c-

Maxillary Fracture
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Classification by Rene Le Fort * red : Mrs .
nd noon
step In

Le Fort I Le Fort It Le Fort III

( horizontal
maxillary fracture ) I pyramidal fracture ) ( craniofacial dysfunction )

gents
ants

<
X V
Ng
←

09

separate aw .
bone from craniofacial skeletons cross face in sup .
med .
direction L t extend from naso frontal suture

d
above Irl of dentition extend from nasal not / though nasal bones
med .
orbit
nasal form rim aperture t
cross septum e piri
( dig ) ( Vig ) I
d : ① sinus problem include : -

med . orbit
•
sup → inf orbital fissure
through sinus wall
.

post .
MX .

inf .
orbital rim

+ t
-

orbital floor
lat orbit
end pterygoid plates
.

@ t
t
to suture
along Mx .
2M
FL Suture
t
t
end @ pterygoid plates temporal suture is separated
zygomatic
t

Clinical Examination
end @ pterygoid plates

deformities .nTo0 )
1. Palpate step I MU ONI in each Le Fort

involve piri form rim aperture %3g← involve .

inf .
orbital rim involve .

zygomatic arch

↳ ; oral vestibule 60W step suture

no intra mx 2M lat orbital wall
: -
.
.

2 .
Assess Mx .

Mobility

( one hand @ these points -1

another hand manipulates Mx .
)

D O O O
O 0

0 a

O O

piriform rim
.
nasal bridge
.
nasal bridge
.

inf orbital rim FZ Suture

Findings
.

Clinical
.

center :

red I blood )

CSF
periphery
:

Battle 's
sign
:
relate to base of skull fx

Notes
Radiographic Evaluation
Lat Skull View CT Scan 3-D CT
water 's view
.

÷
3 z
& s

Sy