Management of Neglected Facial Fracture: A Case Report

Abstract

Introduction: Neglected fracture occurs where there has been a delay of more than 30 days. The maxillofacial fracture complex is the most common fracture in traffic accidents. The most common maxillofacial fractures are Naso-Orbito-Etmoid (NOE), Lefort fracture, Zygomatic Complex (ZMC), Palate Fracture, and Parasymphysis Fracture. Neglected fractures lead to delayed treatment, worsening conditions, and even disability.

Case: A 52-year-old male patient presents with complaints of facial bone fracture after being involved in a motor vehicle accident. CT scan examination showed: Multiple fractures of the bilateral nasal bones, interethmoidal septum, anterior walls of bilateral frontal sinuses, bilateral lamina papyracea of the ethmoid bone, anterior, medial, and lateral walls of bilateral maxillary bones all support Le Fort II. fracture, extending to bilateral dentoalveolar processes, bilateral zygomatic bones, and right mandibular parasymphysis.

Case Management: The ORIF technique was used for the upper, middle, and lower face fractures in a preferred order. The palatal reduction and fixation step was frequently the first in this sequence. When proper occlusion was achieved, it was maintained by intermaxillary fixation.

Conclusion: There was a significant result in correcting the functional, mastication, and aesthetic of the mid and lower face by using surgical management of facial fractures using ORIF.