Craniofacial surgery is a surgical specialty that treats deformities of the head, skull, face, neck, jaws, and associated tissues, both congenital and acquired. Although bone manipulation is frequently used in craniofacial treatment, craniomaxillofacial trauma surgery in India is not confined to any single group of tissues. Instead, craniomaxillofacial surgeons work with bone, skin, nerve, muscle, teeth, and related anatomy.
Essentials of Craniomaxillofacial Trauma Surgery in India:
Research and studies prove that craniomaxillofacial surgeries are primarily carried out in adults to treat the trauma caused to face, which could have occurred due to accidents and other injuries like sports injuries, violence, etc. However, the trauma is generally due to falls and injuries in children, but their deformities are primarily congenital.
- Since trauma is the prime reason for cranial surgeries needed in adults, surgeons need to rule out any injury to the spinal cord.
- There is a high probability of eye injury that can even cause blindness in case a trauma happens to the face.
- Fractures are classified as simple or complex based on the fractures’ extent to the facial region and the impacted bones.
- Injuries to the orbital roof, frontal sinus, etc., are simple traumas, whereas injuries to the mandibular area are more complex and require more complicated fixtures.
Concepts In Management of Advanced Craniomaxillofacial Injuries:
Managing craniomaxillofacial injuries is quite a complex task as it involves the injured person’s control and command center, i.e., basically the face and head. Any damage can lead to impairment of the sensory organs such as eyes, ears, nose, and even make swallowing impossible.
Five factors are considered while assessing, managing, and treating a craniomaxillofacial trauma in India.
The proposed assessment sequence enables the Oral & Maxillofacial Surgeon or Craniomaxillofacial Surgeon to reach meaningful conclusions about the degree of impairment of traumatic deformity, which contributes significantly to the treatment decision-making process.
Multiple fracture treatment plans need to be assessed carefully through imaging and diagnostic exams to have a more successful treatment rate. In addition, post-op support and handling complications that may arise are also an integral part of the management of advanced craniomaxillofacial treatment in India.
Which Surgical Specialties Provide Craniomaxillofacial Trauma?
For many years, craniomaxillofacial trauma surgery in India has been shared between specialties like oral-maxillofacial surgery, plastic and reconstructive surgery, and otolaryngology/head and neck surgery. Each service was considered a compulsory specialty to conduct the surgery. With the advancement of medicine over the last decade, the streams involved have now been reduced to only plastic and reconstructive surgery and otolaryngology. The oral-maxillofacial surgery specialty is more beneficial and not a compulsory part of the treatment programme.
Impact of Craniomaxillofacial Trauma Surgery in India and Reconstruction:
Craniomaxillofacial trauma surgery in India and reconstruction has developed into a highly specialized field of corrective surgery. There have been several advancements due to the improved techniques over the last 15 years. As a result, it plays a significant role in patient care across multiple disciplines, necessitating close collaboration among various specialists.
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