Emedicine and facial fracture

A fracture is a partial or complete interruption in the continuity of bone. The most common causes are trauma and diseases e. The latter results in pathologic fractures , which are fractures that would not usually occur if the bone structure was not weakened. Open fractures , in which the bone is exposed due to severe soft tissue injury, are associated with a significant risk of infection and poor wound healing. Fracture management can be conservative e. Complications include acute nerve and vascular injury and compartment syndrome , as well as long-term complications such as avascular necrosis and nonunion.
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Le Fort fracture of skull

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Le Fort fracture of skull - Wikipedia

A Le Fort fracture of the skull is a classic transfacial fracture of the midface, involving the maxillary bone and surrounding structures in either a horizontal, pyramidal or transverse direction. The hallmark of Lefort fractures is traumatic pterygomaxillary separation , which signifies fractures between the pterygoid plates , horseshoe shaped bony protuberances which extend from the inferior margin of the maxilla , and the maxillary sinuses. Continuity of this structure is a keystone for stability of the midface, involvement of which impacts surgical management of trauma victims, as it requires fixation to a horizontal bar of the frontal bone. The pterygoid plates lie posterior to the upper dental row, or alveolar ridge, when viewing the face from an anterior view.
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General principles of fractures

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