$le fort fracture complications$ $le fort fracture complications$

fracture A breaking of bone or other hard tissue. The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Once closed reduction is accomplished, the bone is immobilized by application of a cast or by an apparatus exerting traction on the distal end of the bone. A fracture may also require internal fixation with pins, nails, metal plates, or screws to stabilize the alignment. Open fractures are highly contaminated and must be débrided and copiously irrigated in the operating room. Closed reduction is performed by manual manipulation of the fractured bone so that the fragments are brought into proper alignment no surgical incision is made. Fractures heal with normal bone, not with scar tissue. Fracture healing is truly a process of regeneration.

$le fort fracture complications$

Later it will be treated by reduction, which means that the broken ends are pulled into alignment and the continuity of the bone is established so that healing can take place. Immediate first aid consists of splinting the bone with no attempt to reduce the fracture it should be splinted “as it lies,” which means supporting it in such a way that the injured part will remain steady and will resist jarring if the victim is moved. A management algorithm for performing the Le Fort II osteotomy is presented.Treatment. On the basis of this review, we have elucidated the indications and less invasive techniques of the elective Le Fort II osteotomy. Complementary procedures included bilateral sagittal split osteotomies, bone grafts, Le Fort I osteotomy, and repositioning of the zygoma. Complications were persistent nasal deviation, temporary nasal obstruction, and a hematoma. The average estimated blood loss was 950 mL. Indications included nasomaxillary deviation related to unilateral coronal synostosis, hemifacial microsomia, Romberg disease, and noncleft nasomaxillary hypoplasia. Their average age was 23 years, and the average follow-up was 60 months. Three patients were male, and 5 were female. Five were excluded because of incomplete records or Le Fort II fracture repair. Thirteen patients had a diagnosis of Le Fort II at our institution. On the basis of surgical outcomes, a treatment algorithm was created.

$le fort fracture complications$ $le fort fracture complications$

Data analyzed included demographic information, indications, techniques, complications, and combined procedures. We reviewed our 30-year experience, which is the longest series of patients treated with Le Fort II osteotomies at a single institution.Ī review of the records of 13 consecutive patients at our institution with a diagnosis of Le Fort II was conducted. Our goal in this study was to define the indications and techniques of the elective Le Fort II osteotomy. In comparison with the abundant literature on Le Fort I and III osteotomies, there is scant information on the Le Fort II osteotomy.

$le fort fracture complications$

Le fort fracture complications