$injury le fort fracture$

A ruptured globe, retrobulbar hematoma, or extraocular muscle entrapment may require urgent intervention while findings of a hyphema or traumatic optic neuropathy may delay or alter the treatment strategy. Any patient with periorbital trauma should undergo preoperative examination by an ophthalmologist to rule out an orbital injury or other condition that may preclude repair. However, not all patients are candidates for early repair due to coexistent injuries and medical instability from other life-threatening injuries. Advocates for early repair report improved outcomes in function, cosmesis, and decreased rates of infection. The proper timing of repair remains debatable with few studies available to provide definitive evidence supporting early versus late repair. This provides the patient more rapid bone healing, improved cosmesis, enhanced nutrition, and earlier return of preinjury function. Advances in implant technology have allowed the reconstructive surgeon the ability to perform a single-stage repair with rigid internal fixation. The goals of management are directed toward the reestablishment of preinjury structure and function. Timely diagnosis and treatment of these injuries is important in order to optimize patient outcomes and minimize long-term sequela. In today’s society, Le Fort fractures are rarely seen in their pure form and can present as a unilateral fractures, combined fracture patterns, or comminuted fractures. The original descriptions were represented as symmetric and occurring in isolation. Le Fort studied the impact of low-velocity blunt force to cadaver facial skeletons and noted three distinct fracture patterns based upon inherent lines of weakness ( Fig. Much of the understanding of midface trauma is attributed to Rene Le Fort’s work published in 1901.

$injury le fort fracture$

When fractures of the midface occur, significant functional problems and aesthetic deformities can result. We don’t go out to hurt each other,” an apologetic Robinson said after the game.Fractures of the midface account for up to 20% of facial fractures presenting to the emergency department. “I don’t plan to go out there to hurt people even though it’s a physical game. Robinson showed great concern for her World Cup winning teammate, with the Maroons winger one of the best on field with a try in each half. Picture: Matt King/Getty Images Source: Getty Images Julia Robinson scored two tries could be in trouble once the charges are revealed. “This is quite a serious injury, and while I can’t talk about the incident itself, procedures are in place to ensure players receive appropriate care and that’s discussed before every game.” In fact, the player was walked off the field by the medical staff.

$injury le fort fracture$

“The team doctor is at liberty at any time if he or she needs to go onto the field to ask the match officials to stop the game. “The trainer and the team doctor are also connected by electronic audio communication so they can talk to each other. “That includes the trainer crossing both arms above their head as an indication that the game needs to stop. “Before every game, there’s a medical briefing that takes place with the medical staff from both teams and the NRL ground manager where they talk about standard procedures to stop a game. “In relation to serious injuries, referees and touch judges are often unaware whether an injury is considered serious or not. In this particular incident, the game moved away from that location on the field quite quickly so the treatment continued in back play. “It’s not unusual for play to continue while a player is receiving treatment in back play. Those procedures weren’t enacted last night,” he said.

$injury le fort fracture$

“If there is a serious injury that requires the game to be stopped, there’s a process in place for that to happen. The referee must now stop play if the trainer makes a signal or if the team doctor tells officials that the game needs to be halted, but Annesley confirmed that didn’t happen on Thursday night.

$injury le fort fracture$

Injury le fort fracture