Closed Reduction of a Pediatric Le Fort I Fracture: A Case Report on Minimally Invasive Management
Mekhaeel, Shehata Fakhry Mekhaeel, Salem, Mohamed Ahmed Eissa Sameh, Kambiz Ebrahimi, Tahoura Talebidelooei, Ali Sharifzadeh Ghazani, Fatemeh Hassannezhad Neissi, Mohamed Khaled Talaat Youssef Hassan, Aida Jahanbekam, Bahar Behroozi
Asian Journal of Case Reports in Surgery · pp. 817–824 · Published 9 Dec 2025
10.9734/ajcrs/2025/v8i2724Abstract
Pediatric facial fractures, particularly Le Fort I fractures, present unique challenges in diagnosis and management. This case report details the treatment of a 7-year-old male patient who sustained a Le Fort I maxillary fracture following a fall with a pen inside his oral cavity. Key CT findings confirmed a unilateral maxillary fracture with a deviated nasal septum, with no involvement of orbital structures. The patient was managed with closed reduction techniques, including maxillomandibular fixation (MMF), trans-maxillary fixation, and frontal suspension, under general anesthesia. Postoperative recovery was uneventful, with the patient resuming oral feeding within 4 hours and being discharged after 5 days. This conservative approach was chosen to preserve growth potential and minimize complications, avoiding the need for open reduction and internal fixation (ORIF) given the patient's age and the risk of disrupting facial growth. The case highlights the effectiveness of closed reduction techniques in pediatric fractures, offering a minimally invasive solution that restores functional and aesthetic outcomes.
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