Term
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Definition
AKA pyramidal maxillary fractures.
Vertical fracture line extends upward to the nasal and ethmoid bones |
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Term
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Definition
AKA craniofacial disjunction fracture
Fracture line extends transversely from the zygomatic arches through the orbits, and to the base of the nose |
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Term
How do we suspend the maxillary arch to stable bones? |
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Definition
Suspenion wires are placed through holes drilled into the zygomatic process of the frontal bone. |
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Term
What is done to facilitate wire placement when suspending the maxillary arch? |
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Definition
Bilateral eyebrow incisions |
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Term
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Definition
Used intranasally and intraorally to reduce the maxilla |
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Term
Where are holes drilled for a Le Fort II? |
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Definition
On each side of the fracture along the infraorbital rim. |
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Term
Where are holes drilled for a Le Fort III? |
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Definition
Holes drilled same as Le Fort II but also drilled into the zygomatic frontal areas. |
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Term
What wires are used during a Le Fort II and III? |
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Definition
Stainless Steel Wires and Suspension Wires |
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Term
How are wires used during a Le Fort II and III? |
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Definition
Wires passed through drill holes and twisted downward and clockwise. Keeps the reduction in place. |
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Term
How are suspension wires used? |
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Definition
Passed through eyebrow incisions, behind zygomatic arches into the oral cavity |
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Term
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Definition
Bilateral eyebrow incisions.
This exposes the edges of the infraorbital area and zygomatic frontal suture lines. |
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Term
What are the polyethylene buttons and foam padding used for? |
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Definition
Used to tie down the pullout stainless steel wire |
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Term
What is done after eyebrow incisons are closed? |
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Definition
Nasal fracture is reduced |
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Term
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Definition
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Term
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Definition
Right and left Rowe maxillary forceps
Brown Fascia Needle
Periosteal elevators
Rigid fixation system |
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