Approaches to the Maxillofacial Skeleton: Application of Standard and Minimally Invasive Techniques

Abstract

Management of maxillofacial trauma is complex and challenging and requires a clear understanding of facial anatomy and function. There are multiple approaches that can be used to access each anatomical region, each with specific indications and complication profiles. Open, "invasive" approaches are being replaced or augmented with minimally invasive and endoscopic approaches when possible. Thorough knowledge of indications, surgical techniques, and potential complications allows surgeons to make appropriate decisions for access and repair of fractures. This article is a comprehensive review of standard and minimally invasive approaches, with description of techniques and pros and cons for their use.

Keywords: Endoscopic fracture repair; Frontal sinus; Mandible; Maxillofacial; Midface; Minimally invasive; Orbit; Trauma.