Delayed Reduction of Facial Bone Fractures.

Lee, Kyu Seop; Park, Jae Beom; Song, Seung Han; Oh, Sang Ha; Kang, Nak Heon

doi:2013.14.2.119

Arch Craniofac Surg > Volume 14(2); 2013 > Article

Case Report

Archives of Craniofacial Surgery 2013;14(2):119-123.
DOI: https://doi.org/10.7181/acfs.2013.14.2.119

Delayed Reduction of Facial Bone Fractures.

Kyu Seop Lee, Jae Beom Park, Seung Han Song, Sang Ha Oh, Nak Heon Kang

Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea. nhk488@yahoo.com

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.

Keywords: Facial bone; Zygomatic fractures; Mandibular fractures