Le Fort I-II Fracture Management: Case Based Literature Review

Introduction: Midfacial fractures are among the most severe injuries encountered in emergency settings due to the risk of functional impairment and facial deformities. The Le Fort classification remains the most commonly used system for categorizing these fractures. Treating Le Fort II fractures is particularly complex due to the involvement of the orbital and nasal bones, along with the critical need to restore proper occlusion. Achieving pre-trauma occlusion is often the most difficult aspect of treating facial fractures. Case Presentation: This study reported a 28-year-old Asian male was brought to the Emergency Room of Bali Mandara General Hospital by a bystander following a motorcycle accident in which he struck a pedestrian. He was diagnosed with Le Fort I-II and a right orbital floor fracture. The patient underwent surgery, including open reduction and internal fixation using miniplates and screws. The procedure successfully restored the patient’s occlusion, and no reported postoperative complications. Discussion: The diagnosis of Le Fort fractures is based on patient history, physical examination, and imaging studies. Identifying a pterygoid fracture is essential for diagnosing all types of Le Fort fractures. Prompt definitive treatment is critical to prevent long-term facial deformities. Conclusion: Achieving proper occlusion is a marker of accurate alignment in managing facial fractures. Emphasizing functional restoration and deformity prevention significantly improves patient recovery and results.