Brito VM, Souki CF, Marrone L, Aliso K

Language: Spanish
References: 11
Page: 24-27
PDF size: 275.33 Kb.

ABSTRACT

The simultaneous association of Le Fort I, II and III fractures is a complex lesion with very few reports in the world literature. The experience in handling these cases is also very low. We present the case of a 35-year-old male patient, who, after a motor vehicle crash, presents multiple and severe injuries, which is why he is taken to the emergency of our hospital where he was admitted as a polytrauma patient. The physical examination shows multiple dermabrasions and facial wounds. The imaging studies demonstrated the simultaneous association of fractures of the I, II and III type Le Fort fracture. Three-dimensional reconstruction of the facial middle third was performed restoring its anatomy satisfactorily. Adequate treatment of this type of fracture, as well as the associated lesions, are determinant to ensure the complete rehabilitation of patients preserving all the functions and integrity of the vital organs of the middle third of the face.

REFERENCES

1. Sitzman TJ, Hanson SE, Alsheik NH, Gentry LR, Doyle JF, Gutowski KA. Clinical criteria for obtaining maxillofacial computed tomographic scans in trauma patients. Plast Reconstr Surg. 2011; 127 (3): 1270-1278.

2. Melillo J, Siverio A, Zambrano P. Protocolo para el manejo de las fracturas panfaciales en el hospital militar "Dr. Carlos Arvelo". Revista Venezolana de Cirugía Bucomaxilofacial. 2011; 1 (1): 5-8.

3. Marrone L, Souki F, Aliso K, Brito M. Reconstrucción con placa de 2,4 mm angulada con cabeza condilar de la articulación temporomandibular en fractura compleja de mandíbula: reporte de un caso. Rev Ven Cir Ortop Traum. 2011; 42 (2): 46-51.

4. Muñoz J, García J, Gabilondo F. Organización en el tratamiento del traumatismo panfacial y de las fracturas complejas del tercio medio. Cir Plast Iberolatinoam. 2009; 35 (1): 43-54.

5. Markowitz BL, Manson PN. Panfacial fractures: organization of treatment. Clin Plast Surg. 1989; 16 (1): 105-114.

6. Ruedi T, Buckley R, Moran R. AO Principles of fractures management. 2nd edition. New York: Thieme; 2007.

7. Le Fort R. Etude expérimentale sur les fractures de la machoire supériure. Rev Chir Paris. 1901; 23: 208, 360, 479.

8. Robles J, Castañón A, Piña G. Fracturas tipo Le Fort, experiencia de un año en el Hospital Central de Cruz Roja Mexicana "Dr. Guillermo Barroso C". Trauma. 2002; 5 (3): 75-79.

9. Manson PN. Some thoughts on the classification and treatment of Le Fort fractures. Ann Plast Surg. 1986; 17 (5): 356-363.

10. Avello A. Fracturas del tercio medio facial, tratamiento y resultados sobre 650 casos. Rev Acad Per Cir. 1982; 36: 21.

11. de Andrade C, Ferreira L, Góes M, de Santana T, Martins M. Estudio epidemiológico de 300 casos de trauma facial en el Hospital Universitario del Sergipe (Huse), Brasil. Acta Odontológica Venezolana. 2011; 49 (1).