Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following blunt facial trauma. Reports malocclusion, maxillary mobility, and localized pain. Denies vision changes or paresthesia. No loss of consciousness reported.
Clinical Examination Findings
Intraoral examination reveals maxillary mobility (floating maxilla) upon bimanual palpation. Occlusal derangement noted with premature posterior contact. Gingival lacerations present at the maxillary vestibule. No infraorbital nerve anesthesia.
Treatment Protocol
Immediate stabilization via maxillomandibular fixation (MMF). Surgical management planned for open reduction and internal fixation (ORIF) using titanium plates and screws at the buttresses. Antibiotic prophylaxis and analgesia initiated.