*Corresponding Author: Likhanova MA, NGIUV is a Branch of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation 654027, Novokuznetsk, Russia.

Received: August 06, 2026; Published: October 16, 2026

Cranio-maxillofacial injuries of the bones of the upper and middle zones of the facial skeleton, combined with skull base fractures and severe brain injuries (brain contusion, subarachnoid hemorrhage), separation of the bones of the facial skeleton from the brain, damage to the supraorbital and infraorbital neurovascular bundles, fractures of the lower jaw, fractures of the upper and lower extremities, ribs In most cases, they are accompanied by the development of a life-threatening condition, abundant liquorrhea and intense pain from the area of traumatic injury. Such injuries require a separate treatment strategy, namely, to be carried out within 24-72 hours, the intervention should be minimally invasive and radical, based on the use of fixation devices and endoprostheses designed for osteosynthesis and elimination of defects in a certain anatomical area, taking into account its architectonics. We presented the results of treatment of 70 patients with combined trauma of the cerebral and facial parts of the skull (subbasal, suborbital and supraalveolar fractures) who used methods of fixation of the bones of the middle zone of the face, such as osteosynthesis with fixators from nitinol, osteosynthesis with bone suture, osteosynthesis according to the Adam’s method, osteosynthesis with bone plates. The use of bone plates and fixators made of nitinol, as well as the principle of “damage control” made it possible to improve the results of treatment, reduce the frequency of complications, reduce the number of deformities, the development of traumatic sinusitis, diplopia and enophthalmos, and reduce the period of temporary disability by 2 times.

Keywords: Polytrauma; Cranio-maxillofacial Injuries; Glasgow Coma Scale; Middle and Upper Face Zones; Osteosynthesis; Implant

References

Citation

Citation: Likhanova MA., et al. “Treatment Tactics for Patients with Concomitant Cranio-Maxillofacial Trauma". Acta Scientific Dental Sciences 10.11 (2026): 05-10.

Copyright

Copyright: © 2026 Likhanova MA., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.