Giuseppe Spinelli

Post-traumatic reconstructive surgery


Reconstructive Surgery

Post-traumatic reconstructive surgery of the oromaxillofacial district refers to those interventions aimed at restoring as much as possible the pre-existing morphological condition and functional capacity to the trauma.

The main features are:

  • Breathing
  • Swallowing
  • Chewing
  • Phonological

The most common post-traumatic deficit is the deviation of the pyramid and the nasal septum.
In these cases it can be indicated to perform a septorinoplasty.


Another common condition in trauma outcomes is the presence of unsightly, hypertrophic or reddened scars, which can be surgically corrected.

In the case of more severe traumas, deformities of the face may or may not be associated with loss of substance. In these cases it may be indicated to perform an osteotomy of the zygoma and its repositioning, and in more serious cases with loss of substance bone grafts or revascularized free flaps.

In the event of facial nerve deficiency with asymmetry of the face, corrective interventions and static or dynamic suspension of facial tissues are possible.

Often due to facial traumas one or more dental elements are lost, in this case it is possible to place osteointegrated titanium implants on which a prosthetic item will be fixed to restore the dental arches. If a bone loss coexists, a bone graft can be performed, with procedures to be defined based on the specific needs of the individual patient.