Wednesday, 30 September 2015

A Case of Maxillo Palatal Mid Face Fracture

Selman Karaci* and Rustu Kose
Abstract: The maxilla located in the mid face between strong frontal bars and the andibula. The maxilla consists of a body and four processes: Frontal, zygomatic, palatine, and alveolar processes. The body involves a space to form the maxillary sinus. Different, patterns of maxillary fractures were defined by René Le Fort, which he designed ‘‘lines of weakness'' and he also described sagittal fractures of the maxilla and palate.
In our case, the intensity and direction of the impact caused to a whole fragment. The fractured bones that were laid in the same unit. The nasal-maxillary triangle and alveolar processes and teeth of the maxilla and a half shelf of the palate. The presented case is of interest because of the maxillary and midline sagittal fracture of the palate, in a monoblock form displaced excessively posteriorly, it has satisfactorily restored preinjury occlusal relationship. Stabilization is achieved by applying plate fixation.
The split palate and sagittal maxillary fractures are less commonly encouraged than the other types of Le Fort fractures. Palatal fractures have been classified by a number of authors on the basis of fracture location, surgical approaches to be employed and stabilization preferences. The involvement of maxillary alveolus in the fracture results in difficulties in the maintenance of maxillary dental alignment post-fracture fixation.

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