Emergency Management of Palatal Bone Fractures - Serial Cases

Sagittal fractures of the palatal bone, whether in the midline or paramedian region, usually associated with Le Fort fractures, result in oronasal communication. Initial stabilization of this fracture prevents functional disorders and life-threatening situations, such as ongoing bleeding from traumatic nasal mucosa and regurgitation of nasal food that causes the risk of aspiration. The purpose of this case series is to provide emergency management education in palatal fractures. Two different cases of emergency patients reported on fractures of the palatal bone were treated with transpalatal wiring or intermolar wiring. The first case was a 17 years old male patient with multiple fractures of several middle facial third bones accompanied by palatal sagittal fractures. The second case was a 19 years old male patient with multiple fractures of several upper and middle third facial bones accompanied by palatal sagittal fracture. Palate and maxillary alveolar bone fractures together require reduction to form the maxillary transverse dimensions and optimal occlusion. this fracture is often treated before reduction at higher midfacial levels which allows the placement of MMF to guide the reduction in vertical support. The results of this case report show that fixation using transpalatal wiring is a far more time-efficient and cost-effective method for satisfying treatment use in emergencies.