Tripod and Le Fort 1 fractures

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Trauma.

Patient Data

Age: 25 years
Gender: Male

Left zygomaticomaxillary complex fracture:  Fracture of the lateral orbital rim, zygomatic arch, inferior orbital rim and anterior and posterior maxillary sinus walls

Fracture of left nasal bone

Right maxillary horizontal fracture separating the teeth from the upper face (Le Fort type 1).

No significant hematosinus.

Note is made for peripheral mucoperiosteal thickening of left maxillary sinus.

Case Discussion

Tripod fracture or zygomaticomaxillary complex fractures are comprised of fractures of the:

  • zygomatic arch
  • inferior orbital rim, and anterior and posterior maxillary sinus walls
  • lateral orbital rim

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