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*Transverse fracture separating body of maxilla from pterygoid plate and nasal septum<ref name="tintinalli">Tintinalli 7th Edition, pgs 1730-1738</ref>
*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)
*Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
||[[File:LeFort1e.png|120px]]||[[File:LeFort1a.png|150px]]||
||[[File:LeFort1e.png|120px]]||[[File:LeFort1a.png|150px]]||Stable
|-
|-
|Type II||||[[File:LeFort2b.png|120px]]||[[File:LeFort2a.png|150px]]||
|Type II||
*Pyramidal fracture through central maxilla and hard palate
*Movement of hard palate and nose occurs, but not the eyes
||[[File:LeFort2b.png|120px]]||[[File:LeFort2a.png|150px]]||Can be stable or unstable fracture
|-
|-
|Type III||||[[File:LeFort3b.png|120px]]||[[File:LeFort3a.png|150px]]||
|Type 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
||[[File:LeFort3b.png|120px]]||[[File:LeFort3a.png|150px]]||Unstable
|Type IV||
*Le Fort III plus involvement of frontal bone
||||||Unstable
|}
|}
===Le Fort I===


*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 IV===
*Le Fort III plus involvement of frontal bone
 
*Unstable fracture
*Unstable fracture

Revision as of 06:43, 10 May 2019

Le Fort Fracture Description Front View Side View Stability
Type 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)
LeFort1e.png LeFort1a.png Stable
Type II
  • Pyramidal fracture through central maxilla and hard palate
  • Movement of hard palate and nose occurs, but not the eyes
LeFort2b.png LeFort2a.png Can be stable or unstable fracture
Type 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
LeFort3b.png LeFort3a.png Unstable Type IV
  • Le Fort III plus involvement of frontal bone
Unstable



Le Fort IV

  • Unstable fracture
  1. Tintinalli 7th Edition, pgs 1730-1738