Primary Reconstruction of Gunshot Fractures of the Facial Skeleton and Skull
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How early can definitive fixation be performed after a gunshot injury—and when does a plate create more risk than benefit? Maxillofacial surgeon Mykola Zhuzhoma presents the experience of a military clinical centre treating complex facial and neck trauma, including its patient data from 2022–2025.
The lecture follows several severe combined-injury cases from initial assessment to staged surgery. It covers airway protection, primary surgical debridement, preservation of viable bone fragments, dental splinting, restoration of occlusion, open reduction and fixation with titanium plates and mesh, soft-tissue repair and postoperative imaging.
The discussion moves beyond ideal algorithms to decisions shaped by infection, evacuation time, limited specialist availability and major tissue loss. The Q&A explores delayed osteosynthesis, temporary stabilisation, facial buttresses, haemorrhage control and the anatomical defect that remains particularly difficult even for an experienced reconstructive team.
The lecture follows several severe combined-injury cases from initial assessment to staged surgery. It covers airway protection, primary surgical debridement, preservation of viable bone fragments, dental splinting, restoration of occlusion, open reduction and fixation with titanium plates and mesh, soft-tissue repair and postoperative imaging.
The discussion moves beyond ideal algorithms to decisions shaped by infection, evacuation time, limited specialist availability and major tissue loss. The Q&A explores delayed osteosynthesis, temporary stabilisation, facial buttresses, haemorrhage control and the anatomical defect that remains particularly difficult even for an experienced reconstructive team.
PRAS-07
Course
Craniofacial Trauma: Reconstruction of the Facial Skeleton and Orbit
01
1:22:48
Reconstruction of the Midface in Traumatic InjuriesA practical look at midface reconstruction, from three-dimensional anatomy and surgical access selection to orbital repair, panfacial trauma and complex reconstruction.
02
48:34
Pediatric Maxillofacial Trauma: From Mandibular Fractures to Complex Orbital InjuriesA case-based lecture on pediatric maxillofacial trauma, focusing on when not to operate, minimally invasive fixation, orbital reconstruction, and the challenges of treating a growing facial skeleton.
03
36:00 Now playing
Primary Reconstruction of Gunshot Fractures of the Facial Skeleton and SkullA frontline maxillofacial surgery lecture on debridement, fracture fixation and staged reconstruction after severe gunshot and blast injuries, supported by real clinical cases and practical decision-making.
Primary Reconstruction of Gunshot Fractures of the Facial Skeleton and Skull