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The edentulous Le Fort fracture
W A Crawley1, P Azman, N Clark
1Division of Plastic Surgery, University of Maryland Shock Trauma Center, Baltimore 21201, USA.
The Journal of Craniofacial Surgery
|July 1, 1997
Summary
Treating comminuted Le Fort fractures in edentulous patients requires careful attention to maxillomandibular fixation. This technique is crucial for achieving optimal aesthetic and functional outcomes, similar to establishing occlusion in dentulous patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Le Fort fractures are significant facial trauma.
- Edentulous patients present unique challenges in managing these fractures.
Purpose of the Study:
- To evaluate treatment outcomes for edentulous patients with Le Fort fractures.
- To identify key factors for successful management.
Main Methods:
- Retrospective review of 328 Le Fort fracture cases.
- Analysis of treatment methods and outcomes in 20 edentulous patients.
Main Results:
- Conservative and open reduction techniques can lead to deformities in comminuted fractures.
- Maxillomandibular fixation effectively minimized deformities by relating the maxilla to the mandible.
Conclusions:
- Establishing proper maxillomandibular relationships is critical for treating comminuted Le Fort fractures in edentulous patients.
- This step is as important as achieving occlusion in dentulous patients for optimal results.