A Review of Hard Palate Fracture Repair Techniques

Malocclusion after open reduction of midfacial fracture: a case report

“…The treatment goals of these fractures include reconstruction of a stable and adequate maxillary arch width, correct arrangement of the teeth, and placement of proper inclination to the alveolar bone8. For palatal fractures, the complication of malocclusion can be minimized using a simple and effective palatal splint during the open reduction and internal fixation procedure9. In the present case, the diastema persisted due to insufficient reduction of the anterior palatal suture.…”

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“…Palatine fractures are most frequently managed with plate fixation of the alveolar ridge associated with either closed reduction of the palatal vault with circumdental wiring or open reduction with internal plate fixation [2]. More recently, external fixation [2] techniques have been described [4,5].…”

Maxillary and Palatal Fracture With Near-Avulsion of Bone Fragment-Case Report

“…Principles of treatment in this type of injuries include exploration, debridement of devitalized tissue, generous wound irrigation and reduction of fractures achieving dental and bone stabilization. Although the maxilla is commonly involved in facial trauma, fractures of the hard palate are relatively infrequent and require high-energy trauma [2,3]. The management of maxillary and palatal fractures requires achievement of dental stability and previous occlusion as well as restoration of height and projection of the midface.…”

“…According to a 2016 systematic review by Moss et al [2] of 310 patients with hard palate fractures, sagittal or Type I fractures account for the vast majority of the fractures described in the literature (89%), while transverse or Type II fractures, as in the one we describe, are the least frequent of the three types, accounting for only 5% of the cases, with comminuted or Type III fractures accounting for the remaining 6% of the cases [2]. Palatine fractures are most frequently managed with plate fixation of the alveolar ridge associated with either closed reduction of the palatal vault with circumdental wiring or open reduction with internal plate fixation [2]. More recently, external fixation [2] techniques have been described [4,5].…”