Michael Jason Reiter DO, Presenter: Nothing to Disclose

Ryan Becton Schwope MD, Abstract Co-Author: Nothing to Disclose

Jonathan Kini, Abstract Co-Author: Nothing to Disclose

Jared Theler, Abstract Co-Author: Nothing to Disclose

The major teaching points of this exhibit are: 1. Repair of midfacial fractures is warranted to restore both form and function as the facial skeleton protects the brain and globes in addition to serving as a framework for soft tissues and as a site for muscular attachment 2. Le Fort fractures undergo plate and screw fixation, often at the ZMB, infraorbital rim and ZF suture, depending on the pattern 3. 2-point fixation for NOE fractures is at the piriform rim and nasofrontal junction; infraorbital rim may be plated as necessary 4. Sinus preservation is ideal following frontal sinus fractures but obliteration or cranialization are performed depending on the presence of outflow tract disruption or CSF leak 5. Failed repair due to improper alignment, mucocele formation, infection and temporal hollowing are potential complications

1. Indications for surgical intervention of midfacial fractures a. Le Fort b. Naso-orbital-ethmoidal (NOE) c. Frontal sinus 2. Operative approaches a. Le Fort b. NOE c. Frontal sinus 3. Goals of surgical repair and the desired CT appearance in the postoperative setting a. Overview b. Le Fort c. NOE d. Frontal sinus 4. Common complications a. Failed repair b. Infection c. Temporal hollowing

http://abstract.rsna.org/uploads/2014/14001143/14001143_385g.pdf

Reiter, M, Schwope, R, Kini, J, Theler, J, CT of the Postoperative Midfacial Skeleton Following Trauma: Review of Normal Appearances and Common Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001143.html