You are here

Article Text

Article menu
Download PDFPDF
Surgery
Extreme midface injury and superior maxillary impaction in an adolescent
  1. Thais Calderon1,2,
  2. Tannon Tople3,
  3. Shane Morrison2 and
  4. Russell E Ettinger2
  1. 1Division of Plastic and Reconstructive Surgery, Seattle Children's Hospital, Seattle, Washington, USA
  2. 2Division of Plastic and Reconstructive Surgery, University of Washington, seattle, Washington, USA
  3. 3Seattle Children's Hospital, Seattle, Washington, USA
  1. Correspondence to Dr Thais Calderon; Thaisc{at}uw.edu

Abstract

We present a case of an adolescent who sustained multiple facial fractures following a high-speed, head-on skiing collision. The patient presented to a level 1 trauma centre with bilateral LeFort I, LeFort II, naso-orbital ethmoid fractures and superior maxillary displacement to the level of the orbits requiring a staged operative approach to (1) disimpact the maxillary LeFort I segment and (2) reduce and fixate the multilevel facial fractures. The patient was discharged home with close follow-up, and after 1 year, had preservation of appropriate facial proportions without complications. This case study focuses on the triage, management and surgical planning of paediatric midface fractures, which are relatively uncommon to treat. Special considerations for repairing facial fractures in adolescents are discussed.

  • Surgery
  • Plastic and reconstructive surgery
  • Paediatrics

https://doi.org/10.1136/bcr-2023-259314

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SM, REE, TC and TT. TC contributed by providing patient care and surgical management, manuscript writing and editing. TT contributed to literature review and manuscript writing and editing. SM contributed by contributing to manuscript writing and editing. REE contributed by providing patient care surgical management, patient follow-up/image collection, manuscript writing and editing. The following authors gave final approval of the manuscript: REE.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.