The facial middle third unilateral outline fractures are in general the most frequent fractures of the bony-face bulk, and the superior maxillary and malar having the larger incidence. They occur as a result of severe traumatism. Age, sex and causing agent are the most important factors to determine handling. In some cases they combine with other face fractures. There is more incidence in males, affecting individuals mainly 20 to 40 year-old. Traffic accidents and burglar aggressions are main causes. The facial middle third of the bony-face bulk is conformed by a complex of bones united, mainly the superior maxillary, nasal, malar and temporal bones. We elaborate a classification that includes all mentioned bony structures, comprehensible and for easy application.

Objectives: To describe the surgical handling of juvenile nasopharyngeal angiofibroma, both approach and anesthesia, to demonstrate compromise and staging and to determine complications and recurrence of juvenile angiofibroma using Le Fort I approach. Design: Retrospective descriptive study. Setting: Head and Neck Surgery Department, Hospital Dos de Mayo. Participants: Patients with pathology confirmed juvenile nasopharyngeal angiofibroma. Interventions: We reviewed all the cases with surgery for juvenile nasopharyngeal angiofibroma confirmed by pathology between January 1993 and December 2006. Main outcome measures: Surgical results, blood loss, complications. Results: We had 29 cases in the study period, all men, with average age 19,2 years, age rank 13 to 27 years. Most cases were from Lima (34%) and Cajamarca (17%). We report 90% of cases catalogued as Chandler III, 7% as Chandler IV...