These problems still have a major impact on the quality of life of citizens in countries like Ecuador with a human development index (HDI) of 0.739, considered high according the United Nations Development Programme. The schemes that adhere to global patterns for the treatment of jaw fractures considered “non-urgent” should take the cost-benefit of treatment delay into account, as it should be reasonable for the patient’s comfort and quality of life. 2 - 5 Some authors argue that the time elapsed between fracture and fixation/ immobilization of the jaw does not affect the rate of complications. 2 The time interval from fracture to final resolution is a controversial aspect that will still be discussed in terms of its impact on complication rates and hospitalization time in the meantime, there is no conclusive evidence that delays in treatment of facial fractures, especially of the jaw, have an influence on these results. However, some debate remains about fracture types, kind of access, treatment delays and their relationship with complications and sequelae. The treatment of facial fractures has experienced huge improvements in the last decades thanks to the introduction of better devices that are more functional in the reduction, fixation, and immobilization of fractures. Regional epidemiological studies involving maxillofacial trauma can help develop more efficient ways to provide health care services and to assess and improve quality, in addition to create strategies for prevention, financing and access to treatment in the public sector. The clinical characteristics of trauma and treatment methods vary according to social issues, geopolitical variations, and technological advances. Lesions of the maxillofacial complex are significant public health problems, not only for costs but also because of the functional and aesthetic problems that patients can suffer. 1996 2:24–30.Facial fractures are very common clinical situations in emergency rooms. Facial soft tissue resuspension following upper facial skeletal reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Maxillofacial injuries in the pediatric patient. Craniofacial fractures: an algorithm to optimize results. Management of middle third facial fractures. Panfacial fractures: organization of treatment. The coronal approach anatomic and technical considerations and morbidity. Exposure through a coronal incision for initial treatment of facial fractures. 1995 80:629–37.Īrbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation. Comparison of the morbidity associated with maxillary fractures treated by maxillomandibular and rigid internal fixation. Role of mini- and microplate fixation in fractures of the midface and mandible. The use of biodegradable plates and screws to stabilize facial fractures. Fixation of mandibular fractures with biodegradable plates and screws. Yerit KC, Enislidis G, Schooper C, et al. Does nasotracheal intubation increase complications in patients with skull base fractures? Ann Emerg Med. Nasal intubation in the presence of frontobasal fractures: a retrospective study. A survey of operative airway management practices for midface fractures. Craniofacial trauma: an assessment of risk related to the timing of surgery.
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