II. History
- Le Fort was a French surgeon studying cadaver skulls he Traumatized in the late 1800s to early 1900s
III. Types
- Le Fort Fracture Type 1
- Le Fort Fracture Type 2
- Pyramidal Fracture from the the mid-Maxillary Sinus, through the inferior orbital rim to the Nasal Bridge
- Le Fort Fracture Type 3
- Vertical Fracture through the Maxillary Sinus lateral aspect and horizontal through the orbits
- Fracture includes the medial and lateral orbital walls
IV. Associated Conditions
V. Imaging
- CT Maxillofacial
- Have a low threshold for contiguous imaging
VI. Management
- Cervical Spine precautions
-
ABC Management is paramount
- Ensure a patent and secure airway
- Avoid Nasogastric Tube, posterior Nasal Packing, nasal intubation (risk of Basilar Skull Fracture)
- Surgical airway (Cricothyroidotomy) may be needed
- Perform a complete Trauma Exam
- Neurologic Exam with careful Cranial Nerve exam
- Extraocular Movement, Pupil Reactivity, and ocular exam
- Evaluate for signs of Neck Vascular Injury in Blunt Force Trauma
VII. Resources
VIII. References
- Karic, Shannon and Kiel (2019) Crit Dec Emerg Med 33(11):12-3
Images: Related links to external sites (from Bing)
Related Studies
| Definition (MSH) | Fractures of the upper jaw. |
| Concepts | Injury or Poisoning (T037) |
| MSH | D008440 |
| SnomedCT | 157179009, 263156006 |
| English | Fractures, Maxillary, Maxillary Fracture, Maxillary Fractures, Fracture, Maxillary, Fractured maxilla, Maxillary Fractures [Disease/Finding], fracture maxillary, maxillary fractures, fractures maxilla, maxilla fracture, maxillary fracture, fracture maxilla, fractured maxilla, fracture of maxilla (diagnosis), Maxillary fracture, Maxilla--Fractures, Fracture of maxilla, Fracture of upper jaw, Fracture of maxilla (disorder), fracture; jaw, upper jaw, fracture; maxilla, jaw; fracture, upper jaw, maxilla; fracture |
| Dutch | gebroken maxilla, fractuur; kaak, bovenkaak, fractuur; maxilla, kaak; fractuur, bovenkaak, maxilla; fractuur, Fracturen, maxilla-, Fractuur, maxilla-, Maxillafracturen, Maxillafractuur |
| French | Maxillaire fracturé, Fractures du maxillaire supérieur, Fractures du maxillaire |
| German | gebrochener Oberkiefer, Frakturen, Oberkiefer-, Oberkieferfrakturen |
| Italian | Osso mascellare fratturato, Fratture della mascella |
| Portuguese | Maxila fracturada, Fraturas Maxilares |
| Spanish | Maxilar fracturado, fractura de maxilar superior (trastorno), fractura de maxilar superior, Fracturas Maxilares |
| Japanese | 上顎骨折, ｼﾞｮｳｶﾞｸｺｯｾﾂ |
| Swedish | Överkäksfrakturer |
| Czech | maxila - fraktury, Zlomená maxila |
| Finnish | Yläleukaluun murtumat |
| Russian | CHELIUSTI VERKHNEI PERELOMY, ЧЕЛЮСТИ ВЕРХНЕЙ ПЕРЕЛОМЫ |
| Polish | Złamania szczęki górnej, Złamania szczęki |
| Hungarian | Maxilla-törés |
| Norwegian | Overkjevebrudd, Maksillebrudd, Overkjevefrakturer, Maksillefrakturer |
Ontology: Maxillofacial Injuries (C0024961)
| Definition (MSH) | General or unspecified injuries involving the face and jaw (either upper, lower, or both). |
| Concepts | Injury or Poisoning (T037) |
| MSH | D008446 |
| English | Injuries, Maxillofacial, Injury, Maxillofacial, Maxillofacial Injuries, Maxillofacial Injury, MAXILLOFACIAL INJ, INJ MAXILLOFACIAL, Maxillofacial Injuries [Disease/Finding], injury maxillofacial, injuries maxillofacial, maxillofacial injuries, maxillofacial injury |
| Swedish | Ansikts- och käkskador |
| Czech | maxilofaciální poranění |
| Finnish | Yläleuan ja kasvojen vammat |
| Russian | CHELIUSTNO-LITSEVYE TRAVMY, ЧЕЛЮСТНО-ЛИЦЕВЫЕ ТРАВМЫ |
| French | Lésions traumatiques maxillofaciales, Blessures maxillofaciales, Blessures maxillo-faciales, Traumatisme maxillofacial, Traumatisme maxillo-facial, Traumatismes maxillo-faciaux, Traumatismes maxillofaciaux |
| Croatian | MAKSILOFACIJALNE OZLJEDE |
| Polish | Urazy twarzy i szczęk, Urazy twarzoczaszki, Urazy twarzowo-szczękowe |
| Japanese | 顎顔面外傷, 外傷-顎顔面, 上顎顔面損傷, 顎顔面損傷 |
| Norwegian | Kjeve- og ansiktsskader, Maxillofaciale skader |
| Spanish | Lesiones Maxilofaciales, Traumatismos Maxilofaciales |
| Portuguese | Lesões Maxilofaciais, Traumatismos Maxilofaciais |
| German | Maxillofaziale Verletzungen |
| Italian | Lesioni maxillofacciali |
| Dutch | Letsel, maxillofaciaal, Letsels, maxillofaciale, Maxillofaciaal letsel, Maxillofaciale letsels |
Ontology: Fracture of face bones (C0159321)
| Concepts | Injury or Poisoning (T037) |
| ICD9 | 802 |
| SnomedCT | 157176002, 269058002, 157182004, 207802005, 27477003 |
| English | Fracture of bone of face, Fracture of facial bone NOS, fracture of facial bone (diagnosis), fracture of facial bone, Facial bones fracture, bones facial fractures, fracture of facial bone (non-specific), Fracture;face bone(s), fracture facial bones, Fracture of facial bone NOS (disorder), Fracture of bone of face (disorder), Fracture of face bones, Fracture of facial bone, Fracture of face bones (disorder), Fracture of facial bones, face bone; fracture, fracture; face bone, Fracture of face bones, NOS, Fracture of facial bones, NOS, fractured facial bone |
| Italian | Frattura delle ossa della faccia |
| Dutch | fractuur aangezichtsbeenderen, aangezichtsbeenderen; fractuur, fractuur; aangezichtsbeenderen, aangezichtsbotbreuk |
| French | Fracture des os du visage, Fracture des os de la face |
| German | Fraktur von Gesichtsknochen, Frakturen von Gesichtsknochen |
| Portuguese | Fractura de ossos da face, Fractura dos ossos da face |
| Japanese | 顔面骨の骨折, 顔面骨骨折, ｶﾞﾝﾒﾝｺﾂｺｯｾﾂ, ｶﾞﾝﾒﾝｺﾂﾉｺｯｾﾂ |
| Czech | Zlomenina obličejových kostí |
| Hungarian | Arccsontok törése |
| Spanish | fractura de hueso de la cara, SAI (trastorno), fractura de huesos de la cara, fractura de los huesos de la cara (trastorno), fractura de hueso de la cara, SAI, fractura de los huesos de la cara, fractura de huesos de la cara (trastorno), fractura de los huesos faciales, Fracture of facial bone NOS, Fractura de los huesos de la cara |
Ontology: Le Fort's fracture (C0272464)
| Concepts | Injury or Poisoning (T037) |
| ICD10 | S02.41 |
| SnomedCT | 48407005 |
| English | Le Fort's fracture, NOS, Le Fort fracture, LeFort fracture (diagnosis), skull fracture malar / maxillary / upper jaw lefort, LeFort fracture, Le Fort's fracture, Le Fort's fracture (disorder), fracture; Le Fort |
| Dutch | fractuur; Le Fort |
| Spanish | fractura de Le Fort (trastorno), fractura de Le Fort |
