Surgical treatment of Le Fort fractures in Ban Pong Hospital: two decades of experience.

ABSTRACT

A retrospective study of 64 patients with maxillary fracture of Le Fort type who were treated at the Surgical Department, Ban Pong Hospital, Ratchaburi, Thailand during the past 21 years (September 1st, 1979 - August 31st, 2000) is presented. Most of the patients were male (84.4%). Patients mainly affected were in the third decade of life (54.7%) with an age range of 13-65 years old. The etiology of the fracture was mostly related to road traffic accidents (90.6%). The most common type was Le Fort II fracture (54.7%), followed by associated facial bone injury were mandible (47.4%) and associated other organ injuries were fractures elsewhere (50.0%). Open reduction with intermaxillary fixation and maxillary suspension were the treatments of choice and the results were considered to be successful with only mild post-operative complications.