The use of a Kirschner wire in the treatment of a comminuted le fort I fracture: a case report.

Autor: De Temmerman G; Department of Oral and Maxillofacial Surgery, St. John's Hospital, Genk, Belgium., Falter B, Schepers S, Vrielinck L, Orye J, Politis C
Jazyk: angličtina
Zdroj: Craniomaxillofacial trauma & reconstruction [Craniomaxillofac Trauma Reconstr] 2011 Dec; Vol. 4 (4), pp. 217-22.
DOI: 10.1055/s-0031-1293517
Abstrakt: Simultaneous fracture of the maxilla and cervical vertebrae rarely occurs in bicycling accidents. The following case report describes a simple technique for closed reduction of a severely comminuted maxillary fracture with shattering of the dentoalveolar process. The combination of a rigid external distractor halo frame on the skull, a Kirschner wire through the maxilla, and an intermaxillary wire fixation resulted in stable vertical and sagittal correction of the fragmented maxilla with adequate access and minimal manipulation and without necessitating removal of the cervical collar.
Databáze: MEDLINE