Tratamiento multidisciplinario de fractura Le Fort i

Introducción: Las fracturas del tercio medio facial constituyen un problema médico grave por su complejidad, frecuencia e impacto socioeconómico. Objetivo: Describir el manejo integral clínico-quirúrgico realizado a un paciente con fractura tipo Le Fort i. Presentación del caso: Paciente de 33 años de edad con trauma facial, pérdida ósea a nivel del nation en sentido antero-posterior, fractura nasal y dento-alveolar mandibular. Se decidió intervenir quirúrgicamente para la reducción y osteosíntesis de la fractura con miniplacas. Luego de retirada la sutura fue valorada por el equipo multidisciplinario que incluyó consulta de prótesis y ortodoncia. Conclusiones: En la planificación del tratamiento es necesario un abordaje terapéutico sistemático, centrado en objetivos para el equipo quirúrgico, el ortodoncista y el protesista, y con ello alcanzar la restauración estética y funcional del sistema estomatognático.

Introduction: Fractures of the middle third of the face are a serious medical problem due to their complexity, frequency and socioeconomic impact. Objective: To describe the comprehensive clinical-surgical management performed on a patient with a Le Fort 1 fracture. Case report: We report the case of a 33-year-old patient with facial trauma, bone loss at the nation level in the antero-posterior direction, nasal and dento-alveolar mandibular fracture. Surgery was decided for the reduction and osteosynthesis of the fracture with miniplates. After removal, the suture was assessed by the multidisciplinary team that included a prosthetic and orthodontic consultation. Conclusions: In treatment planning, a systematic therapeutic approach is necessary, focused on objectives for the surgical team, the orthodontist and the prosthetist, and thereby achieve the aesthetic and functional restoration of the stomatognathic system.

Therapeutic effects of coronal incision on midface fracture / 第三军医大学学报

Objective To investigate the advantages of coronal incision in the repair of midface fracture. Methods The clinical data of 42 patients who applied coronal incision and other adjuvant incisions to repair midface fractures were retrospectively analysed. Results The coronal incision can provide excellent exposure and methods for camouflaging the incision in the hair, and brought less complications and functional impairment. Conclusion Coronal incision was an ideal approach in the repair of the midface fracture.

Clinical application of rigid internal fixation in 70 cases of midface fracture / 实用口腔医学杂志

Objective: To explore a way of getting satisfactory face shape and function with a retrospective study in 70 patients with midface fractures.Methods:70 cases were selected.Fractures were treated with miniplate according to the sites and different operation methods.Results:Occlusions and face profiles were normal.Each operation method had its own advatages and disadvanges.Conclution:The rigid internal fixation is effective for midface fracture and the choice of operation methods should depend on the sites of fractures.