Executive Editor: Edward Ellis III, Kazuo Shimozato General Editor: Daniel Buchbinder

Authors: Carl-Peter Cornelius, Nils Gellrich, Søren Hillerup, Kenji Kusumoto, Warren Schubert

Midface - Le Fort I, unilateral comminution - Closed treatment

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Glossary

Le Fort I enlarge

Indications

Fractures with minor malocclusion readily correctable with maxillary disimpaction and manipulation, and not grossly mobile after repositioning may be treated closed.

Patients with malocclusion unable to have general anesthesia can be treated by application of arch bars and elastic traction.


Le Fort I enlarge

Treatment

A closed reduction of the midface may be part of an emergency treatment to reduce bleeding. Other options to control bleeding may include nasal packing or placement of a nasal balloon. If these methods fail, an invasive radiologist may be able to assist in the thrombosis of bleeding vessels.

v1.0 2009-12-03