The principles for managing maxillofacial trauma are well established. However, the rapid evolution of technology has broadened the options available in evaluating, planning, and repairing these injuries. In this edition, we address the contemporary management of skeletal and soft tissue injuries within the head and neck following trauma. To provide a broad view, authors from multiple subspecialty disciplines were invited to contribute their experience. In this issue, the authors have been given the latitude to structure their information in an unconstrained style in order to pass on their expertise in an unhindered manner.
There is extensive coverage of dentoalveolar injuries, rarely seen in most trauma textbooks. The article on auricular trauma provides in-depth coverage of ear reconstruction from simple local flap repair to complicated microvascular transfer of prefabricated costochondrial ear constructs. In the past, patients with traumatic auricular avulsion who failed reimplantation were offered prosthetic reconstruction as their only option. The result of prefabricated ear reconstruction described here shows that autologous tissue repair can provide results comparable to that of prosthetic ears. Worldwide, over 24 face transplants have been successfully performed, mostly for extensive traumatic injuries. With the increasing success of face transplants, composite tissue allografts have technically become a viable option for treating massive craniofacial injuries. A number of patients who have undergone face transplantation had failed multiple autologous free tissue transfer. The indications and outcomes for the vascularized transfer of composite tissue autograft and allograft for massive traumatic facial injuries are extensively covered in this text. In addition, we offer a comprehensive discussion highlighting the contemporary management of classically described traumatic injuries.
We are grateful to all the authors who have shared their extensive expertise.