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Review
. 2021 Sep 23;35(4):250-255.
doi: 10.1055/s-0041-1735816. eCollection 2021 Nov.

LeFort Fractures

Allison K Ikeda  1 , Andrea B Burke  2
Affiliations
Review

LeFort Fractures

Allison K Ikeda et al. Semin Plast Surg. .

Abstract

Consultations for management of facial fractures in the emergency setting are not uncommon for the oral maxillofacial surgeon, otolaryngologist, and/or plastic surgeon. This necessitates a knowledge foundation and working understanding of the evaluation, assessment, and timely management. Here, we will focus on the workup and management of LeFort fractures.

Keywords: dental trauma; dentoalveolar fractures; lefort fractures; midface fractures; palatal fractures.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
LeFort Fracture Patterns. ( A ) LeFort I fracture occurs at the bilateral piriform rims, zygomaticomaxillary buttresses and pterygoid plates. Three-dimensional maxillofacial CT rendering seen below. ( B ) LeFort II fracture includes the nasomaxillary junction, and ( C ) LeFort III includes the zygomaticomaxillary complexes, with complete “craniofacial dysjunction.” (Adapted from SM Susarla).
Fig. 2
Fig. 2
Dentoalveolar Fracture. ( A ) The left maxillary dentoalveolar segment is displaced palatally from the left central incisor to the canine. ( B ) This patient was treated with closed reduction using Erich Arch bars and circumdental wiring.
Fig. 3
Fig. 3
Palatal Fracture. ( A ) Clinical picture showing displaced left palatal fracture and associated laceration (arrow) treated with closed reduction. ( B ) Axial CT Maxillofacial showing palatal fracture in conjunction with other maxillary fractures.
Fig. 4
Fig. 4
Dental Trauma Classifications (Image Courtesy: Bourguignon et al. 18 ).
See this image and copyright information in PMC

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