How is a Le Fort fracture treated?
How is a Le Fort fracture treated?
Treatment of a Le Fort fracture usually requires prompt stabilization of the fracture followed by surgery, in order to restore the typical facial orientation, re-establish proper positioning of the teeth, restore involved sinus cavities, and reunify the nose and eye socket.
What is the primary bone that is involved in Le Fort fracture?
A Le Fort fracture of the skull is a classic transfacial fracture of the midface, involving the maxillary bone and surrounding structures in either a horizontal, pyramidal or transverse direction.
How do you manage a facial fracture?
In general, fractures may be treated by performing a closed reduction (resetting the broken bone or bones without surgery) or an open reduction (surgery that requires an incision to reposition the fractured bones). For a complex fracture with multiple broken bones, you will need reconstructive surgery.
What types of facial fractures are likely to show the presence of leaking CSF?
Clinical Pathophysiology of Traumatic CSF Leak The most common fracture sites leading to CSF leaks following TBI are the frontal sinus (30.8%), sphenoid sinus (11.4–30.8%), ethmoid (15.4–19.1%), cribriform plate (7.7%), frontoethmoid (7.7%) and sphenoethmoid (7.7%).
What is the treatment for maxillary fracture?
Maxillary fractures are treated by reduc- tion and immobilization. Establishment of preinjury occlusion and midface buttress alignment provides the foundation for this treatment. The goals of treatment of LeFort fractures are to reestablish preinjury occlusion with normal height and projection of the face.
What is Le Fort II fracture?
Definition. The Le Fort II fracture is also referred to as a pyramidal fracture. It commonly extends from the pterygoid plate through the maxilla, through the nasal orbital ethmoid area, and nasofrontal bone. Patients with Le Fort II injuries are often admitted to hospital unconscious and intubated.
How do you manage a CSF leak?
What is the treatment for a cerebrospinal fluid (CSF) leak?
- Bed rest (days to up to 2 weeks)
- Hydration (2 to 3 quarts)
- IV caffeine infusions.
- Saline infusions.