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Related Concept Videos

Cranial Nerves: Types Part I01:14

Cranial Nerves: Types Part I

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
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Muscles for Facial Expressions01:14

Muscles for Facial Expressions

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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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Overview of the Skull01:08

Overview of the Skull

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The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
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Sutures of the Skull01:22

Sutures of the Skull

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Related Experiment Video

Updated: Apr 15, 2026

In Vivo Functional Assessment of Rat Masseter Muscle Following Surgical Creation of a Volumetric Muscle Loss (VML) Injury
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In Vivo Functional Assessment of Rat Masseter Muscle Following Surgical Creation of a Volumetric Muscle Loss (VML) Injury

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[Trauma of the midface].

T S Kühnel1, T E Reichert2

  • 1HNO-Universitätsklinik und Poliklinik Regensburg.

Laryngo- Rhino- Otologie
|April 11, 2015
PubMed
Summary

Midface fractures, often caused by traffic accidents, require complex treatment. Advances in endoscopic surgery and new techniques like intraoperative cone beam radiographs are improving outcomes for these injuries.

Area of Science:

  • Traumatology
  • Maxillofacial Surgery
  • Ophthalmology

Context:

  • Midface fractures present significant complexity, frequency, and socio-economic impact.
  • Traffic accidents are the primary cause, predominantly affecting adult males.
  • Established treatment algorithms exist for nasal, maxillary, and zygoma fractures, but frontal sinus and orbital apex trauma remain debated.

Purpose:

  • To review current diagnostic and surgical techniques for midface fractures.
  • To highlight advances in endoscopic surgery and novel approaches for complex cases.
  • To discuss evidence-based knowledge limitations and emerging techniques in midface traumatology.

Summary:

  • Interdisciplinary approaches and advanced techniques yield favorable results for most midface fractures.

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  • Minimally invasive approaches are increasingly favored for frontal sinus fractures, with decreased use of obliteration and cranialization.
  • New techniques include intraoperative cone beam radiographs and titanium mesh for orbital reconstruction, alongside promising endonasal endoscopic repair for anterior skull base fractures with cerebrospinal fluid leaks.
  • Impact:

    • Improved treatment strategies for midface fractures, particularly complex ones involving the frontal sinus and orbital apex.
    • Enhanced patient outcomes through minimally invasive and advanced surgical interventions.
    • Potential for reduced morbidity and improved quality of life for patients suffering midface trauma.