Epidemiological Aspects of Lefort II Fractures Treated at Nianankoro Fomba Hospital in Segou: About 17 Cases

Abstract

The Lefort II fracture (pyramidal fracture) or high transfacial is a solution of bone continuity of the middle stage of the face whose fracture line concerns the glabella, the ethmoid massif, the two maxillary sinuses and the pterygoids causing more or less important the mobility of the middle stage of the face. Objectives: of this study were to study the frequency of Lefort II fractures at Nianankoro FOMBA Hospital in Segou; to study the target population of Lefort II fractures at the Nianankoro FOMBA hospital in Segou; evaluate the treatment option for this pathology; to study the fate of treated patients. This was a prospective study, carried out in the stomatology and maxillofacial surgery department of Nianankoro FOMBA Hospital in Ségou over a period of 3 years, i.e. 36 months from October 1, 2016 to October 1, 2019. It covered all cases of Lefort II fractures admitted to this department for their care. During our study we recorded 225 cases of maxillofacial trauma including 17 cases of Lefort II fractures or 7.55% of all traumatic injuries admitted to the service. Lefort II fractures are a social and public health problem affecting mainly young male subjects in the 20 to 29 age group most often following accidents on public roads. Their diagnosis is made by clinical examination associated with paraclinical examination (computed tomography) which makes it possible to locate the fracture foci.