A Rare Occurrence of Bilateral Lefort III with a known case of Myocardial Infarction

Abstract

Background: Patients with LeFort III fractures are at an elevated risk of needing emergency airway management because of midface instability and oropharyngeal airway obstruction. Lefort fracture includes fracture of the nasofrontal junction, bilateral area of the frontozygomatic suture, and probable fracture of the zygomatic arch. This fracture is also referred to as cranial facial disjunction. The Novel treatment for bilateral Lefort III is surgical management and medical management. It may be present in anyone who meets with an accident. Here we present the case of a 41-year adult man who came to the emergency department with complaints of head injury, absence of consciousness, nasal bleed drop by drop, swelling in the face, tooth avulsion, and prickling sensation over the lower right side of the face. The patient was kept in emergency ICU for observation and monitoring for one day, then referred to neurosurgery ICU where he was administered intravenous pan 40mg, Inj emset 2ml, Inj pause 1gm, Inj levopril 1gm, Inj ceftriaxone 1gm, Inj optineurin with 500ml ns, Tab zeredol 20 mg, Tab limce 500mg. The Patient was taken to the ophthalmology operation theater for suturing. Open reduction and internal fixation this surgical procedure is done on my patient. The patient's prognosis was good.