Presentation
Facial trauma.
Patient Data
Age: 25 years
Gender: Male
From the case:
Le Fort type III fracture
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Bilateral pterygoid plate fractures.
Transverse fracture line passes through nasofrontal suture, maxillofrontal suture, orbital wall, right zygomaticotemporal attachment and left zygomatic arch.
Bilateral nasal bone, left mandibular coronoid and lateral maxillary wall fractures.
Small left frontotemporal subdural hematoma.
Case Discussion
In case of complex facial fractures you have to identify which type it is:
The main three complex facial fractures include:
Le Fort fractures are easily detected by the presence of pterygoid plate fractures, which if exist, you have to proceed to know which type of Le Fort fracture:
- type I - a fracture line passes through the alveolar ridge
- type II - a pyramidal fracture passes from the nasofrontal junction, nasal bones, inferior orbital rim, lateral maxillary walls, and posterior alveolar ridge
- type III - a transverse fracture passes through the nasofrontal suture, maxillofrontal suture, orbital walls, zygomatic arch/zygomaticofrontal suture