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The vertical avulsion flap.

J P Nicolai, J van der Zwan, J A van der Veen

    International Journal of Oral Surgery
    |April 1, 1980
    PubMed
    Summary
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    Unilateral vertical tangential maxillofacial trauma, a distinct injury pattern, involves characteristic facial lesions and fractures. This specific trauma can also affect the ipsilateral shoulder.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Trauma Surgery
    • Facial Reconstruction

    Background:

    • Maxillofacial trauma encompasses a spectrum of injuries affecting the facial skeleton and soft tissues.
    • Understanding distinct injury patterns is crucial for accurate diagnosis and treatment planning.
    • Unilateral vertical tangential maxillofacial trauma represents a specific, albeit less common, etiological category.

    Observation:

    • The study describes two cases of unilateral vertical tangential maxillofacial trauma.
    • These injuries presented with a characteristic combination of wounds and fractures across the upper, middle, and lower thirds of the face.
    • Both patients also experienced associated trauma to the ipsilateral shoulder.

    Findings:

    • Unilateral vertical tangential maxillofacial trauma is characterized by a unique constellation of facial injuries.

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  • The pattern of injury suggests a specific mechanism of force application.
  • Concurrent ipsilateral shoulder trauma was noted in the presented cases, potentially indicating a shared injury mechanism.

    • Implications:

    • Recognition of this distinct maxillofacial trauma entity can improve diagnostic accuracy.
    • Tailored surgical approaches may be necessary for optimal functional and aesthetic outcomes.
    • Further research into the specific mechanisms and associated injuries of this trauma type is warranted.