Presentation
Motor vehicle collision
Patient Data
Age: 25 years
Gender: Male
From the case:
Le Fort I fractures
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- bilateral Le Fort I fractures, with mild distraction and retrusion of the occlusion-bearing segment
- nasoseptal fractures, comminuted and impacted, with nasal laceration
- right frontal scalp subgaleal hematoma
Case Discussion
The patient reported new malocclusion characterized by anterior open bite. On examination, the maxilla was mobile. The nasal dorsum was flattened. These findings were consistent with the CT findings of bilateral Le Fort I fractures and nasoseptal fractures. A nasal septal hematoma was ruled out by a speculum exam. The nasal laceration was repaired at the bedside. The maxillofacial fractures were operatively treated on a non-emergency basis.
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