También se observaron herida constuso-cortante en el labio superior, movilidad maxilar cuando se manipula y discreta distopia oclusal. La agudeza visual y la motricidad ocular se conservaron en ambos ojos. Clínicamente, se observó hundimiento del tercio medio de su cara con edema y equimosis periorbital bilateral. Reporte de caso: Un hombre de 33 años fue llevado al Servicio de Traumatología Quirúrgica y Maxilofacial del Hospital de Trauma y Emergencias Senatorial Humberto Lucena - Joao Pessoa (PB), Brasil, víctima de agresión física. Objetivo: Describir los manejos clínicos realizados en una víctima de fractura de Le Fort I atípica. Keywords: skull fractures, fracture fixation, traumatology. Treatment should be based on the one for classical Le Fort I fractures with adjustments to the surgical access approach. After a period of two months, the patient is healing well without any apparent functional or aesthetic alteration.Ĭonclusions: Atypical Le Fort I fractures are not frequent however, a number of etiologies besides the impact force may bring about them. The therapeutic approach chosen was fracture reduction and fixation with plates and screws. Imaging examination identified a high bilateral Le Fort I fracture. A cut-contusion injury on the upper lip, maxillary mobility when handled and discrete occlusal dystopia were also observed. Visual acuity and ocular motricity were preserved in both eyes. Clinical examination revealed sinking of the middle third of the face with edema and bilateral periorbital ecchymosis. Objective: Describe the clinical management of an atypical Le Fort I fracture case.Ĭase presentation: A 33-year-old patient was brought to the Surgical and Maxillofacial Traumatology Service of Humberto Lucena Senatorial Emergency and Trauma Hospital in Joao Pessoa (PB), Brazil, after undergoing physical aggression.
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