![]() xliii, 2128 pages p.This case report has been reported in line with the SCARE Criteria. Tintinalli’s emergency medicine : a comprehensive study guide. Tintinalli JE, Stapczynski JS, Ma OJ, Cline D, Meckler GD, Yealy DM. Part 3: Le Fort and zygomatic fractures in 94 patients. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Soong PL, Schaller B, Zix J, Iizuka T, Mottini M, Lieger O. Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Philadelphia, PA: Elsevier/Saunders 2014. Rosen’s emergency medicine : concepts and clinical practice. Burden of maxillofacial trauma at level 1 trauma center. Kaul RP, Sagar S, Singhal M, Kumar A, Jaipuria J, Misra M. Epidemiology and predictors of cervical spine injury in adult major trauma patients: a multicenter cohort study. Hasler RM, Exadaktylos AK, Bouamra O, Benneker LM, Clancy M, Sieber R, et al. Comparison of the severity of bilateral Le Fort injuries in isolated midface trauma. Consider ophthalmology consult within 24 hours depending on any ocular damage or involvementīagheri SC, Holmgren E, Kademani D, Hommer L, Bell RB, Potter BE, et al.These patients commonly do not need intervention though.Consider neurosurgery consult if CSF leak noted.Consult oral maxillofacial surgery (or whoever may be on call for facial trauma at your institution).Goal is to restore the facial skeleton and proper masticatory function. ![]() ![]() Majority of patient require admission in one series:.There is an association between Injury Severity Score (ISS) and grade of Le Fort fracture ( Bagheri 2005).First generation cephalosporins or Augmentin when sinus fractures are involved.Administering IV antibiotics, especially if CSF leak known orsuspected (though this is not well supported by literature) ( Soong 2014).Elevate the head of the bed to 40-60 degrees for anyone with a possible CSF leak (if not in spinal precautions).After the primary stabilization is achieved, other management can occur. ![]()
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