Primärversorgung von Mittelgesichtsfrakturen

Injuries to the midface can encompass aspects of bone and soft tissue. Due to the anatomic proximity, concomitant injuries of the skull base, the neurocranium, the mandible, and the eye are common. In addition to treatment of the generally easily accessible soft tissue injuries, primary care of midface trauma is primarily directed toward management of posttraumatic complications. Teeth or tooth fragments loosened by the trauma and at risk of aspiration should be immediately extracted. Depending on patient compliance, almost all primary care procedures can be performed under local anesthesia. If, however, intubation is required, based on the overall situation, expansion of primary treatment to also encompass definitive treatment of the injured midface can be considered.