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    Nyiayu Hafizah, Rakha Hafizh, Mirzaq Hakim

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    nyiayu hafizah ibtisamah
    The document discusses the three levels of LeFort fractures: LeFort I fractures occur through the maxilla and pterygoid plates above the floor of the nose, LeFort II fractures transect the nasal bones and orbital walls and fracture the posterior maxilla, and LeFort III fractures result in craniofacial disjunction and separation of the maxilla from the skull base. Physical exam and CT imaging are important for evaluation of these midface fractures.

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    Nyiayu Hafizah, Rakha Hafizh, Mirzaq Hakim

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    nyiayu hafizah ibtisamah
    9 views9 pages
    The document discusses the three levels of LeFort fractures: LeFort I fractures occur through the maxilla and pterygoid plates above the floor of the nose, LeFort II fractures transect the nasal bones and orbital walls and fracture the posterior maxilla, and LeFort III fractures result in craniofacial disjunction and separation of the maxilla from the skull base. Physical exam and CT imaging are important for evaluation of these midface fractures.

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    NYIAYU HAFIZAH,RAKHA HAFIZH,MIRZAQ HAKIM

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    The document discusses the three levels of LeFort fractures: LeFort I fractures occur through the maxilla and pterygoid plates above the floor of the nose, LeFort II fractures transect the nasal bones and orbital walls and fracture the posterior maxilla, and LeFort III fractures result in craniofacial disjunction and separation of the maxilla from the skull base. Physical exam and CT imaging are important for evaluation of these midface fractures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views9 pages

    Nyiayu Hafizah, Rakha Hafizh, Mirzaq Hakim

    Uploaded by

    nyiayu hafizah ibtisamah
    The document discusses the three levels of LeFort fractures: LeFort I fractures occur through the maxilla and pterygoid plates above the floor of the nose, LeFort II fractures transect the nasal bones and orbital walls and fracture the posterior maxilla, and LeFort III fractures result in craniofacial disjunction and separation of the maxilla from the skull base. Physical exam and CT imaging are important for evaluation of these midface fractures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 9

    Le fort fracture

    -Nyiayu hafizah
    -m.mirzaq hakim
    -raka hafizh
    Anatomy and Mechanism of Injury
    The term LeFort fractures is applied to transverse fractures of the
    midface. Rene' LeFort described three transverse weak lines
    through the midfacial skeleton as a result of his cadaver studies in
    1901.
    Physical Exam
    Head and neck trauma exam with special attention to:
    1. Visual acuity and ocular exam.
    2. Occlusion, look for anterior open bite and midfacial mobility.
    3. Carefully inspect the dentition, remove any dental fragments
    from the mouth.
    4. Bony facial symmetry and palpable step off's in the nasal dorsum,
    inferior orbital rims, zygomaticofrontal suture area and zygomatic
    arch.
    5. Cranial nerve V2 sensation.
    Facial bone fractures
    are divided into three
    le fort I level
    Le Fort I level fractures are essentially a separation of the hard
    palate from the upper maxilla due to a transverse fracture running
    through the maxilla and pterygoid plates at a level just above the
    floor of the nose.
    le fort II level
    LeFort II fractures transect the nasal bones, medial-anterior orbital
    walls, orbital floor, inferior orbital rims and finally transversely
    fracture the posterior maxilla and pterygoid plates.
    le fort III level
    LeFort III fractures result in craniofacial disjunction. This is the
    highest level LeFort fracture and essentially separates the maxilla
    from the skull base. The fracture is a transverse separation of the
    nasofrontal suture, medial orbital wall, lateral orbital wall or
    zygomaticofrontal suture, zygomatic arch and pterygoid plates.
    Within the posterior orbit LeFort III fractures may pass through the
    inferior or superior orbital fissure and in rare situations through the
    optic canal
    Radiographic Work Up
    Facial films may be adequate to make the diagnosis, however they
    frequently lack the details of orbital and palatal involvement seen
    on the CT. If a CT scan is going to be obtained most routine facial
    films will add no further information. The CT scan to be ordered is
    a non-contrast, fine cut (2mm sections) scan with axial cuts from
    the skull base to the mandible. If orbital involvement is suspected
    coronal sections through the orbits or coronal reconstructions
    should also be obtained. The main purpose of obtaining coronal
    cuts is to visualize the orbital walls. Three dimensional
    reconstructions are useful for teaching purposes but really have
    no place in the clinical management of routine fractures.
    thank you

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