11/8/2023 0 Comments Le fort fracture complicationsWhen assessing Le Fort fractures it is important to ascertain the patient’s premorbid occlusion. It should be emphasized that all of the Le Fort fractures go through the pterygoid plates. In the unconscious patient the swinging-flashlight test can be helpful to give evidence to or exclude afferent pupillary defects (Marcus Gunn Pupil). Basic assessment of visual acuity is mandatory in the conscious patient. It should be recognized that Le Fort III fractures involve the orbit. Severe bleeding and/or CSF leakage may accompany Le Fort fractures and affect the treatment and outcome. Special attention has to be paid to foreign bodies such as teeth or tooth fragments obstructing the airways. Patients with Le Fort III injuries are often admitted to hospital unconscious and intubated. The fracture line begins at the frontozygomatic suture along the lateral aspect of the internal orbit along the sphenozygomatic suture line to the inferior orbital fissure, extends medially across the floor of the orbit up the medial wall of the orbit towards the dorsum of the nose where it crosses and proceeds to the opposite side in the same manner. Speak to your orthodontist to find out your treatment plan.The Le Fort III fracture is also referred to as craniofacial dysjunction. Braces may also continue for several months after the surgery. This can take form of rubber band therapy to help guide the lower jaw into the upper jaw. Your orthodontic care will continue after surgery. As the swelling subsides, you will be able to move the jaw to a greater degree. Eating appropriate foods will help with the healing, but eating hard foods too early can damage the surgery. It is very important to listen to the surgeon’s and orthodontist’s directions regarding the types of foods you can eat following the surgery and when it is safe to eat them. Lip moisturizer is recommended to prevent drying of the lips. Cool compresses to the face and sleeping with the face raised above the heart will also help decrease the swelling. You will receive medicine to help with discomfort. Most of the discomfort you will experience after the surgery will be from the swelling of the face rather than the pain from the surgery itself. Most of the swelling will resolve after about 2 weeks. Speaking will also require some adjustment due to the facial swelling. The swelling should peak after 2-3 days and can be dramatic. If the Le Fort I surgery is combined with a surgery to the lower jaw, such as a bilateral sagittal split (BSSO), you will have even more swelling. The Le Fort I surgery can produce a lot of swelling. The opening inside the mouth is then closed using stitches that will slowly dissolve. The upper jaw is then securely fixed to its new position using a combination of plates and screws. Various kinds of complications can be expected to occur in Le Fort fractures, which affect the full thickness of the pterygoid plates, with resultant dissociation of part or all of the maxilla from the skull base naso-orbitoethmoid complex fractures, which involve the medial orbital wall, nasal bone, ethmoid sinuses, and, often, the attachment. Through this opening, the upper jaw will be accessed, separated and repositioned by bringing it forward. The opening is about 5 inches long and the resulting scar will be completely hidden inside the mouth. An opening is made inside of the mouth close to where the upper lip meets the gums. Once you are asleep, the anesthesiologist will put a small tube inside your nose which will provide oxygen during the surgery. Positioning your teeth in preparation for surgery can take some time however it is a required step that helps make your surgery successful. The orthodontist will straighten and position your teeth in preparation for surgery. This therapy can take several months to perform and it is an important part of your treatment plan. The Process of a Le Fort I Procedure Pre-Surgeryīefore surgery, you will likely undergo orthodontic therapy in the form of braces.
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