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Ulus Travma Acil Cerrahi Derg. 2010 Nov;16(6):541-5.

Minimally invasive approaches in severe panfacial fractures.

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Department of Plastic, Reconstructive and Aesthetic Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey.



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.


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.


All fractures were repaired with miniplates and screws. No hematoma, wound infections or other complications were observed.


Minimally invasive approaches in severe panfacial fractures are considered suitable and effective in terms of aesthetic results.

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