Ballistic CMF Injuries | Quick Hits!-Full Presentation: Ballistic CMF Injuries

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This comprehensive panel session on managing ballistic cranio-maxillofacial injuries features expert discussions on various aspects of complex facial trauma, presented at the PSTM 23 conference. Anand Kumar, a pediatric plastic and craniofacial surgeon, moderates the session featuring experts Edward Davidson, Srinivas Srinivasasurla, and Michael Golinko.<br /><br />Kumar shares insights into managing penetrating craniofacial trauma using techniques developed from military experience, stressing the importance of managing critical neuroinjuries before facial reconstruction. Key approaches include using intracranial free flaps and cranial bone grafts to prepare the field for later reconstruction, focusing on the cranium and upper orbit.<br /><br />Golinko discusses midface and orbital trauma, emphasizing a strategic, staged approach for reconstruction. He highlights the importance of digital planning for creating custom plates and utilizing surgical teams, including orthodontists, for optimal outcomes. Golinko also outlines various methods for addressing orbital floor and nasal stenosis issues.<br /><br />Edward Davidson shares a phased approach to treating high-velocity facial ballistic injuries involving initial stabilization, conservative debridement, and early establishment of anatomical relationships to aid definitive reconstruction. The program's Life After Facial Injury initiative highlights the need for comprehensive, long-term care involving multidisciplinary teams.<br /><br />Srinivas Srinivasasurla concludes with the significance of occlusion in trauma recovery, recommending approaches for temporary fixation and prosthetic solutions for missing teeth. He explains the role of orthodontics in treating occlusal discrepancies and outlines strategies for incorporating implants and prosthetics into reconstructive efforts. <br /><br />This session emphasizes the necessity of thoughtful, staged reconstruction strategies and multidisciplinary collaboration for effectively managing complex facial traumas.

Keywords

ballistic cranio-maxillofacial injuries

facial trauma management

PSTM 23 conference

neuroinjuries

digital planning

custom plates

Life After Facial Injury

multidisciplinary teams

occlusion recovery

prosthetic solutions