Sagittal Fractures of the Maxilla and Palate

Manson, Paul N.; Shack, R. Bruce; Leonard, L; Su, C T; Hoopes, John E.

doi:10.1097/00006534-198310000-00011

Cited by 41 publications

(21 citation statements)

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“…As with other fractures of the facial skeleton, the most usual correction is by open reduction and rigid internal fi xation. 1,3 Management by closed reduction is quite rare since the majority of palatal fractures are usually associated with severe midfacial fractures.…”

Section: Commentmentioning

confidence: 99%

“…1 A fracture of the palate in this plane requires signifi cant energy and as a result it is commonly accompanied by other complex facial fractures. 2 Sagittal fracture of the palate may be seen in isolation or associated with comminuted Le Fort fractures.…”

Section: Introductionmentioning

confidence: 99%

“…2 Sagittal fracture of the palate may be seen in isolation or associated with comminuted Le Fort fractures. 1 A relatively large series accumulated in a four-year study comprised 376 cases of midfacial fractures of which only 8% had palatal fractures. 3 …”

Section: Introductionmentioning

confidence: 99%

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Orthodontic management of a Le Fort II and midline palatal fracture

2007

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Section: Commentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Orthodontic management of a Le Fort II and midline palatal fracture

2007

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“…These fractures may occur as isolated injuries but are more commonly associated with comminuted midfacial fractures (1).…”

Section: Résumémentioning

confidence: 99%

Sagittal fractures of the palate: A new method of treatment

Wells¹,

Oishi²

1995

CAN J PLAST SURG

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MD Wells, S Oishi, M Sengezer. Sagittal fractures of the palate: A new method of treatment. Can J Plast Surg 1995;3(2):87-92. A new technique is described for stabilizing complex vertical fractures of the maxilla. Advantageous use of the comminuted fracture pattern of the maxillary buttresses allows the maxilla to be divided into two parts at the Le Fort I level. With intermaxillary fixation applied, stabilization is achieved by applying miniplate fixation to the nasal side of the hard palate. The maxilla is reduced to the previously stabilized anterior midfacial buttresses with plates and screws. Comminuted segments of defects in the anterior buttresses are replaced with contoured calvarial grafts. This method has the advantage of maintaining transverse palatal width in a rigid fashion without the need for further osteotomies. It has satisfactorily restored preinjury occlusal relationships in six patients, without the need for dental splints. In no instance has hardware extrusion occurred after fixation.

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“…Palatal fractures are relatively rare but generally occur along with maxillary fractures. The average incidence of palatal fractures combined with maxillary fractures ranges from 8% to 20% [3][4][5][6] , although a much higher incidence has recently been reported (46.4%) [7] . Although various techniques in managementhave been described in the literature, ranging from invasive open reduction and internal fixation (ORIF),Kirschner wire fixation,tonon-invasive techniques such as stabilization of the maxillary arch using an arch bar, transpalatal wiring, [8] intraosseous wiring, acrylic splints,andintermolarwiring,all have inherent difficulties and drawbacks.…”

Section: Introductionmentioning

confidence: 99%