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{| {{table}}
==Classification==
{| class="wikitable" style="float:right; margin-left: 10px;"
| align="center" style="background:#f0f0f0;"|'''Le Fort Fracture'''
| align="center" style="background:#f0f0f0;"|'''Le Fort Fracture'''
| align="center" style="background:#f0f0f0;"|'''Front'''
| align="center" style="background:#f0f0f0;"|'''Front View'''
| align="center" style="background:#f0f0f0;"|'''Side'''
| align="center" style="background:#f0f0f0;"|'''Side View'''
|-
|-
|Type I||[[File:LeFort1e.png|120px]]||[[File:LeFort1a.png|150px]]
|Type I||[[File:LeFort1e.png|120px]]||[[File:LeFort1a.png|150px]]
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|Type III||[[File:LeFort3b.png|120px]]||[[File:LeFort3a.png|150px]]
|Type III||[[File:LeFort3b.png|120px]]||[[File:LeFort3a.png|150px]]
|}
|}
===Le Fort I===
*Transverse fracture separating body of maxilla from pterygoid plate and nasal septum<ref name="tintinalli">Tintinalli 7th Edition, pgs 1730-1738</ref>
*Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
*Stable fracture
===Le Fort II===
*Pyramidal fracture through central maxilla and hard palate
*Movement of hard palate and nose occurs, but not the eyes
*Can be stable or unstable fracture
===Le Fort III===
*Craniofacial dysjunction (fracture through frontozygomatic sutures, orbit, nose, ethmoids)
*Entire face shifts with globes held in place only by optic nerve)
*Dish face deformity on lateral view
*Unstable fracture
===Le Fort IV===
*Le Fort III plus involvement of frontal bone
*Unstable fracture

Revision as of 06:40, 10 May 2019

Classification

Le Fort Fracture Front View Side View
Type I LeFort1e.png LeFort1a.png
Type II LeFort2b.png LeFort2a.png
Type III LeFort3b.png LeFort3a.png

Le Fort I

  • Transverse fracture separating body of maxilla from pterygoid plate and nasal septum[1]
  • Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
  • Stable fracture

Le Fort II

  • Pyramidal fracture through central maxilla and hard palate
  • Movement of hard palate and nose occurs, but not the eyes
  • Can be stable or unstable fracture

Le Fort III

  • Craniofacial dysjunction (fracture through frontozygomatic sutures, orbit, nose, ethmoids)
  • Entire face shifts with globes held in place only by optic nerve)
  • Dish face deformity on lateral view
  • Unstable fracture

Le Fort IV

  • Le Fort III plus involvement of frontal bone
  • Unstable fracture
  1. Tintinalli 7th Edition, pgs 1730-1738