case_images: PMC3950437_01
case_images: Dish face deformity with dropped upper jaw (A)
case_images: SJA-8-128-g001.jpg
case_images: PMC3950437_01_SJA-8-128-g001.jpg
case_images: F1
case_images: He had profuse bleeding from the nose and the mouth [Figure 1].
case_images: 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
case_images: SJA-8-128-g002.jpg
case_images: PMC3950437_01_SJA-8-128-g002.jpg
case_images: F2
case_images: The skull base and the cervical spine were intact [Figure 2].
case_images: Surgeon reducing the maxillary fracture pulling the maxilla forward with the index
case_images: SJA-8-128-g003.jpg
case_images: PMC3950437_01_SJA-8-128-g003.jpg
case_images: F3
case_images: 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.