TITLE:
Presentation of multiple midface fractures combined with intracranial injury treated conservatively
AUTHORS:
Talal Rane, Firas Nasser, Samir Taha
KEYWORDS:
Midface Fracture; Upper Face Fracture; Conservative Management
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.1 No.1,
September
11,
2013
ABSTRACT: Midface injuries are normally the result of high forces impacted on the face, that can bypass the power of the connection buttresses, which are thick and strong, base of skull is also a rigid and toughstructure which requires significant forces to break. In our case, multiple midface and cranial base fractures are presented, which reflect injury caused by high forces and normally, these result in instability in the facial skeleton, or cause CSF rhinorrhea, or sharp spicules to endanger the orbit or the anterior cranial fossa, or the presence of any other indication of surgery. It is unusual to find such an extent of facial trauma and such a multiplication of fractures on the midface and cranial base levels, yet they were stable enough and without a real indication to require surgical interference.