Management of Le Fort I fracture

Kim, Hak Su; Kim, Seong Eun; Lee, Hyun Tae

doi:10.7181/acfs.2017.18.1.5

Cited by 12 publications

(11 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3 Therefore, interdental fixation is a key step to restoring normal occlusion and avoiding facial elongation and retrusion. 42 Secondary goals include restoring maxillary buttresses, midface height, midface projection, maxillary arch width, and the integrity of the nose and orbit. 3 It is recommended to wait for the resolution of swelling but no more than 2 weeks to start the repair for earlier functioning, decreased rate of infection, decreased scarring, and fewer overall complications.…”

Section: Diagnosismentioning

confidence: 99%

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

2023

View full text Add to dashboard Cite

The face is one of the most common areas of traumatic injury, making up approximately 25% of all injuries in 2016. Assault, motor vehicle collision (MVC), fall, sports, occupational, and gunshot wounds (GSW) are all common causes of facial fractures, with MVC and GSW leading to significantly higher severity of injuries. Most facial fractures occur in the upper two-thirds of the face. Most facial fractures require timely assessment, diagnosis, and treatment for optimal restoration of facial structures and functions. Without proper initial management, significant complications including immediate complications such as airway compromise, massive bleeding, infection, intracranial hemorrhages, or even death, and long-term complications such as poor functional outcomes and aesthetic setbacks can occur. The goal of this review is to summarize the management of fractures of the upper face, orbit, and midface and provide an update about complications and their management.

show abstract

Section: Diagnosismentioning

confidence: 99%

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

2023

View full text Add to dashboard Cite

show abstract

“…fractures of the maxilla are classified according to the Le Fort classification system (1,(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…The injuries are most frequently related to motor vehicle accidents, fights, sports injuries, and falls. Other risk factors include substance abuse and excessive alcohol use (3)(4)(5)7,8).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of maxillary fractures at Hasan Sadikin Hospital Bandung between 2015 and 2020

Akmal

Nurwiadh

Priyanto

2022

IJMBS

View full text Add to dashboard Cite

Introduction: Maxillofacial trauma includes injuries to the lower, middle, or upper thirds of the face and oral cavity. As these fractures have the potential to cause morbidity and even mortality, they require careful examination and management based on their severity. This study aimed to provide information regarding the number and types of maxillary fracture cases at Hasan Sadikin General Hospital, Bandung. Methods: The design of this study was a descriptive study. Patients diagnosed with unilateral maxillary fractures, palatal fractures, Le Fort I fractures, Le Fort II fractures, and Le Fort III fractures admitted to Hasan Sadikin Hospital, Bandung, from January 2015 - December 2020, were included. Patients with incomplete medical records were excluded from this study.Results: This study found 157 maxillary fracture patients out of 1221 maxillofacial trauma patients treated at the Oral and Maxillofacial Surgery Department of Hasan Sadikin General Hospital between January 2015 and December 2020. Male patients had a more significant number of cases (87.26%). The ages 11 to 20 years had the highest incidence of maxillary fractures (29.29%). Maxillary fractures accompanied by palatal fractures were the most prevalent, followed by Le Fort II fractures and unilateral maxillary fractures (28.66%, 21.01%, and 11.46%, respectively). About 42.67% of patients who experienced maxillary trauma also sustained mild head injuries. The most frequent mechanism of injury was motor vehicle accidents (95.54%).Conclusion: This study reported the prevalence of maxillary fractures at Dr. Hasan Sadikin Bandung between 2015 and 2020 based on fracture types, sex, age groups, head injuries, and mechanism of injury. Future study is required to measure the force, direction, impact mechanism, use of helmets, and types of helmets to prevent maxillofacial trauma. Keyword : Maxillary fracture, le fort I, le fort II, palatal fracture

show abstract

“…Η πδοΝ πδεέθ υθβΝεα Ϊ α βΝ έθαδΝβΝ ε αηΫθβΝοπέ γδαΝπαλ ε σπδ βΝ βμΝ εζβλάμΝ υπ λυαμ ΧεαδΝ εα 'Ν πΫε α βΝ εαδΝ βμΝ ηαζαεάμΝ υπ λυαμΨ,Ν βΝ οποέα,Ν Ν υθ υα ησΝ εαδΝ η Ν οΝ υθο σΝ οέ βηα,Ν ηπολ έΝ θαΝ αποφλΪι δΝ οθΝ αθυ λοΝ α λαΰωΰσΝ εαδΝθαΝχλ δα έΝαεσηαΝεαδΝ π έΰου αΝ λαχ δο οηάή λαχ δο οηέα ΰδαΝ βΝ δα φΪζδ βΝ αυ οτέ Ό οΝ οβζσ λβΝ έθαδΝ βΝ ΰλαηηάΝ ουΝ εα Ϊΰηα ομ,Ν σ οΝ πδοΝ πδγαθάΝ έθαδΝ βΝ η α σπδ βΝ ουΝ εα αΰηα δεοτΝ εοζοίυηα ομΝ πλομΝ αΝ εΪ ωΝ εαδΝ πέ ωΝ απσΝ βΝ λΪ βΝ ωθΝπ λυΰο δ υθΝηυυθέ Οδ απζΫμΝαε δθοΰλαφέ μΝελαθέουΝ υχθΪΝ θΝ έθαδΝ παλε έμ. ΗΝαιοθδεάΝ οηοΰλαφέαΝεαδΝβΝ λδ δΪ α α βΝαθα τθγ βΝαυ άμΝ θ έεθυθ αδΝΰδαΝ βΝ δΪΰθω β ωθΝ παλαπΪθωΝ εα αΰηΪ ωθ (Ebenezer V et al, 2014, Gentile MA et al, 2013, Kim HS et al, 2017, Lee KC et al, 2019, Oliveira-Campos GH et al, 2016, Phillips BJ et al, 2017,ΝΜΪλ βμΝΥ, 1992.…”

Section: κα ϊΰηα ανδEνόortνiunclassified

“…Κα Ϊΰηα αΝLe Fort I (3D αθα τθγ βΨΝΧΠβΰάμΝ https://www.wikiwand.com/en/Le_Fort_fracture_of_skull) ΗΝγ λαπ έαΝποζτΝ πΪθδαΝ έθαδΝησθοΝ υθ βλβ δεά,ΝσπωμΝ δμΝαεσζουγ μΝπ λδπ υ δμ: απου έαΝ βηαθ δεάμΝ παλ ε σπδ βμ,Ν απου έαΝ βηαθ δεάμΝ δα αλαχάμΝ βμΝ ο οθ δεάμΝ τΰεζ δ βμ,Ναπου έαΝ παπ δζοτη θουΝα λαΰωΰοτ,Νυπ λάζδε μΝα γ θ έμΝάΝα γ θ έμΝη Ν ί ίαλβηΫθοΝ δα λδεσΝ δ ολδεσ άΝ Ϊζζ μΝ ίαλδΫμΝ υθο ΫμΝ εαευ δμ πουΝ θυπσΰλαφαΝ αλθοτθ αδΝ χ δλουλΰδεάΝ πΫηία βΝ οδ έ δοδΝ άΝ οδΝ πλυ ουΝ ίαγηοτΝ υΰΰ θ έμΝ ουμ. ΗΝ θ δΰηΫθβΝ γ λαπ υ δεάΝ πλο Ϋΰΰδ βΝ έθαδΝ βΝ χ δλουλΰδεάΝ εαδ,Ν ΪθΝ θΝ υπΪλχ δΝ πδγαθσ β αΝ παπ δζοτη θουΝ α λαΰωΰοτ,Ν υθέ α αδΝ θαΝ ΰέθ αδΝ Ν χλσθοΝ 1ί-15 βη λυθΝ απσΝ βθΝ εΪεω βΝ υ Ν θαΝ υποχωλά ουθΝ οΝ οέ βηαΝ εαδΝ αΝ πδγαθΪΝ υθο ΪΝ αδηα υηα α,Ν θυ πλο δηΪ αδΝ θαΝ ΰέθ αδΝ υπσΝ ΰ θδεάΝ αθαδ γβ έαΝ εαδΝ δαλλδθδεάΝ δα ωζάθω βέΝ ΗΝ χ δλουλΰδεάΝ πΫηία βΝ υθάγωμΝ π λδζαηίΪθ δΝ αΝ αεσζουγα: αθΪ αιβΝ ουΝεα Ϊΰηα ομΝη Νχλά βΝΰθαγΪΰλαμ ουΝRowe Νοπέ γδαΝ θ φάθω β Χ οΝ ΫθαΝ εΫζομΝ οΝ Ϋ αφομΝ βμΝ εΪγ Ν λδθδεάμΝ γαζΪηβμ,Ν οΝ ΪζζοΝ εΫζομΝ βΝ εζβλάΝ υπ λυαΝ θ ο οηα δεΪΨ άΝεαδΝη Ναπζοτ λουμΝχ δλδ ηοτμΝ Ναπου έαΝ θ φάθω βμ, θ ο οηα δεάΝ πλο πΫζα βΝ δαΝ βμΝ ΪθωΝ ουζοχ δζδεάμΝ άΝ πλο οηδαεάμΝ ατζαεαμ Χ πΪθδαΝmidfacial degloving), αγ λοποέβ βΝη Ν ω λδεάΝο ο τθγ βΝΧ υθάγωμΝ mini-plate πέΝ βμΝ πλσ γδαμΝ εα αΰηα δεάμΝ ΰλαηηάμΝ βμΝ ΪθωΝ ΰθΪγουΝ άΝ εαδΝ ωθΝ αυΰωηα οΰθαγδευθΝ αθ βλέ ωθΨ άΝ η Ν π λδαυΰωηα δεάΝ αθΪλ β β,Ν οπογΫ β βΝ πλο οηδαευθΝ σιωθΝ ουμΝ ο σθ μΝ βμΝ ΪθωΝ εαδΝ εΪ ωΝ ΰθΪγου άΝ εαδΝ φζοδ ο δευθΝ ίδ υθ, οπογΫ β βΝ δαΰθαγδεάμΝ αεδθβ οποέβ βμ ΰδαΝ ζ-θΝ ί οηΪ μ. Ν εΪγ Ν π λέπ ω βΝ σχομΝ έθαδΝ βΝ κλγάΝ αθα κηδεάΝ απκεα Ϊ α βΝ πθΝ εα αΰηα δευθΝ ΪελπθΝπΪθ κ Νη Νκ βΰσΝ βθΝκλγάΝε θ λδεάΝ τΰεζ δ βΝ πθΝκ σθ πθΝ βμΝΪθπΝεαδΝ εΪ πΝΰθΪγκυΝη Ν κπκγΫ β βΝ υθάγπμΝπλκ κηδαευθΝ σιπθΝεαδΝαεδθβ κπκέβ βΝ η Νξλά βΝ ζα δευθΝΫζι πθ (Ebenezer V et al, 2014, Gentile MA et al, 2013, Kim HS et al, 2017, Lee KC et al, 2019, Oliveira-Campos GH et al, 2016.…”

Section: κα ϊΰηα ανδEνόortνiunclassified

Συμβολή Στη Μελέτη Συσχέτισης Μεταξύ Της Χρήσης Ζωνών Ασφαλείας-Κράνους Και Του Βαθμού Βαρύτητας Καταγμάτων Του Σπλαχνικού Κρανίου

Αργύρης¹

View full text Add to dashboard Cite

Traffic accidents are one of the most common causes of morbidity and mortality worldwide, especially in the productive ages. Injuries-fractures of the visceral skull are quite common as a result of a traffic accident. The positive impact of the use of seatbelts and helmets in reducing mortality and morbidity in drivers and passengers of cars and motorcycles, respectively, is well known and obvious. The main purpose and object of this study was the correlation between the severity of fractures of the visceral skull in patients who suffered a traffic accident and the use of seatbelts and helmets. A secondary goal was the correlation between the grade of rehabilitation of visceral skull fractures and the use of seatbelts and helmets. The skull is divided into the cerebral and the visceral skull. The bones of the visceral skull include: nasal bones, maxillas, palatine bones, zygomatic bones, mandible, inferior nasal conchaes, vomer, lacrimal bones. The frontal bone, although involved in the formation of the face, belongs to the bones of the cerebral skull. Although the ethmoid bone is involved in the formation of the median orbital wall and the paranasal sinuses, it is considered by many to belong to the bones of the cerebral skull. In this study, the following types of fractures of the visceral skull were assessed according to their location: fractures of the nasal bones and bony nasal pyramid, naso-orbitalethmoid (NOE) fractures, fractures of the zygomatic complex, fractures of the maxillary bone (walls of maxillary sinus, dentoalvelar), mandibular fractures (symphysis / parasymphysis, body, angle, ramus, condylar / subcondylar, coronoidprocess, dentoalveolar), Le Fort fractures (I, II, III, bilateral or unilateral, combined or not), temporomandibular fractures, panfacial fractures. The study involved 120 patients who suffered fractures of the visceral skull after a traffic accident as drivers or passengers of cars or motorcycles and were treated in fully or partially at the University General Hospital of Ioannina from 2015 to 2019. These were 92 men and 28 women. The initial parameters collected, measured and related to the patient and the accident were: age, sex / gender, date of the accident, type of vehicle (car or motorcycle), role / position of the patient in the vehicle (driver or passenger), use or nonuse of safety device (seatbelt or helmet), alcohol effect. The severity of visceral skull fractures was categorized into three severity grades: mild, moderate, high. Mild severity fractures of the visceral skull included: fractures of the bony nasal pyramid, fractures of the walls of the maxillary sinus (except the roof), fractures of the maxillary alveolar processes, mandibular fractures (not including condyle or coronoid process), condylar fractures (without coexisting another fracture in the mandible), fractures of the coronoid process (without coexisting another fracture in the mandible). Moderate severity fractures of the visceral skull included: mandibular fractures involving the condyle or coronoid process and one or more of its other parts (including the possible combination of condylar fractures and fractures of coronoid process), pure fractures of the orbital floor (blow-out & blow-in), zygomatic complex fractures, Le Fort I fractures (including semi-Le Fort I). The coexistence of 2 or more fractures from the following categories was also classified in this grade of severity: fractures of the bony nasal pyramid, fractures of the walls of the maxillary sinus (except the roof), fractures of the maxillary alveolar processes, mandibular fractures. High severity fractures of the visceral skull included: naso-orbital-ethmoid fractures, Le Fort II fractures (including semi-Le Fort II), Le Fort III fractures (including semi-Le Fort III), combined Le Fort fractures, panfacial fractures. Additionally, the parameter of average or total grade of severity of fractures of the visceral skull for each group of patients was created and was equal to the sum of the severity grades for each patient in the group separately by the number of patients in this group. For reasons of completeness, the presence or absence of concomitant injuries in areas other than the visceral skull was also assessed. With regard to the treatment of fractures of the visceral skull, the following parameters were assessed and measured: surgical treatment (presence or absence), date of first or unique surgery, time in days between traffic accident and first or unique surgery, post-operative days of hospitalization, one or more revision surgeries (presence or absence). To assess the grade of rehabilitation of fractures of the visceral skull, criteria were created which could be measured (presence or absence) before and after possible treatment and were as follows: mandibular mobility disorder, maxillary mobilitydisorder (or paradoxical mobility), dental occlusion disorder (malocclusion), cosmetic disorder (strictly due to fractures of the visceral skull). The grade of rehabilitation for each criterion separately could take the following values: complete, partial / none. The overall grade of rehabilitation of fractures of the visceral skull could take one of the following values: complete, partial, none. The results of this study were divided into two categories: drivers and passengers of cars, drivers and passengers of motorcycles. Regarding the group of drivers andpassengers of cars, the following were the main conclusions: The absence of seatbelt use is associated with an increase in the grade ofseverity of fractures of the visceral skull, a relationship that was statistically significant (p<0.05). The absence of seatbelt use is associated with an increased need for surgical treatment of visceral skull fractures, a statistically significant relationship (p<0.05). Additionally, the absence of seatbelt use is associated with an increased need for 2 or more surgeries to treat visceral skull fractures, but this relationship was not statistically significant (p>0.05). The presence of seatbelt use is associated with a higher grade of rehabilitation of visceral skull fractures, but this relationship that was not statistically significant (p>0.05). Regarding the group of drivers and passengers of motorcycles, the following were the main conclusions: The absence of helmet use is associated with an increase in the grade of severity of fractures of the visceral skull, a relationship that was statistically significant (p<0.05). The absence of helmet use is associated with an increased need for surgical treatment of visceral skull fractures, a statistically significant relationship (p<0.05). Additionally, the absence of helmet use is associated with an increased need for 2 or more surgeries to treat visceral skull fractures, but this relationship was not statistically significant (p>0.05). The presence of helmet use is associated with a higher grade of rehabilitation of visceral skull fractures, but this relationship was not statistically significant (p>0.05). The results of our study demonstrate the value of using seatbelt and helmet inpreventing and reducing the morbidity of patients who have been involved in a traffic accident, especially in terms of visceral skull fractures. We hope future studies to be conducted with similar goals, which will probably overcome possible weaknesses of our study and with their conclusions will once again confirm the value of the use of seatbelts and helmets by drivers and passengers of cars and motorcycles respectively further consolidating their use.

show abstract

Management of Le Fort I fracture

Cited by 12 publications

References 5 publications

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

The prevalence of maxillary fractures at Hasan Sadikin Hospital Bandung between 2015 and 2020

Συμβολή Στη Μελέτη Συσχέτισης Μεταξύ Της Χρήσης Ζωνών Ασφαλείας-Κράνους Και Του Βαθμού Βαρύτητας Καταγμάτων Του Σπλαχνικού Κρανίου

Contact Info

Product

Resources

About