Observation

Due to the high incidence of greenstick fractures and the rapid reossification and remodeling, conservative treatment is often the best treatment in a pediatric patient.

Please refer to general considerations on pediatric fractures for further details.

Due to the absence of maxillary sinuses, or small sinus volume, classic LeFort I, II, and III patterns are seldomly seen in young children. If LeFort fractures are present, they are often incomplete and nondisplaced or mildly displaced fractures and can be safely observed with close follow-up.

Due to bone remodeling and bone growth, fractures usually heal without any sequela.

Follow-up is performed at three weeks, once the swelling has subsided, to reevaluate if any functional or esthetic issues have arisen.