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FRACTURI

MAXILOFACIALE
Copyright Allan G. Farman
Fractur 11
Leziuni
traumatice
dentare

Fractura
rdcinii 21
(inciden
Belot)
Subluxaie 31, 41
Fractur alveolar
mandibular.
Fracturi alveolare mandibulare
anterioare (sgeile roii) i laterale
(sgeata galben).
Fractur alveolar maxilar
anterioar.
Fractur mandibular

Inciden Belot
Fractura condilului
mandibular drept i
a gonionului stng.
R

Fractura colului condilului mandibular stng cu


deplasarea medial a condilului
(inciden Townes inversat).
R

Fractura simfizei mandibulare i a


condilului stng.
Mandibular fracture (depressed) in
left canine/premolar region. Note
fracture line and step in cortical outline.
Fracture at left mandibular
angle shown on panoramic
dental radiograph.
Mandibular fracture of
left angle following
surgical realignment and
fixation.
R

Mandibular fracture at angle on right


side (PA view).
Mandibular fracture: This is the same case but
here the fracture is not so obvious. It is actually
at the right mandibular angle. Two views at right
angles are suggested when looking for fractures.
Mandibular fractures
in right molar and
left premolar regions.
(Incidentally, molars
are taurodonts.)
L

Mandibular fracture
in right third
molar region.
R

Comminuted fracture of left


mandibular body (positioning error
are not unusual in trauma victims
the patients chin was too low and
head too far forward in this case).
L

Comminuted fracture of left


mandibular ramus caused by
gunshot injury.
R

Comminuted fracture of left mandibular


ramus caused by gunshot injury (PA view
of same patient).
R L

R L
R L

R L
mm

Right Left
Buccal Palatal

David Gakenheimer : August 10, 2004


Pathological fracture associated
with large apical cyst in left
mandibular first molar region.
L

Pathologic fracture associated with


large radicular cyst (lateral-oblique view
from same patient).
Fractured skull with foreign object
(gearshift lever head). Entrance was
from front to back and the patient
did not survive. R
R

LeFort I midfacial fracture with bilateral fractures


of the walls of the left and right maxillary sinuses.
Both sinuses show opacification.
L

Le Fort II midfacial fracture: fracture lines


extend obliquely through nasofrontal sutures,
through the medial and inferior aspects of
both orbits and the lateral walls of both maxillary
sinuses (PA view).
PA view Axial CT

Le Fort II fracture
Le Fort II fracture (same case) shown with
surface-rendered 3-D reconstruction of axial
CT slices.
Le Fort II fracture:

note lack of
continuity in
outlines of
maxillary sinuses
(axial CT).
Le Fort II fracture: lateral view demonstrates
fracture lines in the nasoethmoidal region and
anterior maxilla (both Le Fort III and Le Fort I).
Le Fort III midface fractures: PA view shows
fractures of lateral walls of both maxillary
sinuses with concomitant opacification of the
sinuses. Glabella and right zygomaticofrontal
sutures also evidence fracture lines.
Le Fort III fractures involving
nasoethmoidal region (lateral view).
R

Tripod fracture (depressed)


of left malar complex (arrow).
R

Tripod fracture of left zygomatic


complex (PA view).
Depressed fracture
of left zygomatic arch
(2 different cases)

(submentovertex
views)
Detail of depressed
fracture of left
zygomatic arch

fracture

left side of
submentovertex
projection
Depressed fracture of left zygomatic arch
(blue arrow) and blow-out fracture of left
orbital floor (yellow arrow) - Waters view.
Depressed fracture of left zygomatic arch
(blue arrow) and blow-out fracture (yellow
arrow) of left orbital floor (Waters view).
Fracture of lateral wall plus blow-out
fracture of left orbit (coronal CT). Note lack
of continuity of orbital rim.
Blow-out fracture of left orbital floor in
region of infraorbital canal (coronal CT).
Blow-out fracture
of left orbital floor

Waters
projection
Blow-out fracture of right orbit shows typical trap
door sign. There is opacification
of the affected sinus (coronal tomograph).