How do you remember a Le Fort fracture?

Le Fort I = Speak No Evil This represents a Le Fort I fracture. There is a unilateral or bilateral fracture through the inferior maxilla just above the roots of the teeth. Pulling on the central incisors can lead to a “floating palate” due to mobility of the dental arch.

What is a Le Fort 3 fracture?

Le Fort III fracture (transverse), otherwise known as craniofacial dissociation, may follow impact to the nasal bridge or upper maxilla. The salient feature of these fractures, beyond pterygoid plate involvement, is that they invariably involve the zygomatic arch, or cheek bone.

What is a LeFort II fracture?

The Le Fort II fracture is also referred to as a pyramidal fracture. It commonly extends from the pterygoid plate through the maxilla, through the nasal orbital ethmoid area, and nasofrontal bone. Patients with Le Fort II injuries are often admitted to hospital unconscious and intubated.

Which Le Fort fracture is most common?

LeFort III fractures result in craniofacial disjunction. This is the highest level LeFort fracture and essentially separates the maxilla from the skull base.

How to simplify the CT diagnosis of Le Fort fractures?

Classification of the Le Fort fractures is simplified by using these unique components to establish a tentative classification that is then confirmed. Choose Top of page ABSTRACT Introduction << Unique Component of Each Three Steps in Diagnosing… Avoiding Pitfalls Summary References CITING ARTICLES

What kind of fracture is Le Fort 3?

Le Fort III fracture separates bones of face from rest of skull. Pterygoid plates are broken, as is true in all types of Le Fort fracture. Upper posterior margins of maxillary sinuses fracture, as does zygomatic arch, lateral orbital wall, and lateral orbital rim.

How is the surgical management of Lefort fractures?

The surgical management of LeFort fractures using internal fixation proceeds in a step wise fashion. First, occlusion is restored with intermaxillary fixation.

Can a Lefort fracture cause a sinus infection?

Violated mucosa over associated mandibular fractures or blood in the sinuses of Le Fort fracture patients may result in infections which could delay or compromise definitive treatment. Facial films may be adequate to make the diagnosis, however they frequently lack the details of orbital and palatal involvement seen on the CT.