![]() This could require emergent surgery to fix. Extraocular muscles- Damage to the lateral orbital wall and orbital floor can entrap the muscles that power certain movements of the eye.The patient will lose sensation along the upper cheek just below the eye. Infraorbital nerve- Damage to the orbital floor can sever this nerve.This places multiple other structures at risk: What Structures are at Risk?Ī Le Fort Fracture III will cause serious damage to the nose and orbital socket. If the deviated septum occludes one pathway while the other is obstructed with blood, this can compromise the patient’s airway. This can create a double vision that makes it challenging for the patient to see.Īirway Compromise: A deviated septum can make it difficult for the patient to breathe. Wide Variety of ComplicationsĪ Le Fort Fracture III can have multiple complications that can cause problems for the patient.Įyesight: Damage to the orbital socket can make it difficult for the patient to move one or both eyes. The surgeon would prefer to wait for the swelling to dissipate but if the patient is struggling, the surgery can be performed emergently. This fracture group almost always requires surgery however, the associated swelling can make it difficult to operate. #LE FORT FRACTURE SERIES#What are the Treatment Options?Ī Le Fort Fracture III can involve a slight fracture to one of the bones or a series of complicated bone fractures to all of the bones described above. The associated force and location determine which bones are broken on impact. It can impact the steering wheel or dashboard across the upper nasal bridge or cheek area. #LE FORT FRACTURE DRIVER#When a car comes to a sudden stop, the driver or passenger’s head continues to move forward due to momentum. What Causes this Fracture?Ī Le Fort Fracture III is caused by blunt force trauma to either the upper nasal bridge or the upper cheek area. If more than one of these bones are broken, it can cause the front of the skull to detach from the facial structures, explaining the second name. The pterygoid plate (involved in ALL Le Fort fractures).It can involve fractures to the following bones: What is a Le Fort Fracture Type III?Ī Le Fort Fracture Type III has also been called a “craniofacial dissociation” because of the nature of the injury. A Le Fort Fracture Type III is a member of the Le Fort Fracture group that ranges widely in type and severity. In our case, Le fort 2 fracture resulted from motor vehicle collision.Car accidents can cause a wide variety of facial injuries. Blunt facial traumas due to motor vehicle collision, assault, falls or sports injury are the most common causes. Lefort fractures are classified further depending upon the involvement of zygomatic, nasal and maxillary bones. Pterygoid process of sphenoid bones is involved in all Le fort fractures. ![]() ![]() Le fort fractures are blunt trauma facial fractures which involves specific pattern of facial bones injury. Extends downwards & backwards across the lateral wall of the antrum below the zygomaticomaxillary suture & divides the ptyergyoid laminae. Within the orbit, the fracture line runs across the lacrimal bone behind the lacrimal sac to cross the infra orbital margin medial to or through the infra orbital foramen. ’ Lefort 2 is a floating maxilla which runs from the thin middle area of the nasal bones down either side, crossing the frontal processes of the maxilla into the medial wall of each orbit. Lefort 2 fracture is referred as ‘ PYRAMIDAL or SUBZYGOMATIC FRACTURE. The lefort classification was given by Rene Lefort ,who classified mid facial fracture into Lefort I, II and III. Lefort classification is the historic classification which is widely used to classify mid facial fractures. ![]()
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