Downloads
Abstract
Introduction: Le Fort II fractures make up relative large proportion in maxillo - facial trauma and internal fixation is often used. Technique of internal fixation with miniplates should be studied and propagated to obtain better outcomes for patients. This study aims to explore the clinical, X-rays features of Le Fort II fractures and the results on treating Le Fort II fractures with miniplates.
Methods: A retrospective study was conducted on 102 patients with Le Fort II fractures were operated by internal fixation with miniplates in Hue Central Hospital from 2015 to 2019.
Results: Average age group: 19 - 39 years old (64.7%). Gender: male 81.4% and female 18.6%. Vehicular accidents are main causes: 93.1%. Clinical symptoms: face deformity 100%, step - off 100%, malocclusion 99.0%, tenderness 85.3%, movement of midface 85.3%. The medium period before surgery is 4 - 14 days: 63.7%. The result after treatment: good 92.2%, fair 7.8%.
Conclusions: This method have many advantages and we can use it commonly for treating maxillo - facial trauma patients
References
Arajarvi E, Lindqvist C, Santavirta S, Tolonen J, Kiviluoto O. Maxillofacial trauma in fatally injured victims of motor vehicle accidents. Br J Oral Maxillofac Surg. 1986. 24: 251-7.
Prigozen JM, Horswell BB, Flaherty SK, Henderson JM, Graham DA, Armistead LM, et al. All-terrain vehicle-related maxillofacial trauma in the pediatric population. J Oral Maxillofac Surg. 2006. 64: 1333-7.
Shinohara EH, Gaia BF, Landgraf H, Kaba SP. Interpersonal violence and motor vehicle crashes caused the most significant amount of maxillofacial trauma. J Trauma. 2007. 62: 1062.
Bhardwaj Y , Kumar D. Pediatric Maxillofacial Trauma Outcomes Based on a Survey of 65 Patients: A Prospective Study of Etiology, Incidence and Methods of Treatment. J Maxillofac Oral Surg. 2015. 14: 687-92.
Cohen SM, Rosett BE, Shifrin DA. An Analysis of Independent Variables Affecting Surgical Outcomes in Patients Undergoing Repair of Maxillofacial Trauma: An American College of Surgeons National Surgical Quality
Improvement Program Study. J Craniofac Surg. 2017. 28: 596-599.
Sethi A, Van Huekelom E, Mehra P. Outcomes following use of a standard antibiotic protocol in the management of maxillofacial trauma patients. J Oral Biol Craniofac Res. 2020. 10: 519-522.
Singh I, Shetty P, Fernandes TB, Singh A. Ocular Outcomes of Maxillofacial Trauma - A Decennary Descriptive Study. J Craniofac Surg. 2022. 33: e81-e848. Snell BJ, Roberts RM, Anderson P, David DJ. Neuropsychologic outcomes in patients treated for complex maxillofacial trauma. J Craniofac Surg. 2014. 25: 1164-7.
Sreedharan S, Veeramuthu V, Hariri F, Hamzah N, Ramli N, Narayanan V. Cerebral white matter microstructural changes in isolated maxillofacial
trauma and associated neuropsychological outcomes. Int J Oral Maxillofac Surg. 2020. 49: 1183-1192.
Hoàng Lê Trọng Châu. Nghiên cứu đặc điểm lâm sàng, X quang và kết quả phẫu thuật gãy phức tạp thân xương hàm dưới bằng nẹp vít nhỏ tại Bệnh viện Trung ương Huế, Luận án chuyên khoa cấp II, Trường Đại học Y Dược Huế. 2010.
Hopper RA, Wang HD, Mercan E. Le Fort II Distraction with Simultaneous Zygomatic Repositioning. Clin Plast Surg. 2021. 48: 487-496.
Huang CH, Kuo YR, Wu YC, Lee HC, Lee SS. Modified Le Fort II approach of adequate vascularization preservation in midface allotransplantation: Mock surgery. Asian J Surg. 2021.
Norholt SE, Skoldstam J, Blomlof J, Karunahara S, Pedersen TK. Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report. J Craniomaxillofac Surg. 2022.
Liao HT, Mittal R, Kang G, Chen CT. Le Fort Fractures With Maxillary Immobility: Classification and the Moment Concept to Rationalize Optimal Surgical Treatment. Ann Plast Surg. 2021. 86: S58-S63.
Ngoc DV, Phuc LH, Tien CH, Tuan NV, Chanh LT, Phuong LH, et al. Evaluation of Bite Force After Treatment of Le Fort Fractures by Internal Fixation and Mandibulomaxillary Fixation. Med Arch. 2021. 75: 371-374.
Phuc LH, Tien CH, Ngoc DV, Tuan NV, Chanh LT, Phuong LH, et al. A Novel Approach to the Treatment of Le Fort Fractures Using Internal Fixation to Achieve Mandibulomaxillary Fixation. Med Arch. 2021. 75: 366-370.
Gaspar C, Santos RB, Rodrigues M, Zenha H, Costa H. A new pattern of cranial nerve injuries caused by unfavorable fractures during Le Fort I
osteotomy. J Stomatol Oral Maxillofac Surg. 2021.
Patel BC, Wright T, Waseem M, Le Fort Fractures, in StatPearls. 2022: Treasure Island (FL).
Le Roux MK, Thollon L, Godio-Raboutet Y, Carbonnel E, Guyot L, Graillon N, et al. The association of Le Fort midfacial fractures with frontobasal injuries: a 17-year review of 125 cases, reflections on biomechanics, classifications and treatment. J Stomatol Oral Maxillofac Surg. 2021. 122: 561-565
| Published | 06-01-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 76 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.76.17 | |
| Keywords | Gãy xương hàm trên, Le Fort II, nẹp vít : Fractures, Le Fort II, miniplates |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Journal of Clinical Medicine Hue Central Hospital