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Trends in Le Fort Fractures at a South American Trauma Care Center: Characteristics and Management

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Trends in Le Fort Fractures at a South American Trauma Care Center: Characteristics and Management

Auteurs : Gustavo Halak Oliveira-Campos ; Leandro Lauriti ; Marcos Kazuo Yamamoto ; Rubens Camino Júnior ; João Gualberto C. Luz

Source :

Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2015.

RBID : PMC:4759026

Abstract

Purpose

To assess the trends in Le Fort (maxillary) fractures in patients seen at a South American trauma care center based on the characteristics and management of these.

Materials and Methods

Of all patients with facial fractures seen at a trauma hospital during a six-year period, 50 (6.6 %) presented with Le Fort fractures. Medical charts were reviewed for characteristics presented and management performed. To improve the analyses, computed tomography and intraoperative findings were used. Statistical analyses involved descriptive statistics and the likelihood ratio test.

Results

The fractures were Le Fort II (52 %), Le Fort I (22 %), Le Fort type-associated (20 %) and Le Fort III (6 %). Male patients (90 %) in their third decade of life (38 %) were more frequent (p = 0.022). Traffic accidents (56 %) were the major etiologic factor (p = 0.048). There were 1.4 additional facial fractures per patient, with predominance of zygoma fractures (36.5 %). Most of the cases were managed by open reduction (60 %) (p = 0.015) with the subciliary approach (42.7 %) (p = 0.001). The 1.5-mm system was the most used fixation and the zygomaticomaxillary suture the most frequent location (p = 0.001).

Conclusion

the most common patient with a Le Fort fracture is an adult male, with a Le Fort II fracture due to a traffic accident requiring surgical fixation on zygomaticomaxillary suture.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4759026

DOI: 10.1007/s12663-015-0808-z
PubMed: 26929550
PubMed Central: 4759026

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Gustavo Halak Oliveira-Campos

<affiliation><nlm:aff id="Aff1">Hospital M. “Dr. Arthur R. de Saboya”, São Paulo, SP Brazil</nlm:aff>
<wicri:noCountry code="subfield">SP Brazil</wicri:noCountry>
</affiliation>

Leandro Lauriti

<affiliation><nlm:aff id="Aff2">Surgery Sector, Nove de Julho University, São Paulo, SP Brazil</nlm:aff>
<wicri:noCountry code="subfield">SP Brazil</wicri:noCountry>
</affiliation>

Marcos Kazuo Yamamoto

<affiliation><nlm:aff id="Aff3">Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo – USP, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-900 Brazil</nlm:aff>
<wicri:noCountry code="subfield">SP 05508-900 Brazil</wicri:noCountry>
</affiliation>

Rubens Camino Júnior

<affiliation><nlm:aff id="Aff3">Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo – USP, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-900 Brazil</nlm:aff>
<wicri:noCountry code="subfield">SP 05508-900 Brazil</wicri:noCountry>
</affiliation>

João Gualberto C. Luz

<affiliation><nlm:aff id="Aff3">Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo – USP, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-900 Brazil</nlm:aff>
<wicri:noCountry code="subfield">SP 05508-900 Brazil</wicri:noCountry>
</affiliation>

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<author><name sortKey="Lauriti, Leandro" sort="Lauriti, Leandro" uniqKey="Lauriti L" first="Leandro" last="Lauriti">Leandro Lauriti</name>
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<wicri:noCountry code="subfield">SP 05508-900 Brazil</wicri:noCountry>
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<author><name sortKey="Luz, Joao Gualberto C" sort="Luz, Joao Gualberto C" uniqKey="Luz J" first="João Gualberto C." last="Luz">João Gualberto C. Luz</name>
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To assess the trends in Le Fort (maxillary) fractures in patients seen at a South American trauma care center based on the characteristics and management of these.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Of all patients with facial fractures seen at a trauma hospital during a six-year period, 50 (6.6 %) presented with Le Fort fractures. Medical charts were reviewed for characteristics presented and management performed. To improve the analyses, computed tomography and intraoperative findings were used. Statistical analyses involved descriptive statistics and the likelihood ratio test.</p>
</sec>
<sec><title>Results</title>
<p>The fractures were Le Fort II (52 %), Le Fort I (22 %), Le Fort type-associated (20 %) and Le Fort III (6 %). Male patients (90 %) in their third decade of life (38 %) were more frequent (<italic>p</italic>
 = 0.022). Traffic accidents (56 %) were the major etiologic factor (<italic>p</italic>
 = 0.048). There were 1.4 additional facial fractures per patient, with predominance of zygoma fractures (36.5 %). Most of the cases were managed by open reduction (60 %) (<italic>p</italic>
 = 0.015) with the subciliary approach (42.7 %) (<italic>p</italic>
 = 0.001). The 1.5-mm system was the most used fixation and the zygomaticomaxillary suture the most frequent location (<italic>p</italic>
 = 0.001).</p>
</sec>
<sec><title>Conclusion</title>
<p>the most common patient with a Le Fort fracture is an adult male, with a Le Fort II fracture due to a traffic accident requiring surgical fixation on zygomaticomaxillary suture.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id>
<journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-8279</issn>
<issn pub-type="epub">0974-942X</issn>
<publisher><publisher-name>Springer India</publisher-name>
<publisher-loc>New Delhi</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">26929550</article-id>
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<article-id pub-id-type="publisher-id">808</article-id>
<article-id pub-id-type="doi">10.1007/s12663-015-0808-z</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Paper</subject>
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<title-group><article-title>Trends in Le Fort Fractures at a South American Trauma Care Center: Characteristics and Management</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Oliveira-Campos</surname>
<given-names>Gustavo Halak</given-names>
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<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Lauriti</surname>
<given-names>Leandro</given-names>
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<contrib contrib-type="author"><name><surname>Yamamoto</surname>
<given-names>Marcos Kazuo</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Júnior</surname>
<given-names>Rubens Camino</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Luz</surname>
<given-names>João Gualberto C.</given-names>
</name>
<address><phone>5511 3091-7887</phone>
<email>jgcluz@usp.br</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<aff id="Aff1"><label></label>
Hospital M. “Dr. Arthur R. de Saboya”, São Paulo, SP Brazil</aff>
<aff id="Aff2"><label></label>
Surgery Sector, Nove de Julho University, São Paulo, SP Brazil</aff>
<aff id="Aff3"><label></label>
Department of Oral and Maxillofacial Surgery, School of Dentistry, University of São Paulo – USP, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05508-900 Brazil</aff>
</contrib-group>
<pub-date pub-type="epub"><day>26</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2016</year>
</pub-date>
<volume>15</volume>
<issue>1</issue>
<fpage>32</fpage>
<lpage>37</lpage>
<history><date date-type="received"><day>15</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>13</day>
<month>5</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© The Association of Oral and Maxillofacial Surgeons of India 2015</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Purpose</title>
<p>To assess the trends in Le Fort (maxillary) fractures in patients seen at a South American trauma care center based on the characteristics and management of these.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Of all patients with facial fractures seen at a trauma hospital during a six-year period, 50 (6.6 %) presented with Le Fort fractures. Medical charts were reviewed for characteristics presented and management performed. To improve the analyses, computed tomography and intraoperative findings were used. Statistical analyses involved descriptive statistics and the likelihood ratio test.</p>
</sec>
<sec><title>Results</title>
<p>The fractures were Le Fort II (52 %), Le Fort I (22 %), Le Fort type-associated (20 %) and Le Fort III (6 %). Male patients (90 %) in their third decade of life (38 %) were more frequent (<italic>p</italic>
 = 0.022). Traffic accidents (56 %) were the major etiologic factor (<italic>p</italic>
 = 0.048). There were 1.4 additional facial fractures per patient, with predominance of zygoma fractures (36.5 %). Most of the cases were managed by open reduction (60 %) (<italic>p</italic>
 = 0.015) with the subciliary approach (42.7 %) (<italic>p</italic>
 = 0.001). The 1.5-mm system was the most used fixation and the zygomaticomaxillary suture the most frequent location (<italic>p</italic>
 = 0.001).</p>
</sec>
<sec><title>Conclusion</title>
<p>the most common patient with a Le Fort fracture is an adult male, with a Le Fort II fracture due to a traffic accident requiring surgical fixation on zygomaticomaxillary suture.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Maxillary fractures</kwd>
<kwd>Maxillofacial injuries</kwd>
<kwd>Fracture fixation</kwd>
<kwd>Epidemiologic studies</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Association of Oral and Maxillofacial Surgeons of India 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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Trends in Le Fort Fractures at a South American Trauma Care Center: Characteristics and Management

Trends in Le Fort Fractures at a South American Trauma Care Center: Characteristics and Management

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