1/18/2024 0 Comments Le fort fracture xraySometimes the inferior rectus muscle can be trapped in the fracture, leading to restriction of upward gaze and diplopia.įigure 12.3A CT Scan of the Orbits and Facial region.įigure 12.3B CT Scan 3D Rendering of Facial Bones Imaging Assessment The most common orbital fracture is the blow-out fracture which is produced by a direct impact on the orbit (e.g., a baseball strikes the eye) and causes a sudden increase in intraorbital pressure leading to a fracture of the inferior orbital floor (into the maxillary sinus) or the medial wall of the orbit (into the ethmoid sinus). Multislice scanners allow for digital reconstruction in the sagittal and coronal planes so that the patient does not have to be repositioned in the scanner. Discussion:ĬT is the imaging study of choice for evaluating facial fractures. Teardrop Inferior Orbit – Left Floor of orbit fracture. The ocular muscles were not herniating through the fracture. This allowed a small amount of orbital fat to herniate through the bone defect. There was a depressed fracture of the floor of the left orbit/apex of the left maxillary sinus. This was suggestive of injury of the apex of the maxillary antrum/floor of orbit. This opacity was only seen on the Water’s view. In the apex of the left maxillary antrum there was a very small, teardrop shaped, soft tissue, opacity. 1996 2:24–30.Figure 12.2A Orbital x-ray, Water’s view, demonstrating a teardrop opacity in the apex of the left maxillary antrum.įigure 12.2B CT Scan of the orbits with a teardrop opacity in the apex of the left maxillary antrum. Facial soft tissue resuspension following upper facial skeletal reconstruction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Maxillofacial injuries in the pediatric patient. Craniofacial fractures: an algorithm to optimize results. Management of middle third facial fractures. Panfacial fractures: organization of treatment. The coronal approach anatomic and technical considerations and morbidity. Exposure through a coronal incision for initial treatment of facial fractures. 1995 80:629–37.Īrbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation. Comparison of the morbidity associated with maxillary fractures treated by maxillomandibular and rigid internal fixation. Role of mini- and microplate fixation in fractures of the midface and mandible. The use of biodegradable plates and screws to stabilize facial fractures. Fixation of mandibular fractures with biodegradable plates and screws. Yerit KC, Enislidis G, Schooper C, et al. Does nasotracheal intubation increase complications in patients with skull base fractures? Ann Emerg Med. Nasal intubation in the presence of frontobasal fractures: a retrospective study. A survey of operative airway management practices for midface fractures. Craniofacial trauma: an assessment of risk related to the timing of surgery. ĭerdyn C, Persing JA, Broaddus W, et al.Facial fracture classification according to skeletal support mechanisms. Vienna: Springer 1928.ĭonat TL, Endress C, Mathog RH. Ètude expérimentale sur les fractures de la mâchoire supériure.
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