Abstract

Maxillofacial injuries are commonly encountered in the practice of emergency medicine. Trauma to the maxillofacial region mandates special attention. Maxillofacial trauma is any physical trauma to the facial region, commonly encountered by maxillofacial surgeons, and is often associated with high morbidity. Maxillofacial injuries can occur as an isolated injury or may be associated with multiple injuries in other parts of the body. This review article elaborates on maxillofacial trauma.

• 1.   Rosen P, Barkin R. Face. In: Rosen P, Barkin RM, editors. Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis (MO): Mosby-Year Book; 2002. p. 315–29.
• 2.   Maxillofacial trauma. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York: McGraw-Hill; 2004. p. 1583–9.
• 3.   Delpachitra SN, Rahmel BB. Orbital fractures in the emergency department: a review of early assessment and management. Emerg Med J. 2015;32(9):727–36.
• 4.   Nalliah RP, Allareddy V, Kim MK, Venugopalan SR, Gajendrareddy P, Allareddy V. Economics of facial fracture reductions in the United States over 12 months. Dent Traumatol. 2013;29(2):115–20.
• 5.   Cohn JE, Smith KC, Licata JJ, et al. Comparing urban maxillofacial trauma patterns to the National Trauma Data Bank©. Ann Otol Rhinol Laryngol. 2020;129(2):149–56.
• 6.   Manson PN, Hoopes JE, Su CT. Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures. Plast Reconstr Surg. 1980;66(1):54–62.
• 7.   Brandt KE, Burruss GL, Hickerson WL, White CE, DeLozier JB 3rd. The management of mid-face fractures with intracranial injury. J Trauma. 1991;31(1):15–9.
• 8.   Fowell C, McQuillan H, Martin T. A peculiar orbital floor ‘blow-out’ fracture – or should that be ‘blow-in’ fracture? Int J Oral Maxillofac Surg. 2015;44(Suppl 1):e210.
• 9.   Ziccardi VB, Braidy H. Management of nasal fractures. Oral Maxillofac Surg Clin North Am. 2009;21(2):203–8.
• 10.   Papadopoulos H, Salib NK. Management of naso-orbital-ethmoidal fractures. Oral Maxillofac Surg Clin North Am. 2009;21(2):221–5.
• 11.   Ellis E 3rd, El-Attar A, Moos KF. An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg. 1985;43(6):417–28.
• 12.   Ellis E 3rd, Moos KF, el-Attar A. Ten years of mandibular fractures: an analysis of 2,137 cases. Oral Surg Oral Med Oral Pathol. 1985;59(2):120–9.
• 13.   Marão HF, Panzarini SR, Manrrique GR, et al. Importance of clinical examination in dentoalveolar trauma. J Craniofac Surg. 2012;23(2):e404.
• 14.   Curtis W, Horswell BB. Panfacial fractures: an approach to management. Oral Maxillofac Surg Clin North Am. 2013;25(4):649–60.
• 15.   Choi M, Li Y, Shapiro SA, Havlik RJ, Flores RL. A 10-year review of frontal sinus fractures: clinical outcomes of conservative management of posterior table fractures. Plast Reconstr Surg. 2012;130(2):399–406.
• 16.   Yew CC, Shaari R, Rahman SA, Alam MK. White-eyed blowout fracture: diagnostic pitfalls and review of literature. Injury. 2015;46(9):1856–9.
• 17.   Krishnan DG. Systematic assessment of the patient with facial trauma. Oral Maxillofac Surg Clin North Am. 2013;25(4):537–44.
• 18.   Haug RH, Wible RT, Likavec MJ, Conforti PJ. Cervical spine fractures and maxillofacial trauma. J Oral Maxillofac Surg. 1991;49(7):725–9.
• 19.   Lewandowski RJ, Rhodes CA, McCarroll K, Hefner L. Role of routine nonenhanced head computed tomography scan in excluding orbital, maxillary, or zygomatic fractures secondary to blunt head trauma. Emerg Radiol. 2004;10(4):173–5.
• 20.   Bell RB. Management of frontal sinus fractures. Oral Maxillofac Surg Clin North Am. 2009;21(2):227–42.
• 21.   Appling WD, Patrinely JR, Salzer TA. Transconjunctival approach vs subciliary skin-muscle flap approach for orbital fracture repair. Arch Otolaryngol Head Neck Surg. 1993;119(9):1000–7.
• 22.   Kontio R, Lindqvist C. Management of orbital fractures. Oral Maxillofac Surg Clin North Am. 2009;21(2):209–20.
• 23.   Ellis E 3rd, Kittidumkerng W. Analysis of treatment for isolated zygomaticomaxillary complex fractures. J Oral Maxillofac Surg. 1996;54(4):386–400.
• 24.   Ellis E 3rd. Open reduction and internal fixation of combined angle and body/symphysis fractures of the mandible: how much fixation is enough? J Oral Maxillofac Surg. 2013;71(4):726–33.
• 25.   Al-Moraissi EA, Ellis E 3rd. Surgical management of anterior mandibular fractures: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2014;72(12):2507.e1–11.

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