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Rigid Internal Fixation for Fractures Involving Tooth-Bearing Maxillary Segments

Rigid Internal Fixation for Fractures Involving Tooth-Bearing Maxillary Segments Abstract • Fracture dislocations of the middle third of the face usually involve a complex combination of the three types of fractures initially described by LeFort. Treatment of these injuries requires a six- to eight-week period of intermaxillary fixation, unless rigid internal fixation devices (plates and screws) are used to stabilize the fractures. However, rigid fixation carries the risk of producing a malunion and serious malocclusion if not performed correctly. A review of 22 patients with complex LeFort fractures treated with rigid fixation revealed that the only absolute contraindication to its use is difficulty in interdigitating the maxillary and mandibular teeth in a passive fashion at the time of fracture reduction. Rigid internal fixation should therefore be considered as an alternative treatment for most fractures of the middle third of the face. (Arch Otolaryngol Head Neck Surg 1988;114:1295-1299) References 1. Kellman RM, Schilli W: Plate fixation of fractures of the mid and upper face . Otolaryngol Clin North Am 1987;20:559-572. 2. Klotch DW, Gilliland R: Internal fixation vs conventional therapy in midface fractures . J Trauma 1987;27:1136-1144.Crossref 3. Beals SP, Munro IR: The use of miniplates in craniomaxillofacial surgery . Plast Reconstr Surg 1987;79:33-38.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Rigid Internal Fixation for Fractures Involving Tooth-Bearing Maxillary Segments

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860230089031
Publisher site
See Article on Publisher Site

Abstract

Abstract • Fracture dislocations of the middle third of the face usually involve a complex combination of the three types of fractures initially described by LeFort. Treatment of these injuries requires a six- to eight-week period of intermaxillary fixation, unless rigid internal fixation devices (plates and screws) are used to stabilize the fractures. However, rigid fixation carries the risk of producing a malunion and serious malocclusion if not performed correctly. A review of 22 patients with complex LeFort fractures treated with rigid fixation revealed that the only absolute contraindication to its use is difficulty in interdigitating the maxillary and mandibular teeth in a passive fashion at the time of fracture reduction. Rigid internal fixation should therefore be considered as an alternative treatment for most fractures of the middle third of the face. (Arch Otolaryngol Head Neck Surg 1988;114:1295-1299) References 1. Kellman RM, Schilli W: Plate fixation of fractures of the mid and upper face . Otolaryngol Clin North Am 1987;20:559-572. 2. Klotch DW, Gilliland R: Internal fixation vs conventional therapy in midface fractures . J Trauma 1987;27:1136-1144.Crossref 3. Beals SP, Munro IR: The use of miniplates in craniomaxillofacial surgery . Plast Reconstr Surg 1987;79:33-38.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Nov 1, 1988

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