Management of Le Fort II fracture accompanied with blowout fracture of orbital base: a case report

Abstract

Objective: To present a casereport of a 20 years old male with Le Fort II fracture accompanied with blowout fracture and its management.Methods: A 20 years old male patient with chief complaint of maxillary fracture and inability to chew food, also felt limitation of right eye movement and double vision was then diagnosed with Le Fort II fracture accompanied with blowout fracture of the right orbital base. The patient was rehabilitated using open reduction internal fixation of the maxilla to achieve good occlusion continue with immobilization. The orbital base fracture was rehabilitated by orbital mesh placement and release of tissue trapped inside the orbital base fracture fragments to achieve normal position and movement of the eyeball.Results: One month post-surgery follow-up showed the face was symmetrical and the enophthalmos was corrected. A good occlusion was reached.Conclusion: Proper management of Le Fort II fracture accompanied with orbital base blowout fracture can restore the function of the eye, mastication, and occlusion. Symmetrical and proportional facial esthetics are among the indicators of a successful holistic maxillofacial trauma management.