Ciddi panfasiyal k�r�klarda minimal invazif yakla��mlar

G�ven, Erdem; U�urlu, Alper Mete; Kuvat, Samet Vasfi; Kanl�ada, Deniz; Emekli, Ufuk

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Ciddi panfasiyal k�r�klarda minimal invazif yakla��mlar [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2010; 16(6): 541-545

Ciddi panfasiyal k�r�klarda minimal invazif yakla��mlar

Erdem G�ven¹, Alper Mete U�urlu¹, Samet Vasfi Kuvat¹, Deniz Kanl�ada², Ufuk Emekli¹
¹�stanbul �niversitesi, �stanbul T�p Fak�ltesi, Plastik, Reconstr�ktif Ve Estetik Cerrahi Abd
²�stanbul �niversitesi, �stanbul T�p Fak�ltesi, Kulak, Burun, Bo�az Hastal�klar� Abd

AMA�
Cerrahi travma ve ilgili komplikasyonlar� azaltmak i�in, ciddi panfasiyal k�r�klara minimal invazif yakla��mlar�n kullan�m� gittik�e artmaktad�r. Bu �al��mada, ciddi panfasiyal k�r�klarda ideal cerrahi yakla��mlar ama�lanm��t�r.
GERE� VE Y�NTEM
On alt� panfasiyal k�r�kl� hasta �al��maya dahil edildi. Le Fort III k�r�kl� alt�, Le Fort II k�r�kl� d�rt ve iki tarafl� maksilla ve orbital taban k�r�kl� alt� hastada minimal invazif yakla��mlar kullan�ld�. Orbital, maksiller, zigomatikomaksiller bile�ke ve nazoetmoidal k�r�klara yakla�mak i�in s�ras� ile subsilier, a��z i�i vestibular ve lateral ka� insizyonlar� kullan�ld�.

BULGULAR
T�m k�r�klar miniplak ve vidalar ile onar�ld�. Hematom, yara enfeksiyonu ya da di�er komplikasyonlar g�zlenmedi.

SONU�
Ciddi panfasiyal k�r�klarda, minimal invazif yakla��mlar�n estetik sonu�lar a��s�ndan uygun ve etkin oldu�u g�z �n�nde bulundurulmal�d�r.

Anahtar Kelimeler: Minimal invazif, panfasiyal k�r�k; cerrahi yakla��m.

Minimally invasive approaches in severe panfacial fractures

Erdem G�ven¹, Alper Mete U�urlu¹, Samet Vasfi Kuvat¹, Deniz Kanl�ada², Ufuk Emekli¹
¹�stanbul University, �stanbul Medical Faculty, Department Of Plastic, Reconstructive And Aesthetic Surgery
²�stanbul University, �stanbul Medical Faculty, Department Of Otolaryngology

BACKGROUND
Minimally invasive approaches to severe panfacial fractures are being used increasingly to reduce surgical trauma and the related complications. In this study, it was aimed to determine the ideal surgical approaches in severe panfacial fractures.
METHODS
Sixteen patients with severe panfacial fractures were included in this study. Minimally invasive approaches were used for Le Fort III fracture in six patients, for Le Fort II fracture in four patients, and for bilateral maxillary and orbital floor fractures in six patients. We used subciliary, intraoral vestibular, lateral eyebrow incisions to reach orbital, maxillary, zygomaticomaxillary buttress, and nasoethmoidal fractures, respectively.
RESULTS
All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed.
CONCLUSION
Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.

Keywords: Minimally invasive, panfacial fracture; surgical approach.

Sorumlu Yazar: Erdem G�ven, T�rkiye
Makale Dili: �ngilizce

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