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Facial fractures, particularly those resulting from severe injuries with multiple fr- tures in the cranio-maxillo-facial region, are the most common form of neurocranial injuries (Hausamen and Schmidseder 1975; Machtens 1987; Brachvogel et al. 1991; Wahlmann and Wagner 1991). Depending on the complexity and level of the fracture, the frontobasal invol- ment of all craniofacial injuries varies between 30 and 70% (Manson et al. 1987; Raveh et al.1992; Weerda 1995; Joss et al. 2001). In addition to the challenging rec- struction of severe craniofacial injuries, specifc diagnostic, pathogenetic and the- peutic problems arise as a consequence of the accompanying frontobasal fractures. A considerable optimization in the treatment of these profound injuries can be achieved by a routine team approach of maxillofacial, neurosurgical, and anesthes- logical specialists with the appropriate diagnostic and therapeutic resources at their disposal. The interdisciplinary treatment of patients with severe craniofacial injuries is state-of-the-art and focused on trauma centers equipped with the adequate inf- structure (Reulen and Steiger 1994; Weingart et al. 1996; Seidl et al. 1998). The purpose of the present monograph is to analyze and introduce an established therapy concept for craniofacial fractures with anterior subcranial involvement, with reference to the surgical approach and the postoperative results. Of particular interest are etiological, epidemiological, and pathomechanical characteristics in neu- craniofacial injuries.

Neuropathology --- Surgery --- neurochirurgie --- plastische chirurgie --- chirurgie --- stomatologie