A case of complex facial trauma (PLASTIC SURGERY)

[dneira29]

is it surprising that I can watch this while im eating?

[hunter7483]

what about the marginal mandibular nerve !

wrong approach. consult any maxillofacial surgeon for the right approach.

[primigenio1]

@hunter7483 With proper kowledge of anatomy you can approach the mandible throug an external route. Tha marginal branch lies jus unterneath the platysma, if you kno the local anatomy and if you use a blunt dissection technique you can avoid injury...

[tinedsl]

that is bad. did she get hit by someone or fell down the stairs? she looks awful :(

[Juicyberry10]

I wanna be a surgent after my senior year in highschool does anyone know how long the school for it would be?

[iranianboy123]

Im fine with blood, and with skinning animals after hunting like deer and birds, but for some reason i still get shivers when i see big gashes and open wounds on humans

[Davidtodor1]

dont tell me this took 9 minutes... pro

[TheMarine1314]

that man got knocked the fuck out

[HumbleRoyalty]

I would have liked to see what he looked like afterwards... poor guy... Thank God for good doctors like these. 

[IDrop76]

....this guy has more screws in his face than the drywall in my apartment, props to the doctors, they always have a backup job in construction if they ever need it hahaha

[shizzyorleone09]

Top work from the surgeons!! Musta been hard walking into that but they pulled it off in flying colours :D

[tubelover155]

Doctors have great strong heart. i can't see it.

[kylebielaproductions]

i wonder what happened to this guy?

[vsdeh]

Heroes!!!

[FireRed808]

Im confused..what exactly are they doing?

[TheGunnergator]

Nor is it for the faint of stomache.

[SHESGOTHICOMG]

yuk

[lucastijuca]

sofri um acidente parecido tem 1 mes agradeço a deus aos cirurgioes q

[items419]

I want to be a surgeon

[animelover000111]

I was like OMG they just sewed her eye together! Well done Doctors

[Markofitch]

@animelover000111 they sew the eye together so it wont be on their way when placing the brackets....

[items419]

@animelover000111 Did you notice it said temporary?

[psychogrl3]

that was................disturbing but ok i can handle it by the way good job and amazing work but where is the eye!?!

[Zovlanov]

wow!,it's a lot of work...

[Markjulian1007]

music name plsssss

[lyraelx]

fuck they're basically butchers and tailors

[cindy925ya]

where is the eye?

[cindy925ya]

this is soooo difficult

[matt301273]

Fucking amazing. Nice work.

[jaszeeweili]

actualy what is this video about? this person have an acident or want to slim down ? zzzz.z

[abackfascist51]

brilliant techniques. thanks 4 sharin, have any of you tested MACs latest product line? its hard to get good makeup in Hamilton yet you can obtain some impressive samples by checking out "Gratis-Makeup-Samples"! theyre cool!

[XxTheHardCoreGamerxX]

i feel sory for her

[Lkomodo]

THis is not for the faint of heart. 

[svenno0007]

@Lkomodo dude watch bestgore.com

[kattysteph]

daaaaaaaaaamn!!

[SecretSurgery]

Great video - Real experts... Have a look at my webpage the address is on my channel

great plastic surgery results in Europe :)

[chocklate22]

Astonished!!

On the progress made by medical sciences to save the patients lives.

Absolutely marvelously done by the doctors....and Bravo

to the patient as well for the excellent cooperation.

I had a similar procedure done like this to me on 10th Feb 2007 after following a terrible head on collision with a truck.

With # Lefort 3 fracture on right side and # Lefort 2 fracture on left side and with a fractured mandible,and both right hand and left hand fracture.

But thanx to the team of Doctors

[sneakyfacsim]

I wasn't sure about my procedure but I got some good info on plasticsurgerymadeeasy (.) com

[xtwitwi]

Wow , if there isn't any music , i think i'm going to puke LOL .

[dida079]

@xtwitwi hahaha i know..the music was a weird choice but worked somehow take the focus of the slicing and drilling...amazing though how its done

[WeDoFaces]

Thank goodness for your ability to help. --Dr. Edward Gross

[wwwangel28]

Thank you for the video. I'm learning about craniofacial reconstruction in college now and this was very similar to what my Professor was talking about in class.. I'm sure the patient had a very great recovery, God Bless!!!

[andycavaco]

Discussão idiota de quem sabe ou nao sabe operar. com treinamento adequado qualquer ser humano é capaz de fazer cirurgias complexas.

mas como sempre acontece sempre aparece alguem querendo desmerecer a competencia alheia.

[thetanglefairy]

Incredible! Would have been nice to see the result after.

[thetanglefairy]

Incredible! Would have be nice to see the result after.

[dmytrocool]

can someone pleas tell me when do they put in the Silicon

[TheMimiWeeny]

I could barely look, that made me sqeamish. Oh god...

[sapphire86401]

Poor girl, this gives you the visual on what damage can be done to the face. I would assume she was involved in a automobile accident. Big thanks to the doctors out there willing to put the pieces together.

[malroman]

Beautyful music...

[kaz287]

wow these guys must have some bottle doing this

[keekue12]

what happened to this person??

[andreafalgui090708]

kuddos to the surgeon and doctors who made this surgery possible!

[MidoriFan10]

Where is his eyeball...?

[Kittyslasher69]

drunk drivers should be sent to siberia!

[EmotionalShredd]

man what hapopen to this guy? did he got beaten up

[wildmanchris200]

The girl is CUTE!

[goinforbroke1]

Quite a bit of erroneous information here. Oral and maxillofacial surgeons with just a DDS or DMD degree do every bit of this stuff, and far more, everyday in the good old USA......and most often, right by themselves. An MD degree does not magically empower the surgeon with superior, or even adequate, experience and skill. I've been doing it for 35 years. Don't know how good I'd be with an MD degree.

[ruadmin28]

thats nasty

[ferdinandneurologic]

Well....not good at all. Plastic surgeon is the best! We do mandible from intraorally, transconjuctivally and make transcranially so no more visible scar. These guys are good but there are many better ones!

[rmgj]

@ferdinandneurologic Wow, mandible from transcojunctivally¡¡¡¡¡ that is new one.

[mallardhead]

incredible!

[surgicalres96]

These guys are my inspiration, I'm not going into maxillofacial though...

And wow he has a fantastic sounding name!

[shinyztar6]

oh wow

[boomrsoonrupinyoze]

The music to this is odd...

[R0NHARRELL]

what the hell happend to this guys or girls face?

[16and30]

omg

[petrhsr]

Mechanism of injury? My money is on automobile accident. Either that, or someone beat his face in with a lead pipe.

[hman9981]

did the patient lose an eye? Damn, I don't see any eyeball in that one socket, just blood.

[WarrenAch]

Ok,to the uninformed people here,an Oral and MaxilloFacial Surgeon holding both DDS or DMD/MD degrees + a fellowship in trauma CAN perform this kind of surgeries.They don't perform these kind of complicated cases alone,they cooperate with other specialists as well(orthopedic/Ent surgeons mostly.)

Just like a NeuroSurgeon performing some cases with Orthopedics specialists when it comes to Neuro/spinal surgeries.

[MrBrickmaniac]

Great vid, next time though pls sub music for commentary, and limit the theatrical time lapses.

[Cypress1983]

Beautifully done. I do wonder what the mechanism of injury was...

[cryptococo]

maxilofacial

[janetandmatthew]

Is there more? I would like to see the finished results of the patient. Those were a lot of screws.

[Ramiammoun]

nice work, that was a very difficult case.

[sco40]

that is graphic. LOL

[MsJjg1]

Also, a BIG thanks to all the staff that worked with and are still working with me at UAMS in Little Rock, Arkansas. You guys are GREAT... THANK YOU, THANK YOU !!

[MsJjg1]

I LOVE my surgeons. Big thanks and much love to Dr. Brendan Stack,MD, ENT specilist, and Dr. Emery Vural, MD, plastic surgeon, at UAMS Maedical Center In Little Rock Arkansas. I had facial trauma and I am still in the reconstructive stage, but if I didnt have faith that my doctors could do it, I woulnnt have come this far. I too had to have my teeth removed and I had to have a trach to breath.

[lty2k84]

very nicely done.

[hardhitter0421]

Dear Italian Doctors,

You didn't just go to school you actually became quality doctors. I envy your talent and thank you for restoring back some of my faith for the medical surgical profession for which I have little here in the USA...I have my reasons. Ringrazio i medici Dr. Carmine Taglialatela Scafati, dottor Enzo Facciuto, Dr. Michele Mangone e il dottor Paolo Grulliero si possono passare i vostri talenti per gli altri ed essere benedetti.

[montee357]

Great Job surgeons !!!

This Guys Lower Jaw was driven into His

Upper Front Teeth.

Could Of Been A Kick To The Lower Jaw.

Look At The first Scan Picture.

Great Job Surgeons !!!

[zaidmustafa]

i dont get it if a plastic surgeon can do any maxillofacial surgery exept the oral suergry so why peaple bother to invent the maxillofacial speciality?

[marcinjbus]

man, you're clueless...

[WarrenAch]

Maxillofacial surgeries are made by oral and maxillofacial surgeons,which have earned an D.D.S. or D.M.D. and M.D. degrees.They are not plastic surgeons,since their job is not to "re-do" someone's face.

The ones featured in this video are M.D. holders trained as plastic surgeons,a different story...

[rmgj]

Silly you, try and do some reading, who invented plastic and reconstructive surgery? by any chance, have you heard about Kazanjian? it is one of the stupidest never ending arguments, nowadays the face surgery is heavily conte$ted, Trauma surgeons, ENT surgeons, orthopedic surgeons they all have shown intere$t, OMF surgeons have the dental training under their belts and having concentrated efforts on a rather small (but complex) area allows them to gather a wealth of undiluted knowledge.

[chico0130]

incredible...I hope the person recovered well.

[freemusicblogg]

Wow, scary! Where are from these fractures? Car accident, or what?

[santimolinam]

With that huge approch i woud put 2 titanium plates instead of lag screws. That´s the difference between plastic surgeons and maxillofacial surgeons...i would done by an intraoral aprproch. Yeah AMBUMANI00RAMADOS...facial nerve damage not cause dead. but its cause a facial palsy...and a huge law issue in my country.

From there u can see mandibular inferior border...and the occlusion???????.

Oh...ORAL AND MAXILOFACIAL SURGERY IS A DENTISTRY SPECIALITY!!

[Mcflashes28]

that is fucking awesome!!!

[pwwang]

Meanwhile....... these hotshot plastic surgeons are accessing the mandibular fracture through an extraoral approach, and NOT HAVE ANY CONSIDERATIONS FOR THE MARGINAL MANDIBULAR NERVE. Good job, plastic surgeons.....great doctors.

[primigenio1]

by means of surgical loops u r able to see and avoid any damage to the marginalis mandibulae

[ambumani00ramadoss]

ya, marginal mandibular nerve damage is life-threatening ;)

[primigenio1]

Atraves el abordake externo, puedes controlar el borde inferior de la mandibula, cosa fundamental para una buena reduccion de la fractura. Habria podido lograr el accesso a la fractura por via transconjuntival, pero el abordaje por via subciliar deja una cicatriz casi invisible.

[rntonp]

Those must be those new Ninja surgeons. I think they undergo additional training at the Iron Chef institute, in order to gain surgical speed....

[rntonp]

ironic choice of music ... since it was a piano that fell on his face to begin with.

[ruthytuty15]

lol

[feargaucho]

this is a MAXILLOFACIAL SURGERY and not a plastic surgery.

[primigenio1]

maxillofacial surgery is a branch of Plastic Surgery, indeed

[feargaucho]

MAXILLOFACIAL SURGERY is a branch of DENTISTRY, neither relation with medicine or plastic surgery.

[primigenio1]

no my friend...see MATHES Plastic Surgery (the biggest textbook in th field of plastic surg) nd u will discover that almost two volumes are dedicated to maxillofacial surgery. The fact is that some dental practioners and/or oral surgeons see maxillofacial surgery as their "last" chance to be medical doctors or some kind of surgeons.

[feargaucho]

MAXILLOFACIAL SURGERY has a relation with teeth, occlusion and facial deformities. who study this are the DENTIST and not a plastic surgeons (botox doctor), incompetents for this practice. This is the fact.

[ambumani00ramadoss]

well said bro. although i have nothing against dentists, most of them do not realise that great work can be done in their speciality without harboring pretensions about overtaking plastic surgeons, who hav toiled decades to gain 1 of the hardest degrees man can aspire to gain.. Get over your complex, dudes

[andreiexplo]

in my coutry, to become a maxillofacial surgeon, you need two licenses

both medicine and dentistry

so they are great doctors

[feargaucho]

in my contry, the maxillofacial surgery is a branch of dentistry, neither relation with medicine.

[xcskimonster]

It may be a branch of dentistry, but many oral and maxillofacial surgeons have both a DDS and an MD...

[plattenr]

most max/facs surgeons r dual qualified, and get pissed off with people stepping on their toes, especially ENT surgeons, contary to popular belief, dentists do not want to be medics, as the majority have their heads up their own arse...........

[ambumani00ramadoss]

dual qualification does not mean a medical & a dental degree, it means you get a basic dentistry and then a further board certification in OMFS...If not for ENT surgeons, you think dentists can access the skull base? And sinus/nasal bridge trauma etc necessarily requires ENT guys to "step" into OMFS territory

[MidEngine4Life]

@ambumani00ramadoss Check your sources, DUAL degree oralmaxillofacial surgeons do go to dental school first, but then do an accelerated MD program given the similar basic sciences training from the 1st two years of dental school.  They do gen surg as well in addition to their OMFS training. They have BOTH MD and DMD/DDS degrees...hence dual degree.

[krissolimmo]

@ambumani00ramadoss

U are full of shit. Most OMs surgeons n the UK and Australia and NZ have dual qualifications in both Med and Dental and can perform this surgery alone. You should do some reading before opening your big mouth

[rmgj]

@ambumani00ramadoss Well, here we go again, there are parts of the world where oral and maxillo facial surgeons are first medical doctors, then specialize in dentistry then train as oral and maxillofacial surgeons, Spain is one of these countries, training varies from hospital to hospital, some OMFS surgeons from Germany perform those kind of surgeries, it is the surgery, not the origins of the surgeon, if "dentists" perform great surgery, more to their merit.

[ambumani00ramadoss]

dude, oral & maxillofacial surgery is a branch of dentistry in ALL countries, although plastic surgeons do many of the major reconstruction work, with OMS surgeons chipping in in the maxillray/mandibular work..its always a joint effort. Of course both r exciting fields. just wanted to clarify things.

[BAC1001]

i know that country aint USA.... docs here suck!

[Nipponkoku]

You should watch your mouth. The doctors here DO NOT suck. We have very skilled physicians and surgeons and I thank God every day we have their skills. Our healthcare and insurance systems SUCK.

Please be more sensitive to those who go through years of hard, expensive, rigorous training to save your life when something goes wrong.

[dark1secret]

@Nipponkoku Great reply. A bit late, but thank's anyway.

[hamzaju]

@primigenio1 : & it is also a branch of dentistry, this is the truth..

[hamzaju]

@primigenio1

[mostoverde]

NO estoy de acuerdo con el abordaje de la mandibula,  una fractura muy sencilla, para acceder por la piel. Mejor dos placas que los tornillos pasantes, la fractura de orbita se pudo resolver por via intraoral. Lima Perú.

[mrdude999]

Bravo!

[bluegorillalover]

did they touch the patients eye att all?????

[Malachayas]

Sounds like music from a silent movie.

[martuzzelle]

oh my god!!!!!!

[mamanotala]

I have three things to say

.1 good work

.2 that was kind of gross

.3 how did the victims facial bones break

[primigenio1]

motorbike accidet

[KirbyPwnz13]

What kind of doctors are these? Oral Maxillofacial Surgeons, or plastic surgeons?

[takahashidmd]

They are and should be Maxillofacial Surgeons. Plastic Surgery residency does not manage bones, only soft tissue. Altough some train themselves to treat maxillofacial trauma. greetings.

[primigenio1]

both

[123wendykins]

A great job, doctors! I hope your patient made a full recovery, and it's good to see surgeons like their power tools, too!

[grinningsmiley]

Very nice underground music!

[manochicodamooca]

Buco maxilo or Plastic sugeron?

[thebear888]

Man what happened to this guy

[bucetapussy]

congratulatons.. marvelous job. i got myself emotionated

[bucetapussy]

very lovely video.. nice audio.. besides i'd prefer the original audio.  thanks god there's trauma doctors... JESUS

[624josh]

my surgery it took one hour to stitch my face back together it s a pain they got me taken some weak hydrocodone a subsitute for lortab lol

[RamseyPete]

Nice video! I just had similar surgery performed three days ago and I am soooo glad that I waited until AFTER the procedure to view your video. I was told everything that would happen, but seeing this provides a whole new perspective. Ouch! :-)

[teamhuman2]

im watching it before surgery is on tue acute anterior wall maxillary antrum ,posterior lateral air fluid left sinus comminuted fracture zygomatic arch depretion fragments later wall fracture possable blow out fracture of left orbit ,i got attacked by some sadistic type idiots 6 of them i think i got hit with a metal bat !!..wtf!!..

[ilovebobthecat]

omg I am a nurse and I am feeling cool and clammy after two minutes

[mankurdos]

what was with him???

[miproyecto]

any idea how long was the whole surgery?

[miproyecto]

great video, what is the name of this melody?

[napleslivesurgery]

Piano Sonata No. 3 in B Minor Opus 58, 2 Allegro Maestoso

[rmgj]

If at all possible, Could we possibly know the name of the author, please?

[falangar]

inkreible

[Justbe]

nicenice niceeeeee videooooo

thank youuuu