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Maxillofacial Surgery

Paediatric Midface Fractures (AO Based)

Built from AO Surgery Reference: CMF Trauma, Pediatric Trauma and Reconstruction (AO Foundation)

What’s inside

4 sections · 93 slides

  1. 01

    Overview

    • Introduction
    • Regions of the pediatric midface
    • Estimated incidence of pediatric fractures
    • Estimated incidence of pediatric fractures
    • The growing facial skeleton
    • Anatomical differences: child versus adult
    • Anatomical differences: child versus adult
    • Why adult fracture patterns are uncommon
    • Why adult fracture patterns are uncommon
    • Clinical and radiographic assessment
    • Associated injuries
    • Clinical examination in children
    • Clinical examination in children
    • The CARE approach
    • CARE approach to pediatric facial fractures
    • Relative stability, not rigid fixation
    • Early follow-up: why it matters
    • Early follow-up: why it matters
    • Classification by region
    • AO pediatric midface regions
    • AO pediatric midface regions
    • Tree of pediatric midface regions
    • Treatment levels by region
    • Treatment levels by region
    • Nasal bone fractures
    • Nasal bone fractures: treatment options
    • Nasal bone fractures: treatment options
    • Timing and anesthesia for nasal reduction
    • Closed nasal reduction and splinting
    • Closed nasal reduction and splinting
    • Nasal fractures: aftercare and follow-up
    • NOE fractures
    • NOE fractures: indications and principles
    • Le Fort fractures
    • Le Fort fractures in children
    • Le Fort fractures: treatment options
    • Le Fort fractures: treatment options
    • Le Fort ORIF: pediatric considerations
    • Le Fort ORIF: pediatric considerations
    • Le Fort ORIF: steps
    • Le Fort ORIF: steps
    • Le Fort ORIF: aftercare
    • Palatoalveolar fractures
    • Palatoalveolar fractures: treatment options
    • Palatoalveolar fractures: treatment options (cont.)
    • Closed treatment: goals and dentition
    • Closed treatment: goals and dentition
    • Closed reduction technique by dentition
    • Closed reduction technique by dentition
    • Palatoalveolar fractures: aftercare

    50 slides

  2. 02

    Zygomatic complex fractures

    • ZMC fractures: pediatric principles
    • ZMC fractures: pediatric principles
    • ZMC fractures: treatment options
    • ZMC fractures: treatment options (cont.)
    • Stepwise fixation of ZMC fractures
    • ZMC approach, reduction and fixation
    • ZMC approach, reduction and fixation
    • ZMC fractures: aftercare
    • ZMC fractures: aftercare

    9 slides

  3. 03

    Orbital fractures

    • Orbital fractures: indications by wall
    • Orbital fractures: indications by wall
    • Indications for emergency orbital treatment
    • Trapdoor entrapment of the inferior rectus
    • Trapdoor entrapment of the inferior rectus
    • Orbital floor reconstruction: steps
    • Orbital floor reconstruction: steps
    • Orbital reconstruction materials
    • Orbital reconstruction materials
    • Choosing a material in a growing orbit
    • Choosing a material in a growing orbit
    • Medial wall and combined fractures
    • Lateral orbital wall and rim fractures
    • Lateral orbital wall and rim fractures
    • Orbital roof: nondisplaced versus displaced
    • Orbital roof: growing skull fracture

    16 slides

  4. 04

    Approaches, MMF and aftercare

    • Approaches to the pediatric midface
    • Approaches to the pediatric midface
    • Methods of maxillomandibular fixation
    • General postoperative care
    • Activity restrictions after injury
    • Follow-up schedule
    • Late complications to watch for
    • Take-home messages
    • References (1 of 6)
    • References (2 of 6)
    • References (3 of 6)
    • References (4 of 6)
    • References (5 of 6)
    • References (6 of 6)
    • Join our WhatsApp groups

    15 slides