Sandbox

Le Fort Fracture	Description	Front View	Side View	Stability
Type I	Transverse fracture separating body of maxilla from pterygoid plate and nasal septum Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
Type II
Type III

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 III plus involvement of frontal bone
• Unstable fracture