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.
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.
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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)
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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
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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
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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
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18. MAXILLOFACIAL INJURIES
MIDFACE FRACTURES
• Applied surgical anatomy
• Classification
• Clinical features
• Radiological features
• Management
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25. MAXILLOFACIAL INJURIES
MIDFACE FRACTURES
Le-Fort I, II & III fractures CLOSED
Reduction & Fixation
Suspension wires to mandible
Frontal: Central & lateral
Circum zygomatic
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