Evaluation of immediate one stage reconstruction of the avulsive maxillofacial injuries

S. Gataa, Ibrahim

	Evaluation of immediate one stage reconstruction of the avulsive maxillofacial injuries
Journal of baghdad college of dentistry
Article 1, Volume 20, Issue 2, 2008, Pages 79-84
Author
Ibrahim S. Gataa
Abstract
ABSTRACTBackground: Avulsive maxillofacial injuries may cause significant functional and esthetic deformities so the subsequent management of this trauma becomes more controversial in terms of the time of surgical reconstruction. The aim this study was to evaluate the immediate one stage of reconstruction as a method of treatment.Patients and methods: In this study 50 patients complaining from avulsed injuries to the facial area have been treated with in first 24hrs of injury by one stage of reconstruction of the hard and soft tissues defects. Different surgical techniques were used in this study in addition to evaluation of the general condition of the traumatized patients.Results: The results were assessed according to the patient satisfaction, clinical examination, complications and the need of other reconstruction surgeries after a period of follow up. The over all results were good and very good in 39 patients (78%) and most of the managed patients need only minor surgical procedures after the treatment or they were satisfied with the result.Conclusion: The primary one stage reconstruction was a useful method for management of patients with avulsed maxillofacial injuries if the general status of patient is suitable for such operation and surgical facilities is available this will minimize the patient's suffering and disabilities .Key words: Avulsive injuries, bone graft, local flaps, blast injuries, (J Bagh Coll Dentistry 2008; 20(2):79-84)

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