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. 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. 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. 2001 84(11):1541–9.Car accidents can cause a wide variety of facial injuries. Surgical treatment of le fort fractures in ban pong hospital: two decades of experience. Burden of maxillofacial trauma at level 1 trauma center. Kaul RP, Sagar S, Singhal M, Kumar A, Jaipuria J, Misra M. Long-term physical impairment and functional outcomes after complex facial fractures. Girotto JA, MacKenzie E, Fowler C, Redett R, Robertson B, Manson PN. Comparison of the severity of bilateral le fort injuries in isolated midface trauma. 2007 48(4):449–55.īagheri SC, Holmgren E, Kademani D, Hommer L, Bell RB, Potter BE, et al. Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Wire internal fixation: an obsolete, yet valuable method for surgical management of facial fractures. 2006 9(1):59–64.īeogo R, Bouletreau P, Konsem T, Traore I, Coulibaly AT, Ouedraogo D. Identification and classification in le fort type fractures by using 2D and 3D computed tomography. ![]() 228–51.Ĭhen WJ, Yang YJ, Fang YM, Xu FH, Zhang L, Cao GQ. ![]() Maxillofacial trauma and esthetic facial reconstruction. In: Booth PW, Eppley BA, Schmelzeisen R, editors. Holland IS, McMohan JD, Koppel DA, Devlin MF, Moos KF. The treatment of the fractured edentulous maxilla. 363–434.Ĭrawley WA, Azman P, Clark N, et al. Fractures of the middle third of facial skeleton. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Comparison of the modified lateral orbitotomy and modified hemicoronal approach in the treatment of unstable malunions of zygomatic complex fractures. The incidence of lower eyelid malposition after facial fracture repair: a retrospective study and meta-analysis comparing subtarsal, subciliary, and transconjunctival incisions. Transconjunctival approach vs subciliary skin muscle flap approach for orbital fracture repair. 7–54.Īppling WD, Patrinely JR, Salzer TA. The management of orbital facial fractures. Fractures of the facial skeleton in children. Palatal fractures: classification, patterns and treatment with rigid internal fixation. ![]() Craniomaxillofacial fractures-principles of internal fixation using the AO/ASIF technique. Etiology, distribution, and classification of fractures. Management of midface fractures: fifty years later. Textbook of oral and maxillofacial surgery. Fractures of the middle third of the facial skeleton. Atlas Oral Maxillofac Surg Clin North Am. Management of midface maxillofacial trauma. Gentile MA, Tellington AJ, Burke WJ, Jaskolka MS. Principles of internal of the craniomaxillofacial skeleton- trauma and orthognathic surgery. A retrospective study on epidemiology and treatment of maxillofacial fractures.
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