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Fractures of the nose, base of the skull, or maxilla may be associated with profuse nosebleeds. [1] Nasal fractures may be associated with deformity of the nose, as well as swelling and bruising. [2] Deformity in the face, for example a sunken cheekbone or teeth which do not align properly, suggests the presence of fractures.
The Le Fort I fracture (horizontal maxillary fracture) consists of a horizontal fracture through the pterygoid plates and maxillary bone between the hard palate and the orbits. [5] Involvement of the nasal aperture differentiates this fracture from the other two Le Forts. [5] Historically, this fracture was eponymically known as a Guérin ...
A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma, particularly those affecting the mid-face.
Fractures with displacement require surgery consisting of fracture reduction with miniplates, microplates and screws. Gillie's approach is used for depressed zygomatic fractures. [5] The prognosis of tripod fractures is generally good. In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment. [6]
Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. [1] It may result in a decreased ability to fully open the mouth. [1] Often the teeth will not feel properly aligned or there may be bleeding of the gums. [1]
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
Dentoalveolar fracture (segmental) Fracture of the maxilla: Le Fort fracture, zygomatic fracture, orbital blowout; Fracture of the mandible; Trauma injuries involving the alveolus can be complicated as it does not happen in isolation, very often presents along with other types of tooth tissue injuries. Signs of dentoalveolar fracture: Change to ...
In some instances, maxillary fractures are a combination of two or three Le Fort types. Although this system of classification is considered somewhat simplistic today, it is still widely used in oral and maxillofacial surgery. It was modified by Robert D Marciani in 1993 to more precisely define Le Fort fracture patterns. [6]