The edentulous Le Fort fracture.
Identifieur interne : 009B44 ( Ncbi/Curation ); précédent : 009B43; suivant : 009B45The edentulous Le Fort fracture.
Auteurs : W A Crawley [États-Unis] ; P. Azman ; N. Clark ; B. Robertson ; S. Slezak ; C. Vander Kolk ; P N MansonSource :
- The Journal of craniofacial surgery [ 1049-2275 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Dimension verticale, Femelle, Fixateurs internes, Fractures comminutives (), Fractures comminutives (imagerie diagnostique), Fractures du maxillaire (), Fractures du maxillaire (imagerie diagnostique), Humains, Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Ostéosynthèse interne, Plaques orthopédiques, Radiographie, Sujet âgé, Techniques de contention de la mâchoire, Transplantation osseuse, Études rétrospectives.
- MESH :
- imagerie diagnostique : Fractures comminutives, Fractures du maxillaire, Maxillaire, Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Dimension verticale, Femelle, Fixateurs internes, Fractures comminutives, Fractures du maxillaire, Humains, Maxillaire, Mâchoire édentée, Mâle, Ostéosynthèse interne, Plaques orthopédiques, Radiographie, Sujet âgé, Techniques de contention de la mâchoire, Transplantation osseuse, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Bone Plates, Bone Transplantation, Female, Fracture Fixation, Internal, Fractures, Comminuted (diagnostic imaging), Fractures, Comminuted (surgery), Humans, Internal Fixators, Jaw Fixation Techniques, Jaw, Edentulous (complications), Jaw, Edentulous (diagnostic imaging), Male, Maxilla (diagnostic imaging), Maxilla (surgery), Maxillary Fractures (diagnostic imaging), Maxillary Fractures (surgery), Middle Aged, Radiography, Retrospective Studies, Vertical Dimension.
- MESH :
- complications : Jaw, Edentulous.
- diagnostic imaging : Fractures, Comminuted, Jaw, Edentulous, Maxilla, Maxillary Fractures.
- surgery : Fractures, Comminuted, Maxilla, Maxillary Fractures.
- Adult, Aged, Bone Plates, Bone Transplantation, Female, Fracture Fixation, Internal, Humans, Internal Fixators, Jaw Fixation Techniques, Male, Middle Aged, Radiography, Retrospective Studies, Vertical Dimension.
Abstract
A retrospective review of 328 Le Fort fractures has identified 20 (6.1%) of these fractures as edentulous. A review of treatment of the patients was conducted. Conservative (nonsurgical treatment methods) and classic open reductions produce aesthetic and functional results that lead to posterior and oblique positioning of the maxillary occlusal segment in comminuted fractures. Attention to positioning the maxilla by relating it to the mandible through maxillomandibular fixation minimized these deformities. Establishing maxillary-mandibular relationships in edentulous fractures, therefore, seems to have the same importance as establishing occlusion in dentulous patients as an important initial step in the treatment of comminuted Le Fort fractures.
PubMed: 9482055
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pubmed:9482055Le document en format XML
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<author><name sortKey="Crawley, W A" sort="Crawley, W A" uniqKey="Crawley W" first="W A" last="Crawley">W A Crawley</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Plastic Surgery, University of Maryland Shock Trauma Center, Baltimore 21201, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Plastic Surgery, University of Maryland Shock Trauma Center, Baltimore 21201</wicri:regionArea>
<placeName><settlement type="city">Baltimore</settlement>
<region type="state">Maryland</region>
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<author><name sortKey="Azman, P" sort="Azman, P" uniqKey="Azman P" first="P" last="Azman">P. Azman</name>
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<author><name sortKey="Clark, N" sort="Clark, N" uniqKey="Clark N" first="N" last="Clark">N. Clark</name>
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<author><name sortKey="Robertson, B" sort="Robertson, B" uniqKey="Robertson B" first="B" last="Robertson">B. Robertson</name>
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<author><name sortKey="Slezak, S" sort="Slezak, S" uniqKey="Slezak S" first="S" last="Slezak">S. Slezak</name>
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<series><title level="j">The Journal of craniofacial surgery</title>
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<term>Aged</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Female</term>
<term>Fracture Fixation, Internal</term>
<term>Fractures, Comminuted (diagnostic imaging)</term>
<term>Fractures, Comminuted (surgery)</term>
<term>Humans</term>
<term>Internal Fixators</term>
<term>Jaw Fixation Techniques</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Fractures (diagnostic imaging)</term>
<term>Maxillary Fractures (surgery)</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Vertical Dimension</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dimension verticale</term>
<term>Femelle</term>
<term>Fixateurs internes</term>
<term>Fractures comminutives ()</term>
<term>Fractures comminutives (imagerie diagnostique)</term>
<term>Fractures du maxillaire ()</term>
<term>Fractures du maxillaire (imagerie diagnostique)</term>
<term>Humains</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Radiographie</term>
<term>Sujet âgé</term>
<term>Techniques de contention de la mâchoire</term>
<term>Transplantation osseuse</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Fractures, Comminuted</term>
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Fractures comminutives</term>
<term>Fractures du maxillaire</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fractures, Comminuted</term>
<term>Maxilla</term>
<term>Maxillary Fractures</term>
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<term>Aged</term>
<term>Bone Plates</term>
<term>Bone Transplantation</term>
<term>Female</term>
<term>Fracture Fixation, Internal</term>
<term>Humans</term>
<term>Internal Fixators</term>
<term>Jaw Fixation Techniques</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Retrospective Studies</term>
<term>Vertical Dimension</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dimension verticale</term>
<term>Femelle</term>
<term>Fixateurs internes</term>
<term>Fractures comminutives</term>
<term>Fractures du maxillaire</term>
<term>Humains</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Radiographie</term>
<term>Sujet âgé</term>
<term>Techniques de contention de la mâchoire</term>
<term>Transplantation osseuse</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">A retrospective review of 328 Le Fort fractures has identified 20 (6.1%) of these fractures as edentulous. A review of treatment of the patients was conducted. Conservative (nonsurgical treatment methods) and classic open reductions produce aesthetic and functional results that lead to posterior and oblique positioning of the maxillary occlusal segment in comminuted fractures. Attention to positioning the maxilla by relating it to the mandible through maxillomandibular fixation minimized these deformities. Establishing maxillary-mandibular relationships in edentulous fractures, therefore, seems to have the same importance as establishing occlusion in dentulous patients as an important initial step in the treatment of comminuted Le Fort fractures.</div>
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