10/3/2023 0 Comments Le fort fracture case reportThe submentovertex (SMV) and Towne’s view can also be obtained to help delineate fractures not seen on the other views ( Fig. Open reduction and fixation through a coronal incision produced good functional and esthetic postoperative results. The facial bone series consists of three to five projections, including the lateral cephalic, Caldwell’s lateral oblique, and Waters’ views. By reconstructing the facial buttresses, the facial esthetics and function were restored. The clinical findings, including the results of 3-dimensional computed tomography, revealed bilateral Le Fort I + II fractures, a sagittal fracture of the upper jaw, NOE fractures of Markowitz's type II, and a mandibular symphysis fracture. We treated a case of severe panfacial fracture with no evidence of skull base injury. The optimal timing for operative management of facial fractures remains controversial. ![]() Early reduction and accurate repositioning undoubtedly produces the best results, but primary repair may not be possible in severely injured patients. Anterior and posterolateral margin of left maxillary sinus are broken. Bilateral fracture of anterolateral margins of nasal fossa indicates bilateral Le Fort 1, and fracture of left inferior orbital margin indicates left Le Fort 2. CASE REPORT A case of a 55-year-old male is presented here, who presented in Emergency Department of a tertiary care hospital with complaints of nausea, vomiting and headache after being hit accidentally by a hammer on his head while working at a construction site. Because of the complex anatomy neighboring the anterior cranial fossa and other existing injuries, these fractures may often be misdiagnosed or inadequately treated. Coronal images show bilateral fracture of pterygoid processes, that highly suggests Le Fort fracture. Panfacial fractures are defined as fractures involving at least three of the five facial segments(frontal, upper midface, nasoorbitoethmoid(NOE), lower midface, and mandible).
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