Maxillary Midpalatal Sagittal Fracture: A Case Report

Objective: In this paper, we aimed to present a case management with maxillary midpalatal and mandible fractures on clinical and radiological examination under the literature’s knowledge. Case: A traffic accident history patient, clinical and radiological examination revealed maxillary midpalatal and mandibular fractures. A closed reduction approach was deemed appropriate for the patient, and the fracture was reduced with intermaxillary fixation. Conclusion: Palatal fractures are rarely seen in maxillofacial injuries. It can often be overlooked in facial traumas, cervical injuries, and sequelae are seen in untreated or incompletely treated cases. After diagnosing the fracture, it is essential to consider the fracture type and appropriate treatment methods.

Keywords:

palatal fracture, management median palatal fracture,

PDF

___

1. Hoppe IC, Halsey JN, Ciminello FS, Lee ES, Granick MS. A Single-Center Review of Palatal Fractures: Etiology, Patterns, Concomitant Injuries, and Management. Eplasty. 2017;14(17):180-188.
2. Le Fort R. Etude experimentale sur les fractures de la machoire superieure. Rev Chir. 1901;23:208. http://ci.nii. ac.jp/naid/10016046255/en/. Accessed April 30, 2021.
3. Gala Z, Halsey JN, Kapadia K, et al. Pediatric Palate Fractures: An Assessment of Patterns and Management at a Level 1 Trauma Center. Craniomaxillofac Trauma Reconstr. 2021;14(1):23-28. doi:10.1177/1943387520935013
4. Hendrickson M, Clark N, Manson PN, et al. Palatal fractures: Classification, patterns, and treatment with rigid internal fixation. Plast Reconstr Surg. 1998;101(2):319-332. doi:10.1097/00006534-199802000-00009
5. Chen CH, Wang TY, Tsay PK, et al. A 162-case review of palatal fracture: Management strategy from a 10-year experience. Plast Reconstr Surg. 2008;121(6):2065-2073. doi:10.1097/PRS.0b013e3181706edc
6. Park S, Ock JJ. A new classification of palatal fracture and an algorithm to establish a treatment plan. Plast Reconstr Surg. 2001;107(7):1669-1676. doi:10.1097/00006534- 200106000-00005
7. Pedemonte C, Valenzuela K, González LE, Vargas I, Noguera A. Types of Intermaxillary Fixation and Their Interaction With Palatine Fracture Reduction. J Oral Maxillofac Surg. 2019;77(10):2083.e1-2083.e8. doi:10.1016/j. joms.2019.06.006
8. Moss WJ, Kedarisetty S, Jafari A, Schaerer DE, Husseman JW. A Review of Hard Palate Fracture Repair Techniques. J Oral Maxillofac Surg. 2016;74(2):328-336. doi:10.1016/j. joms.2015.09.027