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Gepubliceerd in: Bijblijven 9-10/2018

16-10-2018

Heelkunde bij maxillofaciale traumatologie

Auteur: Dr. Joyce Jonkergouw

Gepubliceerd in: Bijblijven | Uitgave 9-10/2018

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Samenvatting

De opvang en behandeling van een patiënt met een maxillofaciaal trauma hebben de afgelopen twintig jaar een behoorlijke ontwikkeling doorgemaakt. In een acute fase kan een aangezichtstrauma een duidelijke bedreiging vormen voor de luchtweg. Vrijmaken van de luchtweg kan een probleem zijn, zeker bij vermoeden van cervicaal letsel.
Eenmaal gestabiliseerd dient het klinisch onderzoek van een patiënt met een faciaal trauma aangevuld te worden met beeldvorming. Een standaardröntgenfoto biedt niet langer voldoende informatie voor een faciaal overzicht. Tegenwoordig wordt een CT-scan niet alleen gebruikt in de preoperatieve planningsfase, maar ook als intraoperatieve navigatie en als postoperatieve evaluatie voor optimaal functionele en esthetische resultaten.
Bij de behandeling van aangezichtsfracturen is een duidelijke verschuiving zichtbaar van gesloten reductie en intermaxillaire fixatie naar open reductie en interne fixatie met osteosyntheseplaten. De patiënt met een maxillofaciaal trauma lijkt prijs te stellen op een snelle esthetische en functionele rehabilitatie.
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Metagegevens
Titel
Heelkunde bij maxillofaciale traumatologie
Auteur
Dr. Joyce Jonkergouw
Publicatiedatum
16-10-2018
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Bijblijven / Uitgave 9-10/2018
Print ISSN: 0168-9428
Elektronisch ISSN: 1876-4916
DOI
https://doi.org/10.1007/s12414-018-0352-0