*3.2.2. Signs and symptoms*

Mobility of alveolar segments should be checked for the entire maxillary arch. Displacement of fractured segments results in malocclusion which is an important sign to the clinician in diagnosing the palatal fracture. Ecchymosis of the palate may also indicate the line of fracture.

### *3.2.3. Management*

When the occlusion is good enough and the fractured segment is either minimally displaced or not displaced at all the surgeon may decide to follow the patient and choose no intervention. MMF is the treatment of choice in minimally displaced palatal fractures unless there is a contraindication for MMF. Gunning and palatal splints are other amenable methods for closed treatment of palatal fracture (**Figure 6**). ORIF of palatal fracture is indicated in severely mobile and displaced patterns to prevent splaying of the fragments.
