THE DIAGNOSIS AND MANAGEMENT OF SAGITTAL MAXILLARY FRACTURES

Abstract

Background: Various approaches for managing sagittal maxillary fractures have been documented, each with its own set of pros and cons. In this report, we share our own experiences and outcomes concerning the utilization of reverse pre-activated maxillary expanders, while also assessing their effectiveness. This study aimed to facilitate effective management, the patients were split into three consecutive groups on the basis of their specific fracture type and presentation.

Methods: This study comprised of 120 patients who were diagnosed with sagittal maxillary fractures. These fractures were further categorized into six distinct subgroups based on the location and severity.

Results: Sagittal maxillary fractures exhibited a higher prevalence among young men. Notably, Le Fort i and ii fractures were observed recurringly either as isolated injuries or in combination with other fracture types. Sagittal and parasagittal fractures represented bulk prevalence in fracture subtypes. The study included the management of 32 patients in group A, 40 patients in group B, and 48 patients in group C. The most common complications encountered were malocclusion (4 cases), plate extrusion (4 cases), and oroantral fistula (4 cases).

Conclusion: The diagnosis of a sagittal maxillary fracture involves clinical and radiological examinations. “Palatal fractures” of type ii and iii displaced necessitate palatal vault plating. The placement of one plate in the post 1/2 of the middle 1/3 of the palate provides adequate stability to the palatal vault.