Le fort II fracture: Post workplace head injury

Abstract

We present a case of a 55-year-old male presenting to Emergency Department (ED) of a tertiary care hospital with complaints of nausea, vomiting and headache after head injury due to accidental trauma by hammer on his head while working on his job. There was history of loss of consciousness. He suffered forehead, nasal bridge and upper lip injuries. Eye movements and vision was normal bilaterally. X-ray and computed tomography (CT) of facial bones showed pterygoid plates, maxillary sinuses and orbital floors fracture bilaterally. CT head showed frontal contusion and hemorrhage. The diagnosis of Le fort II fracture was made, which was repaired surgically by oromaxillary facial surgery team and patient was discharged after one week of uneventful recovery. Our case is the first report of Le fort II fracture from Bahrain.