Bilateral Le Fort I facial fractures, with bilateral pterygoid plate fractures and comminuted fractures through the maxillary sinuses. No orbital wall or zygomatic arch fractures.
Bilateral nasal bone fractures.
The fracture through the right maxilla passes through the right nasolacrimal duct. No mandibular fractures are evident.
The temporomandibular joints are normally enlocated.
Extensive left pre-septal orbital soft tissue swelling, without post-septal orbital injury evident.
No intraorbital haematoma.
Haematoma within the maxillary sinuses, and extensive traumatic stranding in the associated soft tissues noted.
Incidentally, extensive calcification around the dens likely relates to hydroxyapatite deposition.