Shared Flashcard Set

Details

Le Fort 2 and 3 Fracture Repair
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15
Medical
Not Applicable
02/09/2018

Additional Medical Flashcards

 


 

Cards

Term
What is used to suspend the maxillary arch to stable bones?
Definition
The suspension wires that are placed through holes drilled bilaterally through the zygomatic process of the frontal bone.
Term
What incisions are made to facilitate the wire placement for maxillary suspension?
Definition
Bilateral eyebrow incisions are made. (similar to a blepharoplasty).
Term
What forceps are used intranasally and intraorally to reduce the maxilla?
Definition
Rowe Froceps
Term
Holes are drilled into what two areas for a Le Fort 3 fracture?
Definition
Infraorbital rim and into the zygomatic frontal areas.
Term
Holes are drilled into what area for a Le Fort 2 fracture?
Definition
infraorbital rim
Term

What material is passed through the drill holes to keep the reduction in place?

 

Definition
Stainless steel wires
Term

How are the suspension wires passed for a Le Fort 2 or 3 fracture?

 

Definition
They are passed through the eyebrow incisions, behind the zygomatic arches and into the oral cavity using the Brown needle.
Term
What needs to happen as the incisions are being closed on a Le Fort 2 or 3 fracture repair?
Definition
The nasal fracture is reduced.
Term
What kind of buttons are used for a Le Fort 2 or 3 fracture repair?
Definition
Sterile polyethylene buttons
Term
What are 2 special forceps needed for a Le Fort 2 or 3 fracture repair?
Definition
Right and Left Rowe maxillary forceps.
Term
What complication involving the airway may occur after this procedure and why?
Definition
Patency of the airway may be compromised due to postoperative hemorrhage and/or swelling.
Term
True or False: After a Le Fort 2 or 3 fracture repair, the patient will look exactly the same as they did before the accident, they will just have scars, but no other major changes.
Definition
False.
Term
True or False: The patient will likely not need additional surgeries after a Le Fort 2 or 3 fracture repair.
Definition
False.
Term
What imaging may be required prior to having a Le Fort 2 or 3 fracture repair done?
Definition
X-ray and CT scan.
Term
True or False: Pretrauma photographs and dental records can aid the surgeon in determining the proper placement for fractured facial bones and to help in recreating the same appearance as before.
Definition
True.
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