Comminuted Le Fort Fractures with Palatal Involvement in a Geriatric Patient: A Case Report


Authors : Dr. Nandesh Shetty; Dr. Akanksha Ariga; Dr. Karthik Kumar; Dr. Adarsh R Shekhar

Volume/Issue : Volume 10 - 2025, Issue 8 - August


Google Scholar : https://tinyurl.com/5n77d6a7

Scribd : https://tinyurl.com/mr3pernf

DOI : https://doi.org/10.38124/ijisrt/25aug1119

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 30 to 40 days to display the article.


Abstract : Le Fort fractures are complex midfacial injuries often resulting from high-energy trauma. Management becomes particularly challenging in elderly patients with comorbidities, where surgical intervention must be tailored to minimize risk. This case report describes a 68-year-old male who sustained multiple facial fractures, including Le Fort I, Le Fort II, and palatal fractures, following a fall. The patient underwent closed reduction and fronto-central suspension wiring, with satisfactory postoperative recovery. The report highlights diagnostic considerations, treatment planning, and postoperative rehabilitation, with a literature review on geriatric maxillofacial trauma.

Keywords : Le Fort Fracture, Palatal Fracture, Geriatric Trauma, Closed Reduction, Suspension Wiring.

References :

  1. Gassner R. Complications in Cranio-Maxillofacial Trauma. InComplications in Cranio-Maxillofacial and Oral Surgery 2020 Aug 1 (pp. 173-211). Cham: Springer International Publishing.
  2. Wasicek PJ, Gebran SG, Ngaage LM, Liang Y, Ottochian M, Morrison JJ, Rasko Y, Liang F, Grant MP, Nam AJ. Contemporary characterization of injury patterns, initial management, and disparities in treatment of facial fractures using the National Trauma Data Bank. Journal of Craniofacial Surgery. 2019 Oct 1;30(7):2052-6.
  3. Kim HS, Kim SE, Lee HT. Management of Le Fort I fracture. Archives of craniofacial surgery. 2017 Mar 25;18(1):5.
  4. Gugliotta Y, Roccia F, Sobrero F, Ramieri G, Volpe F. Changing trends in maxillofacial injuries among paediatric, adult and elderly populations: a 22‐ year statistical analysis of 3424 patients in a tertiary care centre in Northwest Italy. Dental traumatology. 2024 Apr;40(2):187-94.
  5. Hendrickson M, Clark N, Manson PN, Yaremchuk M, Robertson B, Slezak S, Crawley W, Vander Kolk C. Palatal fractures: classification, patterns, and treatment with rigid internal fixation. Plastic and reconstructive surgery. 1998 Feb 1;101(2):319-32.
  6. Chen CH, Wang TY, Tsay PK, Lai JB, Chen CT, Liao HT, Lin CH, Chen YR. A 162-case review of palatal fracture: management strategy from a 10-year experience. Plastic and reconstructive surgery. 2008 Jun 1;121(6):2065-73.
  7. Genç ÇÇ. Maxillary Midpalatal Sagittal Fracture: A Case Report. EurAsian Journal of Oral and Maxillofacial Surgery.;2(2):42-4.
  8. Sharma NK, Pandey A, Mishra N. Introduction to Midface Fractures. In Maxillofacial Trauma: A Clinical Guide 2021 May 3 (pp. 251-269). Singapore: Springer Singapore.
  9. Ellis III E, Muniz O, Anand K. Treatment considerations for comminuted mandibular fractures. Journal of oral and maxillofacial surgery. 2003 Aug 1;61(8):861-70.
  10. Motamedi MH. Primary management of maxillofacial hard and soft tissue gunshot and shrapnel injuries. Journal of Oral and Maxillofacial Surgery. 2003 Dec 1;61(12):1390-

Le Fort fractures are complex midfacial injuries often resulting from high-energy trauma. Management becomes particularly challenging in elderly patients with comorbidities, where surgical intervention must be tailored to minimize risk. This case report describes a 68-year-old male who sustained multiple facial fractures, including Le Fort I, Le Fort II, and palatal fractures, following a fall. The patient underwent closed reduction and fronto-central suspension wiring, with satisfactory postoperative recovery. The report highlights diagnostic considerations, treatment planning, and postoperative rehabilitation, with a literature review on geriatric maxillofacial trauma.

Keywords : Le Fort Fracture, Palatal Fracture, Geriatric Trauma, Closed Reduction, Suspension Wiring.

CALL FOR PAPERS


Paper Submission Last Date
30 - November - 2025

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe