Assessment of Change in Patterns of Mid Face Fractures by Using Computed Tomography Scans


Authors : Dr. Ankita Raj; Dr. Saket Nigam; Dr. Amit Pandey; Dr. Vivek Singh Chauhan; Dr. V. Santhosh Kumar; Dr. Sonali Soumya;

Volume/Issue : Volume 8 - 2023, Issue 2 - February

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3mXzYlj

DOI : https://doi.org/10.5281/zenodo.7739268

Rene Le Fort, in 1901, carried out a series of experiments on cadaver heads to understand fracture patterns in upper jaw and classified mid face fractures into few distinct categories, Le Fort I, II and III. The primary goal of his research was to evaluate the diverse midface fractures in order to comprehend the response of mid face to various wounding agents having varying velocities and masses at a particular time.  Aim The aim of the study is to assess changing patterns of mid face fractures using computed tomography scans.  Material And Methods The study was carried out on the 100 patients who reported to the OPD Of Rama Dental College, Hospital And Research Centre, Kanpur And Regency Hospital Kanpur. Patients diagnosed with mid face fracture who were 15 years and above were selected. All the patients were advised to undergo computed tomography scan and the films were analyzed to study the exact nature of mid face. The fractures were further studied intra-operatively and compared with standard le fort lines. The data collected was segregated in terms of age, sex and etiology of trauma and categorized into three broad groups.  Results In our study, we observed that most of the cases the fracture lines do not coincide with traditional le fort lines(69%). In the 69 cases that were deviated from the standard Le Fort lines, a total of 80 variations were found either on same or both sides.  Conclusion The study shows, CT as a useful tool in the diagnosis of the midface fractures. There is a need for new studies and research in this area because variations from the traditional Le Fort patterns are occurring rather regularly and necessitating extra places of fixation.

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