![]() ![]() Hemi Le Fort III fracture with subdural and subarachnoid pneumocephalus with a mild Mount Fuji sign. In order to be separated from the skull base, the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally. KEY WORDS: conservative therapy, head trauma, osteosynthesis, skull fractures.įALCÃO, A. Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base. Maxillary aseptic necrosis after Le Fort I osteotomy: a case report and. Report problem with Case Contact user Citation, DOI, disclosures and case data. The correct management of the patient with facial trauma associated with craniotrauma offers benefits, restoring stability of facial architecture and preventing or correcting neurosurgical complications. During down fracture of the maxilla, the blood supply is by the ascending. Our case is the first report of Le fort II fracture from Bahrain. The patient had a good recovery, with no postoperative motor or functional deficits. The diagnosis of Le fort II fracture was made, which was repaired surgically by oromaxillary facial surgery team and patient was discharged after one week of uneventful recovery. The proposed treatment was facial osteosynthesis and conservative intravenous drug treatment of the pneumocephalus. Clinical-imaging findings revealed a Hemi Le Fort III fracture and subdural and subarachnoid pneumocephalus with a mild Mount Fuji Sign. Le Fort fractures require unstable fracture segment fixation on stable. Male patient, 50-year-old, victim of physical aggression, presented with persistent headache and dizziness, fractures in the naso-orbito-ethmoidal, zygomatic-maxillary and right pterygoid process regions, among other minor patterns of facial fracture, with mobility to maxillary traction of the third midface unilaterally. Le Fort fractures must be surgically treated after stabilizing the patients vital signs. Extensive fractures in the fixed facial skeleton combined with traumatic brain injury can cause functional and esthetic impairments, possibly threatening the patient’s life. ![]()
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