J Korean Assoc Oral Maxillofac Surg.  2017 Feb;43(1):53-56. 10.5125/jkaoms.2017.43.1.53.

Malocclusion after open reduction of midfacial fracture: a case report

• Lim SU
• Jin KS
• Han YS
• Lee H

• KMID: 2385072
• DOI: http://doi.org/10.5125/jkaoms.2017.43.1.53

Abstract

Malocclusion is a serious complication of open reduction surgery for facial fractures. It is often caused by the lack of adequate consideration for the occlusal relationship before the trauma and intermaxillary fixation during the operation. This is a case report of postoperative malocclusion that occurred in a patient with a midfacial complex fracture.

Keyword

Malocclusion; Postoperative complications; Fracture fixation; Jaw

MeSH Terms

Fracture Fixation
Humans
Jaw
Malocclusion*
Postoperative Complications

Figure

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  Fig. 1 Preoperative computed tomographic frontal (A) and axial (B, C) images. Le Fort I plus II and midpalatal fracture (arrow) were observed.

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  Fig. 2 Preoperative skull anteroposterior (A) and lateral (B) view images. An open bite and diastema were observed.

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  Fig. 3 Postoperative computed tomographic frontal (A) and axial (B, C) images. After reduction of the fractured segments, internal fixation using absorbable plates was performed by plastic surgeons.

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  Fig. 4 Postoperative orthopantomographic (A), skull anteroposterior (B), and lateral (C) view images. The open bite and diastema persisted.

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