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Le fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base Low cuts give a lefort i, mid cuts a lefort ii, and high cuts a lefort iii. In order to be separated from the skull base, the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally.
Case discussion le fort 1 fractures are essentially a horizontal maxillary fracture, separating the teeth from the upper face. All lefort fractures involve the posterior buttress, but the level of the anterior buttress disruption determines the type Also known as guerin's fracture or floating palate, this is an example of le fort type i fracture with bilateral hemosinus
The pterygoid plates are always involved in le fort fracture.
There are three types of le fort fractures but they rarely occur in their pure form The types were originally described as being bilateral however the classification is now commonly used to describe unilateral injuries or combined types. Le fort type i fracture is well seen Note the fracture extending along the floor of the nasal cavity extending posteriorly to the pterygoid plates.
Fracture of left nasal bone right maxillary horizontal fracture separating the teeth from the upper face (le fort type 1) Note is made for peripheral mucoperiosteal thickening of left maxillary sinus. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. Case discussion this diagram demonstrates the pattern of a bilateral le fort 1 fracture.
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