Abstract Two cases of initially undiagnosed silent fractures of the medial wall of the maxillary sinus complicated by a delayed osteomyelitis are presented. The presenting feature was periorbital cellulitis. [ncbi.nlm.nih.gov]

The size and location of the mobile segment may identify which type of Le Fort fracture is present. If only an isolated segment of bone is mobile, a small alveolar or nasofrontal process chip fracture may be present. [emedicine.medscape.com]

A detailed description of the bony maxillary framework is presented in Relevant Anatomy. Presentation History Information regarding the mechanism of the injury may assist in determining a diagnosis. [oralmaxillo-facialsurgery.blogspot.com]

Ocular injury is present in most midfacial fractures and is common in midfacial trauma. [pocketdentistry.com]

• Chronic Infection

  (부, accessory) (비, nasal) 동의(만성)농양((chronic)abscess of sinus) (부, accessory) (비, nasal) 동의(만성)축농증((chronic)empyema of sinus) (부, accessory) (비, nasal) 동의(만성)감염((chronic)infection of sinus) (부, accessory) (비, nasal) 동의(만성)화농((chronic)suppuration of sinus [dic.impact.pe.kr]

• Periorbital Ecchymosis

  Maxilla moves as a whole when grasped above upper teeth Crepitus LeFort II Face appears abnormally long Periorbital ecchymosis Central face moves as a whole when grasped above upper teeth Crepitus +/- diplopia, enophthalmos Step-off deformity of inferior [fprmed.com]

  Clinical features: Soft tissue oedema over the frontal region, periorbital ecchymosis and oedema; Soft tissue contusions and/or lacerations over the frontal and glabellar regions. [rch.org.au]

  “Panda facies” within 24 to 48 hours • Bilateral circumorbital/periorbital ecchymosis and gross edema ’Racoon eye • Gross circumorbital edema will prevent eyes from opening • Bilateral subconjunctival hemorrhage • tenderness and separation at the frontozygomatic [slideshare.net]

  Clinical investigation Midface fractures are characterised by symmetrical facial swelling, bilateral periorbital ecchymosis and bilateral subconjunctival/ periorbital haemorrhages (raccoon signs) with flattening and elongation of the midface. [racgp.org.au]

• Fracture

  Deepak Kumar Gupta, Consultant Dental Surgeon at Shri Anandpur Charitable Trust Hospital, Gwalior Published on Sep 6, 2015 Maxillary fracture 1. Maxillary fracture Deepak K Gupta 2. [slideshare.net]

  They are the second most common facial bone fracture after nasal bone fractures. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. [radiopaedia.org]

  In most instances, maxillary fractures are a combination of the various Le Fort types. Fracture lines often diverge from the described pathways and may result in mixed-type fractures, unilateral fractures, or other atypical fractures. [oralmaxillo-facialsurgery.blogspot.com]

  PURPOSE: This study used a biomechanical model to examine fundamental questions about rigid plate fixation treatment for maxillary Le Fort I fractures. [ncbi.nlm.nih.gov]

  Maxillofacial fractures can cause complications when not treated properly. These fractures can be treated with open surgery or closed therapy. In an open procedure, the doctor opens up the fracture site and sets the fractured bones manually. [docdoc.com]

Although they represent serious injuries, the workup and treatment of facial fractures is often properly delayed until more pressing problems have been addressed, such as the establishment of an adequate airway, hemodynamic stabilization, and the evaluation [rad.washington.edu]

Workup Laboratory studies Laboratory studies should be ordered based on the patient's medical history, current condition and planned surgical procedure. [emedicine.medscape.com]

What is Open/Closed Treatment of Palatal or Maxillary Fracture: Overview, Benefits, and Expected Results Definition & Overview Open or closed treatment of palatal or maxillary fractures is one of the treatment methods for maxillofacial fractures. [docdoc.com]

PURPOSE: This study used a biomechanical model to examine fundamental questions about rigid plate fixation treatment for maxillary Le Fort I fractures. [ncbi.nlm.nih.gov]

[…] and prognosis If needed, closed or open reduction methods can be performed with the goal of treatment being preservation of normal facial structure, sensory function, globe position and mastication functionality. [radiopaedia.org]

Preferred Name Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint Synonyms Closed reduction of fracture of maxilla with fixation using denture ID http://purl.bioontology.org [purl.bioontology.org]

Treatment Treatment of the NOE fracture begins with a specific diagnosis and careful treatment planning. [pocketdentistry.com]

[…] temporozygomatic suture fractures of the inferior orbital rim and anterior and posterior maxillary sinus walls and/or diastasis of the zygomaticomaxillary suture fracture of the lateral orbital rim and/or diastasis of the frontozygomatic suture Treatment and prognosis [radiopaedia.org]

Prognosis is usually good. Jaw (mandibular) fracture: Prognosis is usually good. Midface (maxillary) fracture People with midface fractures have a poorer prognosis because of other injuries suffered from the accident that caused their fracture. [emedicinehealth.com]

PROGNOSIS In most cases, the prognosis is good, especially when the fracture is treated promptly and properly. [aspetar.com]

[…] properly manage injuries Failure to document history, physical, time of consultation notification and arrival, serial examinations and vital signs, procedures, or discharge instructions Failure to arrange for proper and timely follow-up Outcome and Prognosis [emedicine.medscape.com]

Etiology Maxillary fractures often result from high-energy blunt force injury to the facial skeleton. [oralmaxillo-facialsurgery.blogspot.com]

As such, clinical information, such as injury etiology, is dependent on the accuracy of medical records. [ajnr.org]

Etiology In developing countries, motor vehicle accident (MVA) is the most common cause of jaw fracture, whereas, in developed countries, assault is the most common cause and MVA is the second most common [4]. [emedicine.medscape.com]

Epidemiological analysis of maxillofacial fractures in Brazil: a 5-year prospective study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 102 (1), 28–34. PubMed CrossRef Google Scholar 3. Cheema, S. [link.springer.com]

Epidemiology of facial fracture injuries. J Oral Maxillofac Surg 2011;69:2613–8. Schlosser RJ. Clinical practice. Epistaxis. N Engl J Med 2009;360:784–9. Higuera S, Lee EL, Cole P, Hollier LH Jr, Stal S. Nasal trauma and the deviated nose. [racgp.org.au]

III AKA: cranio-facial dissociation Complete separation of the facial skeleton from the skull Fracture extends through the frontozygomatic suture lines Fracture extends across the orbit Fracture extends through the base of the nose and ethmoid region Pathophysiology [fprmed.com]

Pathophysiology Much of the understanding of patterns of fracture propagation in midface trauma originates from the work of René Le Fort. [oralmaxillo-facialsurgery.blogspot.com]

Pathophysiology The kinetic energy present in a moving object is a function of the mass multiplied by the square of its velocity. The dispersion of this kinetic energy during deceleration produces the force that results in injury. [emedicine.medscape.com]

Considerable controversy exists over the need for prophylactic antibiotics after midface fractures to prevent orbital cellulitis. [mydigimag.rrd.com]

This is to prevent an infection. Whenever you are prescribed antibiotics, it is important to finish the course as instructed. This is for your health and also to prevent the emergence of antibiotic resistance in the general population. [cuh.nhs.uk]

The patient should, however, be instructed to not blow his or her nose to prevent expanding subcutaneous emphysema. [pocketdentistry.com]

Three part question In [patients with undisplaced maxillary or orbital floor fractures] are [antibiotics better than no antibiotics] at [preventing infective complications]? Search strategy Medline 1966–10/02 using the OVID interface. [emj.bmj.com]