![]() There can also be a combination of these movements. Once separated, the upper jaw can be moved up, down, forward, backward, tilted, or turned. This repositioning of the bones of the face is also called orthognathic surgery. When assessing Le Fort fractures it is important to ascertain the patient’s premorbid occlusion. During the LeFort I surgery, the upper jaw (or maxilla) is separated from the rest of the face and repositioned. ADVERTISEMENT: Supporters see fewer/no ads. The Le Fort I osteotomy advances the jaw in case of malocclusion and maxillomandibular deformities. They are based on the analogous bone fractures described by the French surgeon and physician René Le Fort. Renee LeFort (1901) provided the earliest clas- sification system of maxillary fractures. LeFort Fractures Anatomy and Mechanism of Injury The term LeFort fractures is applied to transverse fractures of the midface. ![]() A Wagstaffe-Le Fort fracture refers to an avulsion fracture of the medial aspect of the distal fibula due to avulsion of the anterior tibiofibular ligament attachment. A Le Fort osteotomy is the name for three types of osteotomies of the jaw and face. foundation on which maxillary fracture treatment is based. It should be emphasized that all of the Le Fort fractures go through the pterygoid plates. Citation, DOI, disclosures and article data. In the unconscious patient the swinging-flashlight test can be helpful to give evidence to or exclude afferent pupillary defects (Marcus Gunn Pupil). Basic assessment of visual acuity is mandatory in the conscious patient. It should be recognized that Le Fort III fractures involve the orbit. Severe bleeding and/or CSF leakage may accompany Le Fort fractures and affect the treatment and outcome. Nasal fractures Zygomatico-maxillary complex fractures (ZMC) Isolated orbital fractures Maxillary fractures Frontal bone fractures Mandibular fractures. Special attention has to be paid to foreign bodies such as teeth or tooth fragments obstructing the airways. Patients with Le Fort III injuries are often admitted to hospital unconscious and intubated. The fracture line begins at the frontozygomatic suture along the lateral aspect of the internal orbit along the sphenozygomatic suture line to the inferior orbital fissure, extends medially across the floor of the orbit up the medial wall of the orbit towards the dorsum of the nose where it crosses and proceeds to the opposite side in the same manner. His experiments determined the areas of structural weakness of the maxilla designated as lines of weakness where fractures occurred. The Le Fort III fracture is also referred to as craniofacial dysjunction. Le Fort injuries are complex fractures of the midface, named after Rene Le Fort who studied cadaver skulls that were subjected to blunt force trauma. Le Fort injuries are complex fractures of the midface, named after Rene Le Fort who studied cadaver skulls that were subjected to blunt force trauma. ![]()
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