Mid face fractures / /certified fixed orthodontic courses by Indian dental academy
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Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients State of the art comprehensive training-Faculty of world wide repute &Very affordable.
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Mid face fractures / /certified fixed orthodontic courses by Indian dental academy
- 1. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Temporal Frontal Maxilla Zygoma Nasal Ethmoid Sphenoid Vomer Palatine Lacrimal #s are multiple www.indiandenalacademy.com
- 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiadentalacademy.com www.indiandenalacademy.com
- 3. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com
- 4. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Applied surgical anatomy •Link cranial base to occlusal plane •Protect base of skull •Thin lamellar bone •Blood supply www.indiandenalacademy.com
- 5. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Applied surgical anatomy Protect base of skull Vertical buttresses (Sicher & Tandler 1928) www.indiandenalacademy.com
- 6. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com
- 7. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Classification 1886 Alphonse Guerin 1901 Rene Le Fort Le-Fort I, II & III www.indiandenalacademy.com
- 8. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort I Fracture (Guerin # / Low level # / Floating #) Nasal floor Pyriform rim Zygomatic buttress Pterygoid lamella Lateral wall nose Nasal septum tuberosity www.indiandenalacademy.com
- 9. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort II Fracture ( Pyramidal # / Subzygomatic # ) Nasal bone Frontal bone Orbit Lacrimal bone Infraorbital foramen Maxillary antrum ZM suture www.indiandenalacademy.com
- 10. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort III Fracture ( High transverse/Suprazygomatic/Craniofacial disarticulation) Fronto-nasal suture Ethmoid cribriform plate Frontal process maxilla Medial wall orbit Optic foramen Inferior orbital fissure Pterygoid lamella Lateral wall of orbit Z-F suture www.indiandenalacademy.com
- 11. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com
- 12. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Clinical features Swelling Ecchymosis Mobility Deranged occlusion Loss of function www.indiandenalacademy.com
- 13. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort I : Clinical features Swelling Ecchymosis Mobility Deranged occlusion Loss of function cracked pot sound ? mid palatal split : minimal : intra oral, palate, sulcus : floating # : post gagging, V. D. www.indiandenalacademy.com
- 14. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort II / III : Clinical features Swelling : gross; (moon face) eyelids conjunctiva Ecchymosis : bilateral circum-orbital (panda face/raccoon face) Mobility : nasal bones, maxilla Infra orbital step (Le Fort II) www.indiandenalacademy.com
- 15. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort II / III : Clinical features Deranged occlusion: post gagging V. D Dish face Loss of function: Diplopia? Anosmia Nares filled with clotted blood Emphysema, Epiphora, CSF Rhinorrhea,Hooding of eye www.indiandenalacademy.com
- 16. MAXILLOFACIAL INJURIES MIDFACE FRACTURES CSF Rhinorrhea Le-Fort II / III #s Dural tear # cribriform plate Meningitis ?? Diagnosis Clinical - Tram track, halo effect Biochemical - Dipstick - glucose levels Radiological CT scan Radio opaque dye - sub arachnoid space www.indiandenalacademy.com
- 17. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Bilateral hooding of eyes Le-Fort II / III # Separation of F-Z suture Suspensory ligament of Lockwood Attachment medially - lacrimal bone laterally - below F-Z suture www.indiandenalacademy.com
- 18. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com
- 19. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Radiographic examination RADIOGRAPHS PNS view PA skull CT SCANS Axial & Coronal Views www.indiandenalacademy.com
- 20. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com
- 21. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Management ABCDE Reduction & fixation Closed v/s Open www.indiandenalacademy.com
- 22. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort I fractures ORIF plates Intra oral approach Fixation of plates after reduction Pyriform rim Zygomatic buttress www.indiandenalacademy.com
- 23. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort II fractures ORIF plates Nasal #s Infra orbital rim Zygomatic buttress www.indiandenalacademy.com
- 24. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort III fractures ORIF plates Fronto-zygomatic Fronto-nasal Zygomatic buttress www.indiandenalacademy.com
- 25. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort I, II & III fractures CLOSED Reduction & Fixation Suspension wires to mandible Frontal: Central & lateral Circum zygomatic www.indiandenalacademy.com
- 26. MAXILLOFACIAL INJURIES MIDFACE FRACTURES Le-Fort I, II & III fractures CLOSED External fixation Cranio-mandibular Box, Halo frames POP head cap www.indiandenalacademy.com
- 27. MAXILLOFACIAL INJURIES MIDFACE FRACTURES • Applied surgical anatomy • Classification • Clinical features • Radiological features • Management www.indiandenalacademy.com