fractured line was possible, and an exact correction with symmetry was obtained. This method can be a good option for obtaining good mobility and clinical results in treating delayed facial bone fractures.

Keyword

Facial bone; Zygomatic fractures; Mandibular fractures

MeSH Terms

Adult
Bony Callus
Facial Bones*
Female
Fractures, Malunited
Granulation Tissue
Humans
Malocclusion
Mandible
Mandibular Fractures
Middle Aged
Osteotomy
Titanium
Trismus
Zygoma
Zygomatic Fractures
Titanium