Facial fractures are fractures broken bones of the face and mouth. They commonly include fractures of the nose nasalcheekbones zygomasurrounds to the eyes orbit and upper maxilla and lower mandible jaws. If you have a facial fracture, the oral and maxillofacial team will usually want to check that you don't have other fractures of or injuries to the head or neck and if you have been knocked unconscious.
Over a period of two years andpatients with maxillo-facial trauma were registered at the Department of Oral and Maxillo-Facial Surgery in the Central University Military Hospital of Albania. The following article is an analysis of these cases, taking into consideration all data including medical history, symptoms, clinical signs, radiological findings. The management of maxillo-facial trauma includes treatment of facial bone fractures, dento-alveolar trauma and soft tissue injuries as well as associated injuries mainly of the head and neck.
The maxilla is the bone that forms your upper jaw. The right and left halves of the maxilla are irregularly shaped bones that fuse together in the middle of the skull, below the nose, in an area known as the intermaxillary suture. The maxilla is a major bone of the face.
Considerations related to dental occlusion render nasotracheal intubation necessary. The aim of successful reconstruction of midface fractures is reestablishing the midfacial buttresses. These pillars can serve an even more important role in patients who lack dentition partial or completely edentulous patients. A principle in all Le Fort fractures is to reestablish the premorbid dental occlusion.
Cephalometric study of alterations induced by maxillary slow expansion in adults. Maxilla expansion is a procedure that aims at increasing the maxillary dental arch to correct occlusal disharmony. Largely used in children, its efficacy in adults, when craniofacial growth has attained bone maturity, is controversial.
Oral and maxillo-facial cases present frequently on the emergency operating list and can pose significant challenges for the anaesthetic team. Correct management requires early recognition and knowledge of anatomy and path of spread of infections. Careful assessment and planning, effective communication, early senior involvement and appropriate back up plans are paramount for a successful outcome.
This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. During this war the English have had extensive opportunities for the study and treatment of maxillofacial injuries.
The aim was to evaluate the maxillofacial morphological factor responding most to the orthopedic force of facial mask treatment, using the structural superimposition analysis. Lateral cephalograms at pre- and posttreatment were analyzed to evaluate maxillofacial changes. In the FM group, a multiple linear regression model showed that maxillary sutural growth was significantly associated with counter-clockwise rotation of the maxilla and treatment changes in the anteroposterior distance from the pterygomaxillary fissure to the maxillary anterior alveolus, not changes in the distance from the nasion to the maxillary anterior alveolus. Structural superimposition analysis showed that counter-clockwise rotation of the maxilla and changes in the distance from the pterygomaxillary fissure to the maxillary anterior alveolus responded most to the orthopedic force of facial mask treatment.
The term LeFort fractures is applied to transverse fractures of the midface. Rene' LeFort described three transverse weak lines through the midfacial skeleton as a result of his cadaver studies in Images by RosarioVanTulpe - Own work.
Alveolar ridge of the maxilla Nasofrontal process of the maxilla Body of the zygoma. The most common portion of the orbit to sustain a fracture is the weak floor, and this injury, if occurring in isolation, may result in a blowout fracture. A blow to the globe causes increased intraorbital pressure. This causes a fracture of the thin plate of bone forming the floor of the orbit i.