Presentation
The patient was scanned 30 minutes after blunt trauma in a bar fight.
Patient Data
There is a pterygomaxillary disjunction with fracture of the inferior-medial and lateral maxillary buttress. Maxillary sinus opacification with air-fluid level on the left.
A diagram differentiating types of Le Fort fractures:
red line - Le Forte I
blue line - Le Forte II
green line - Le Forte III
Author: RosarioVanTulpe
Source: https://commons.wikimedia.org/wiki/File:SchaedelSchraegLeFort123.png
Licence: Creative Commons Attribution-Share Alike 3.0 Unported
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Case Discussion
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.
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