![]() Adequate initial resuscitation and stabilization of fractures may improve the morbidity and mortality of these sever injuries.įacial fractures Le fort Resuscitation Trauma. Le Fort III fractures are rare but critical injuries that require intensive resuscitation and a multidisciplinary approach to achieve wholistic and appropriate management of these patients. Complications in the treatment of midfacial fractures. Discussion: This case report walks through step-by-step the management approaches at each stage thereby assessing and managing the outcomes of each diagnosis. Ankylosis of the coronoid process to the zygomatic bone: a case report. The morbidity and mortality of these severe fractures is high but with appropriate resuscitation and adequate stabilization of the fracture, this may be improved on and lowered.Ī male sustaining multiple stabs to the face presents to a level one trauma emergency unit haemodynamically unstable/abnormal with a threatened airway and stridor. This makes them difficult to manage and requiring a definitive sequence of resuscitation and thorough secondary and tertiary surveys thereafter. Le Fort I fracture (horizontal), otherwise known as a floating palate, may result from a force of injury directed low on the maxillary alveolar rim, or upper dental row, in a downward direction. ![]() In those rare 20% occurrences, the Le Fort III fractures are the least common and are highly associated with injuries of the cervical spine, intracranial, and internal neck structures. Case presentation: A 19-year-old woman was. Le Fort fractures occur in approximately 20% of facial fractures and result from a high velocity/force mechanism of injury. In this case report, we describe a less traumatic NTI approach using maxillary downfracture of Le Fort I osteotomy. Note: In case of concomitant mandibular fractures, the integrity of the mandible should be restored as a first measure. ![]()
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