Le Fort I Fracture : Clinical features & Management
“It starts from the lateral wall of the floor of the base of the pyriform aperture, crosses laterally over the alveolar bone& ends by fracturing the lower 3rd of the pterygoid plate“.
1. Disharmony of the occlusion: anterior open bite, cross bite, reverse over jet etc
2. Swelling & edema of the lower part of the face including the upper lip.
3. Pain of the affected part, especially during speaking & moving the jaw.
4. Mobility of the dento-alveolar portion of the jaw.
5. Ecchymosis & epistaxis may be present.
After proper initial management Treatment is done by-
• IMF along with zygomatico-mandibular suspension wiring
• Open reduction followed by internal fixation by transosseous wiring & miniplate osteosynthesis.