![]() ![]() Management involves surgical correction for significantly displaced fractures with clinical: function and/or esthetic consequences. However, it is not a specific finding and presence of pterygoid plate involvement does not confirm a Le Fort fracture. Significantly, a pterygoid fracture is highly sensitive for a Le Fort fracture and is present in all three fracture variations. These fractures are often present asymmetrically. Physical exam is important however, diagnosis and classification are largely dependent on radiological findings. These fractures are designated Le Fort I, Le Fort II, and Le Fort III respectively. ![]() Le Fort fractures are classified by direction of fracture pattern: horizontal, pyramidal, or transverse. Common etiologies include assault, facial trauma in contact sports, motor vehicle accidents (MVA), or falls from significant heights. Initially described in 1901 by French surgeon René Le Fort (1869-1951), LeFort fractures represent a group of midface fractures that occur following blunt trauma and follow areas of structural weakness. 5.3.2 Closed Method (less preferred in contemporary practice).5.3.1 Open Method (most commonly used today).3.5.3 Le Fort Type III (Transverse, aka Craniofacial Dysfunction). ![]()
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