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Related Experiment Videos

Le Fort fractures without mobility.

J J Romano1, P N Manson, S E Mirvis

  • 1Division of Plastic Surgery, Maryland Institute for Emergency Medical Services Systems, Baltimore.

Plastic and Reconstructive Surgery
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

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Le Fort fractures without maxillary mobility are uncommon, often presenting with zygomatic fractures and malocclusion. Diagnosis relies on CT scans, with treatment ranging from observation to surgical intervention.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Radiology

Background:

  • Le Fort fractures are significant midface injuries.
  • Fractures without maxillary mobility represent a specific subset, accounting for 9% of observed maxillary fractures.
  • These injuries often involve high Le Fort (level II or III) patterns.

Purpose of the Study:

  • To describe the characteristics of Le Fort fractures presenting without maxillary mobility.
  • To outline diagnostic findings, particularly on CT.
  • To review treatment modalities for this specific fracture type.

Main Methods:

  • Retrospective analysis of maxillary fracture cases over a 3-year period.
  • Clinical examination for physical findings like ecchymosis and malocclusion.

Related Experiment Videos

  • Computed Tomography (CT) imaging for fracture pattern and sinus fluid assessment.

    • Main Results:

    • Le Fort fractures without maxillary mobility occurred in 9% of cases.
    • Commonly associated with unilateral zygomatic fractures.
    • Clinical signs include bilateral eyelid ecchymosis and various malocclusions.
    • CT scans reveal subtle unilateral or bilateral fractures, often with maxillary sinus fluid.

    Conclusions:

    • Le Fort fractures without mobility are distinct injuries requiring careful diagnosis.
    • CT is crucial for identifying subtle fracture components and associated fluid.
    • Management varies from conservative observation to surgical fixation.