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Maxillary Fracture

Fracture of Upper Jaw (bone)


Presentation

  • 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]
  • Abstract A 43-year-old male presented with blunt facial trauma after a motor-vehicle accident. CT-evaluation revealed a right-sided maxillary fracture and a fracture of the left occipital condyle.[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]
  • Results On follow-up clinical examinations, none of the 41 patients presented with any evidence of orbital dystopia or complications relative to the implant or donor site.[jamanetwork.com]
Eruptions
  • It is commonly reported that tooth buds involved in the line of a mandibular fracture will continue to develop normally and erupt sequentially. Few cases have been cited regarding developing teeth in the line of maxillary fractures.[ncbi.nlm.nih.gov]
Forgetful
  • NO NOT FORGET TO LOOK FOR CONTACT LENSES. Mandible Most common fracture site is the subcondylar region. It is a ring of bone somewhat like the Pelvis, so if you see one fracture look for others elsewhere.[emedsa.org.au]

Workup

  • 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]
Suppression
  • Management of Le Fort Fractures • Timings of surgery – Controversial issue – Delayed repair (7-14 days) • manipulation of bones and soft tissue easier – suppression of edema. • risk of fibrosis and healing is there • Unstable patient – Haemodynamically[slideshare.net]

Treatment

  • 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]
  • 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]
  • 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 ADDITIONAL GUIDELINE 001:[purl.bioontology.org]
  • Your medical team can best assess the damage done and the treatment required which is why immediate care is so important.[methodistsouthlake.com]
  • The treatment for a fractured upper jaw often involves the realignment of the bones and also rigidly stabilizing them for the duration of the healing process.[orasurgery.com]

Prognosis

  • 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]

Etiology

  • As such, clinical information, such as injury etiology, is dependent on the accuracy of medical records.[ajnr.org]
  • Etiology Maxillary fractures often result from high-energy blunt force injury to the facial skeleton.[oralmaxillo-facialsurgery.blogspot.com]

Epidemiology

  • 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]
Sex distribution
Age distribution

Pathophysiology

  • 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]
  • 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]

Prevention

  • The thicker sphenoid bone posteriorly usually prevents continuation of the fracture into the optic canal.[oralmaxillo-facialsurgery.blogspot.com]
  • . • The thicker sphenoid bone posteriorly usually prevents continuation of the fracture into the optic canal. • Instead, the fracture continues along the floor of the orbit along the inferior orbital fissure and continues superolaterally through the lateral[slideshare.net]
  • 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]
  • A broken lower jaw usually causes pain and swelling, changes the way the teeth fit together, and prevents the person from fully opening the mouth.[msdmanuals.com]

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