Clinical Application of a Multistage Algorithm for Aesthetic and Functional Reconstruction in Post-Traumatic...

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Reconstructive Surgery

Background:

• Craniomaxillofacial trauma is prevalent in adults, often causing functional and aesthetic deficits.
• Sequelae include malocclusion, facial asymmetry, and impaired nasal/ocular function.
• A multistage approach is employed for reconstruction.

Purpose of the Study:

• To evaluate the effectiveness of a multistage reconstruction approach for post-traumatic craniofacial anomalies.
• To present a treatment algorithm for guiding clinical decision-making.

Main Methods:

• A case series of 25 patients treated between 2004 and 2025.
• Procedures included orthognathic surgery, bone grafting, rhinoplasty, orbital reconstruction, and facial plastic surgery.
• Data on etiology, diagnosis, sequelae, procedures, complications, and follow-up were collected.

Main Results:

• The study reviewed data from 25 patients with complete records.
• Collected data encompassed patient demographics, trauma details, surgical interventions, and outcomes.
• Complications and their treatments were also documented.

Conclusions:

• Reconstructing post-traumatic craniofacial anomalies is complex, involving hard and soft tissue defects.
• Successful outcomes necessitate an interdisciplinary team approach.
• A proposed multistage treatment algorithm aids in planning and decision-making.