PMC3950437_01
Dish face deformity with dropped upper jaw (A)
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F1
He had profuse bleeding from the nose and the mouth [Figure 1].
Computed tomography-scan 3 dimensional oblique view. F-Frontal fracture; I-Infra-orbital fracture; RMa-Right Maxillary fracture; LMa-Left Maxillary fracture; M-Mandibular fracture
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F2
The skull base and the cervical spine were intact [Figure 2].
Surgeon reducing the maxillary fracture pulling the maxilla forward with the index
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F3
With the index behind the soft palate, the surgeon reduced manually the maxillary fracture by pulling the maxilla forward and upward resulting in clearing the airway and creating an inter-incisor space [Figure 3]. While the surgeon kept his finger in place, topical lidocaine 5% was sprayed into the mouth and the oropharynx.