Closed Reduction of a Pediatric Le Fort I Fracture: A Case Report on Minimally Invasive Management
Mekhaeel Shehata Fakhry Mekhaeel
Department of Operative Surgery and Clinical Anatomy Named After I.D. Kirpatovsky, Medical Institute, Peoples' Friendship University of Russia Named After Patrice Lumumba (RUDN University). Moscow, Russia.
Salem Mohamed Ahmed Eissa Sameh
Department of Operative Surgery and Clinical Anatomy Named After I.D. Kirpatovsky, Medical Institute, Peoples' Friendship University of Russia Named After Patrice Lumumba (RUDN University). Moscow, Russia.
Kambiz Ebrahimi
*
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Tahoura Talebidelooei
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Ali Sharifzadeh Ghazani
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Fatemeh Hassannezhad Neissi
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Hassan Mohamed khaled Talaat youssef
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Aida Jahanbekam
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
Bahar Behroozi
Department of Oral and Maxillofacial Surgery, Medical Institute., Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, Russia.
*Author to whom correspondence should be addressed.
Abstract
Pediatric facial fractures, particularly Le Fort I fractures, present unique challenges in diagnosis and management. This case report details the treatment of a 7-year-old male patient who sustained a Le Fort I maxillary fracture following a fall with a pen inside his oral cavity. Key CT findings confirmed a unilateral maxillary fracture with a deviated nasal septum, with no involvement of orbital structures. The patient was managed with closed reduction techniques, including maxillomandibular fixation (MMF), trans-maxillary fixation, and frontal suspension, under general anesthesia. Postoperative recovery was uneventful, with the patient resuming oral feeding within 4 hours and being discharged after 5 days. This conservative approach was chosen to preserve growth potential and minimize complications, avoiding the need for open reduction and internal fixation (ORIF) given the patient's age and the risk of disrupting facial growth. The case highlights the effectiveness of closed reduction techniques in pediatric fractures, offering a minimally invasive solution that restores functional and aesthetic outcomes.
Keywords: Pediatric facial fractures, Le Fort I fracture, closed reduction techniques, Maxillomandibular Fixation (MMF), minimally invasive surgery