Shared Flashcard Set

Details

Le Fort II and III
Le Fort II and III procedures
15
Health Care
Undergraduate 1
02/13/2017

Additional Health Care Flashcards

 


 

Cards

Term
Le Fort II Fractures
Definition

AKA pyramidal maxillary fractures.

Vertical fracture line extends upward to the nasal and ethmoid bones

Term
Le Fort III fracture
Definition

AKA craniofacial disjunction fracture

Fracture line extends transversely from the zygomatic arches through the orbits, and to the base of the nose

Term
How do we suspend the maxillary arch to stable bones?
Definition
Suspenion wires are placed through holes drilled into the zygomatic process of the frontal bone.
Term
What is done to facilitate wire placement when suspending the maxillary arch?
Definition
Bilateral eyebrow incisions
Term
Rowe Forceps
Definition
Used intranasally and intraorally to reduce the maxilla
Term
Where are holes drilled for a Le Fort II?
Definition
On each side of the fracture along the infraorbital rim.
Term
Where are holes drilled for a Le Fort III?
Definition
Holes drilled same as Le Fort II but also drilled into the zygomatic frontal areas.
Term
What wires are used during a Le Fort II and III?
Definition
Stainless Steel Wires and Suspension Wires
Term
How are wires used during a Le Fort II and III?
Definition
Wires passed through drill holes and twisted downward and clockwise. Keeps the reduction in place.
Term
How are suspension wires used?
Definition
Passed through eyebrow incisions, behind zygomatic arches into the oral cavity
Term
First incision made
Definition

Bilateral eyebrow incisions.

 

This exposes the edges of the infraorbital area and zygomatic frontal suture lines.

Term
What are the polyethylene buttons and foam padding used for?
Definition
Used to tie down the pullout stainless steel wire
Term
What is done after eyebrow incisons are closed?
Definition
Nasal fracture is reduced
Term
Wound classification
Definition
Class 1: Clean
Term
Common instruments used?
Definition

Right and left Rowe maxillary forceps

Brown Fascia Needle

Periosteal elevators

Rigid fixation system

Supporting users have an ad free experience!