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I trattamenti in medicina estetica nei gravi traumi cranio facciali

OBJECTIVES The objectives of our work are aimed at demonstrating how maxillofacial and post-traumatic reconstructive surgery, which is essential for restoring the facial skeleton, can and must make use, for the best resolution of the most complex clinical cases, of ancillary methods which allow the clinician and the patient to achieve the most satisfactory result, not only functional but also aesthetic. MATERIALS AND METHODS We treated a patient with a craniofacial crash following a road accident. Surgical intervention, multidisciplinary; the neurosurgical part was primarily treated followed by the three-dimensional reconstruction of the craniofacial skeleton. In the frontal cranial case, with severe loss of substance following the trauma, nasal pyramid and orbits bilaterally, both maxillae with plates and screws. About 15 days after the trauma, the aesthetically satisfactory results, anatomically speaking, made the patient happy, we a little less, this due to the fact that the loss of substance affecting the soft tissues of the central frontal region determined a less than exciting aesthetic result. In agreement with the patient, a therapeutic program was then implemented which envisaged the aesthetic improvement of the scar result, this involved the use of a fractional erbium laser followed by an infiltrative treatment on the retracting scars of the forehead. RESULTS Six months after the trauma, during which the patient underwent various treatments to improve the aesthetics of the scars on the forehead, the results were evident. The scar quality has significantly improved, the scar depression has gradually reduced so as to make the area less and less evident; all this has made it possible to improve the quality of life of the same. CONCLUSIONS In conclusion, facial reconstructive surgery needs aesthetic medicine as a complement for a final result that is not only functionally correct but also aesthetically satisfying. Airway Management in Trauma. Kovacs G, Sowers N.Emerg Med Clin North Am. 2018 Feb;36(1):61-84. doi: 10.1016/j.emc.2017.08.006. Maxillofacial trauma following road accidents-An 11-year multi-center study in Israel. Einy S, Goldman S, Radomislensky I; Israel Trauma Group (ITG); Bodas M, Peleg K. Penetrating maxillofacial trauma--a case report. Arotiba TG.West Afr J Med. 1995 Jul-Sep;14(3):186-8. Trends in Operative Complex Middle and Upper Maxillofacial Trauma: A 17-Year Study. Su P, Paquet C, O'Dell K, Reinstadler D, Kokot N, Granzow J, Chambers TN, Kochhar A.Laryngoscope. 2021 Sep;131(9):1985-1989. doi: 10.1002/lary.29442. Epub 2021 Feb 11. Maxillofacial trauma in major trauma patients. Shahim FN, Cameron P, McNeil JJ. Management of Aesthetic and Functional Deficits in Frontal Bone Trauma. Dumitru M, Vrinceanu D, Banica B, Cergan R, Taciuc IA, Manole F, Popa-Cherecheanu M.Medicina (Kaunas). 2022 Nov 30;58(12):1756. doi: 10.3390/medicina58121756.

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