Base of skull fracture with bilateral Le Fort fractures

Case contributed by Dr Amit Chacko


Fell backwards whilst cleaning windows from 6 metres onto concrete landing on his face.

Patient Data

Age: 20 years
Gender: Male

Heavily comminuted facial bone and base of skull fractures with bilateral Le Fort fractures. The right side demostrates a Le Fort II while the left is a Le Fort III fracture. The base of skull fracture extends through the body of the sphenoid consistent with a lateral frontal diagonal fracture pattern (see transsphenoidal basilar skull fractures)

Case Discussion

The trauma resulted in frontal extradural hemorrhage with bilateral frontal lobe parenchymal contusions and small to moderate volume subarachnoid hemorrhage extending into the basal cisterns. Minimally displaced C4, C5 and C6 spinous process fractures and superior endplate fractures of T5, T6 and T7. 

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Case information

rID: 47094
Published: 4th Aug 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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