Le Fort fractures

Classification

1. Le Fort I
   1. Transverse fx separating body of maxilla from pterygoid plate and nasal septum
   2. Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
2. Le Fort II
   1. Pyramidal fx through central maxilla and hard palate
   2. Movement of hard palate and nose occurs, but not the eyes
3. Le Fort III
   1. Craniofacial dysjunction (fx through frontozygomatic sutures, orbit, nose, ethmoids)
   2. Entire face shifts w/ globes held in place only by optic nerve)

Management

• CT Face
• Control hemorrhage w/ nasal and oral packing if needed
• Admit for IV abx and sx

See Also

• Maxillofacial Trauma

Source

Tintinalli