Jurnal of Syiah Kuala Dentistry Society
Vol 9, No 2 (2024): December 2024

Management of Le Fort III Fracture: A Case Report and Review of Maxillofacial Surgical Treatment

Zam, Syarifa Nova Amiza (Unknown)
Reza, Faizal (Unknown)



Article Info

Publish Date
16 Dec 2024

Abstract

Background: Maxillofacial trauma is a common occurrence, with midface fractures being serious injuries requiring thorough evaluation and appropriate management. Le Fort III fractures involve multiple fractures of the zygomatic bone, orbit, nasal bones, maxillary sinuses, and nasal septum. Case Report: A 36-year-old male presented to the emergency department of SULTAN FATAH Hospital, Demak, Indonesia with facial injuries following a traffic accident. The patient exhibited facial swelling, raccoon eyes, persistent nasal bleeding, and difficulty opening his mouth. A CT scan confirmed a Le Fort III fracture. Management included stabilization of the zygomaticomaxillary articulation, fracture segment repositioning via a gingivobuccal incision, and fixation with miniplates and screws. Discussion: The leading causes of maxillofacial fractures include traffic accidents, falls, physical assaults, sports injuries, and occupational hazards. The management of Le Fort III fractures involves early stabilization, anatomical reduction, and immobilization to ensure optimal recovery. Repositioning and fixation with miniplates and screws are essential for maintaining facial stability and occlusal function. Conclusion: Midface fractures require a comprehensive evaluation and appropriate treatment. This case highlights the importance of imaging for diagnosing Le Fort III fractures and the role of surgical intervention in restoring facial structure and function.

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Journal Info

Abbrev

JDS

Publisher

Subject

Dentistry Medicine & Pharmacology

Description

Journal of Syiah Kuala Dentistry Society (JDS) is a scientific peer-reviewed and open access journal which publishes biannually. The editors welcome the original unpublished manuscripts in general dentistry and the following topics but not limited to: Cariology Community Dentistry and Oral ...