METHODS: All operative facial trauma over a 16 year period (1998 – 2013) at a single institution was reviewed. Patients were categorized based on the imaging modality (head or face scan) used to evaluate their facial fractures, excluding those receiving a single imaging study. Fracture patterns seen were categorized and patients receiving both scan types were grouped based on whether the result...

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Traumatic intractable epistaxis following fractures of the facial and base of skull rarely may be life-threatening. Common sites of injury are the internal carotid and maxillary artery. When conventional methods of arresting haemorrhage fail, the choices are then an open arterial ligation or superselective embolisation. This paper presents a patient with life-threatening epistaxis from a Le For...

Midfacial ( Le Fort) fractures are types of facial fractures involving the maxillary bone and surrounding structures in a usually bilateral and pyramidal. Incorrect and inappropriate treatment of trauma will end with secondary deformity that is very difficult to correct. Twenty five patients with maxillofacial trauma were seen at Maxillofacial Surgery Department at Ramadi Teaching Hospital incl...

Background: The fracture of the mandible is the second most common facial bone injury.  When this injury occurs, it could be serious with complications that may even result in death. Objective: To evaluate the current trends in mandibular fracture (MF) in southern Iran. Methods: In a cross-sectional study, several parameters including age, sex, cause of fracture, anatomical site of fracture, pr...

BACKGROUND There are >150,000 patient visits per year to emergency rooms for facial trauma. The reliability of a computed tomography (CT) scan has made it the primary modality for diagnosing facial skeletal injury, with the physical examination playing more a cursory role. Knowing the predictive value of physical findings in facial skeletal injuries may enable more appropriate use of imaging an...

This article reviews cases of mandibular fractures treated at the Service of Oral and Maxillofacial Surgery of the Hospital Complex of Mandaqui (SUS/SP), which is a reference hospital complex for trauma in the northern area of the city of São Paulo, Brazil. Ninety-eight patients with mandibular fractures were seen at the hospital between January and December, 2001. Out of this total, 91 cases w...

Trauma to the midface involves fracture of the maxilla, the zygoma, orbit and the nasoorbital ethmoid complex. The facial skeleton is made up of thin segments of bone encased and supported by a more rigid framework of ‘buttresses’. The midface is anchored to the cranium through this framework. Midfacial fractures can occur in isolation or in combination with other serious injuries. The road tra...

BACKGROUND Fractures of mid-face were first described by Le Fort and are classified into three categories - Le Fort I, Le Fort II and Le Fort III. The pterygoid processes of the sphenoid bone are fractured in all the three categories of Le Fort fractures as the sphenoid bone connects the cranium vault to the facial bones. Fractures of the pterygoid processes without associated Le Fort fractures...

UNLABELLED The frontal sinus trauma is not rare and it is 8% of the facial fractures. It can affect the anterior and/or posterior plates, with or without hitting the nasofrontal duct. It has a large potential of complications and its management still being a controversy. OBJECTIVE To present the casuistic of fractures frontal sinus, the epidemiology and clinical and surgical management of fro...