Abstract
Midface injuries are normally the result of high forces impacted on the face, that can bypass the power of the connection buttresses, which are thick and strong, base of skull is also a rigid and toughstructure which requires significant forces to break. In our case, multiple midface and cranial base fractures are presented, which reflect injury caused by high forces and normally, these result in instability in the facial skeleton, or cause CSF rhinorrhea, or sharp spicules to endanger the orbit or the anterior cranial fossa, or the presence of any other indication of surgery. It is unusual to find such an extent of facial trauma and such a multiplication of fractures on the midface and cranial base levels, yet they were stable enough and without a real indication to require surgical interference.
Highlights
Combined intracranial injury with midface and upper face multiple fractures signify severe force involved [14], published work on forces calculated to produce a fracture of each craniofacial bone structure is well documented [1,2], normally, this results in severe injuries to the face [1,2,3]
We present a case of facial trauma that resulted in multiple midface and upper face fractures combined with a base-of-skull fracture, but all were undisplaced and not mobile did not require any intervention, and were managed conservatively, together with the intracranial hemorrhage being minor, that did not require surgical treatment as well
Secondary re-assessment revealed that interestingly all facial fractures were undisplaced and mobility of the midface was very minimal with no apparent impact on vision, aesthetics, nor occlusion, and did not warrant any maxillofacial surgical intervention, and patient was treated conservatively with antibiotics, Dexamethasone for three days, and close monitoring
Summary
Combined intracranial injury with midface and upper face multiple fractures signify severe force involved [14], published work on forces calculated to produce a fracture of each craniofacial bone structure is well documented [1,2], normally, this results in severe injuries to the face [1,2,3]. V.R. et al presented detailed work on the tolerance of facial bones to impact [3], and indicated that impacts produce fracture near 200 pounds, but that is closely related to the length of the pulse of impact measured in milliseconds. A lot of work is presented in the literature about treatment [5,6,7,8], sequencing of which bone to fix first [6,7], timing of treatment [6,7]. We present a case of facial trauma that resulted in multiple midface and upper face fractures combined with a base-of-skull fracture, but all were undisplaced and not mobile did not require any intervention, and were managed conservatively, together with the intracranial hemorrhage being minor, that did not require surgical treatment as well
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
