Le Fort fracture - type 2

Discussion:

Le Fort fractures are known as facial fractures in which the midface is separated from the skull base. There must however be a fracture of the pterygoid plates before any fracture is classified as such. A recent study shows Le Fort and maxillary fractures to constitute about 25.5% of all facial fractures 2,3. The Le Fort type 1 seems to be the commonest type, followed sequentially by types 2 and 3. Because of the traumatic etiologies, they are known to be associated with other secondary injuries to adjacent structures in the head and neck region.  

This patient is seen to demonstrate fractures through the pterygoid plates and maxillary bones, as well as the floor and medial walls of the orbits in keeping with a type 2 Le Fort fracture pattern.

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