[Midface traumatology: one focus-more than two specialist disciplines?]

Area of Science:

• Trauma surgery
• Maxillofacial surgery
• Diagnostic imaging

Context:

• Midface fractures are common injuries, often accompanying other trauma.
• Accurate diagnosis and treatment planning are crucial for optimal outcomes.
• Interdisciplinary collaboration is essential for managing complex midface fractures.

Purpose:

• To outline the diagnostic and treatment principles for midface fractures.
• To emphasize the role of computed tomography (CT) in diagnosis.
• To highlight the goals of surgical intervention, including functional and aesthetic restoration.

Summary:

• Computed tomography (CT) is the preferred diagnostic imaging modality for midface fractures.
• Fracture classification systems, such as the LeFort system, aid in treatment planning.
• Surgical objectives include anatomic reduction to preserve ocular, neural, and masticatory functions, alongside facial symmetry.
• Minimizing surgical access routes and avoiding external incisions are key surgical considerations.

Impact:

• Improved understanding of midface fracture management.
• Guidance for interdisciplinary teams in diagnosing and treating these injuries.
• Emphasis on functional and aesthetic outcomes in surgical planning.