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
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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 :
- Gassner R. Complications in Cranio-Maxillofacial Trauma. InComplications in Cranio-Maxillofacial and Oral Surgery 2020 Aug 1 (pp. 173-211). Cham: Springer International Publishing.
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- Kim HS, Kim SE, Lee HT. Management of Le Fort I fracture. Archives of craniofacial surgery. 2017 Mar 25;18(1):5.
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- Genç ÇÇ. Maxillary Midpalatal Sagittal Fracture: A Case Report. EurAsian Journal of Oral and Maxillofacial Surgery.;2(2):42-4.
- 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.
- 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.
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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.