Facial Trauma · Volume III of 6
Rebuilding the Midface
Restore midface dimensions by selecting trustworthy references, rebuilding the maxillary platform and buttresses, and verifying nasal, canthal, malar, orbital, and occlusal relationships together.
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About this volume
Volume III turns the injury map into region-specific reconstruction of the central and lateral midface. It treats nasal, NOE, zygomaticomaxillary, Le Fort-level, palatal, and dentoalveolar injuries as a connected three-dimensional frame rather than isolated fracture labels. Residents learn to define lost height, width, projection, rotation, canthal position, arch width, and occlusion; identify references that remain trustworthy; restore the dental platform; and verify the whole face before closure. Chapters on exposure, reduction, fixation, postoperative assessment, and secondary deformity make the reconstructive logic practical. It follows Volume II’s upper-face emergencies and uses the mandible and orbit as references, while leaving mandibular biomechanics and condylar management to Volume IV.
After completing this volume, the resident should be able to
- Define midface injury by lost dimensions, occlusion, orbital support, and central or lateral structural relationships.
- Select reliable references and sequence reduction before definitive fixation of the maxillary platform and buttresses.
- Recognize early and late failure through occlusion, canthal position, width, projection, globe position, and trismus.
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