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Transfacial Fractures (Le Fort)
H. Christian Davidson, MD; Kathryn E. Dean, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Le Fort fracture
            • Definitions

              • Fractures disrupting pterygomaxillary junction (posterior vertical maxillary buttress), disjoining portions of face (maxilla) from skull

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Gómez Roselló E et al: Facial fractures: classification and highlights for a useful report. Insights Imaging. 11(1):49, 2020
                                  2. Phillips BJ et al: Le Fort fractures: a collective review. Bull Emerg Trauma. 5(4):221-30, 2017
                                  3. Ludi EK et al: Do radiologists and surgeons speak the same language? A retrospective review of facial trauma. AJR Am J Roentgenol. 207(5):1070-6, 2016
                                  4. Chung KJ et al: Treatment of complex facial fractures: clinical experience of different timing and order. J Craniofac Surg. 24(1):216-20, 2013
                                  5. Winegar BA et al: Spectrum of critical imaging findings in complex facial skeletal trauma. Radiographics. 33(1):3-19, 2013
                                  6. Yamamoto K et al: Maxillofacial fractures in children. J Craniofac Surg. 24(1):153-7, 2013
                                  7. Kim SH et al: Analysis of 809 facial bone fractures in a pediatric and adolescent population. Arch Plast Surg. 39(6):606-11, 2012
                                  8. Lo Casto A et al: Imaging evaluation of facial complex strut fractures. Semin Ultrasound CT MR. 33(5):396-409, 2012
                                  9. Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
                                  10. Salonen EM et al: Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Acta Radiol. 48(4):449-55, 2007
                                  11. Chen WJ et al: Identification and classification in le fort type fractures by using 2D and 3D computed tomography. Chin J Traumatol. 9(1):59-64, 2006
                                  12. Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
                                  13. Bagheri SC et al: Comparison of the severity of bilateral Le Fort injuries in isolated midface trauma. J Oral Maxillofac Surg. 63(8):1123-9, 2005
                                  14. Rhea JT et al: How to simplify the CT diagnosis of Le Fort fractures. AJR Am J Roentgenol. 184(5):1700-5, 2005
                                  15. JA et al: Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg. 108(2):312-27, 2001
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Le Fort fracture
                                            • Definitions

                                              • Fractures disrupting pterygomaxillary junction (posterior vertical maxillary buttress), disjoining portions of face (maxilla) from skull

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • CT Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Staging, Grading, & Classification

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Gómez Roselló E et al: Facial fractures: classification and highlights for a useful report. Insights Imaging. 11(1):49, 2020
                                                                  2. Phillips BJ et al: Le Fort fractures: a collective review. Bull Emerg Trauma. 5(4):221-30, 2017
                                                                  3. Ludi EK et al: Do radiologists and surgeons speak the same language? A retrospective review of facial trauma. AJR Am J Roentgenol. 207(5):1070-6, 2016
                                                                  4. Chung KJ et al: Treatment of complex facial fractures: clinical experience of different timing and order. J Craniofac Surg. 24(1):216-20, 2013
                                                                  5. Winegar BA et al: Spectrum of critical imaging findings in complex facial skeletal trauma. Radiographics. 33(1):3-19, 2013
                                                                  6. Yamamoto K et al: Maxillofacial fractures in children. J Craniofac Surg. 24(1):153-7, 2013
                                                                  7. Kim SH et al: Analysis of 809 facial bone fractures in a pediatric and adolescent population. Arch Plast Surg. 39(6):606-11, 2012
                                                                  8. Lo Casto A et al: Imaging evaluation of facial complex strut fractures. Semin Ultrasound CT MR. 33(5):396-409, 2012
                                                                  9. Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
                                                                  10. Salonen EM et al: Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Acta Radiol. 48(4):449-55, 2007
                                                                  11. Chen WJ et al: Identification and classification in le fort type fractures by using 2D and 3D computed tomography. Chin J Traumatol. 9(1):59-64, 2006
                                                                  12. Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
                                                                  13. Bagheri SC et al: Comparison of the severity of bilateral Le Fort injuries in isolated midface trauma. J Oral Maxillofac Surg. 63(8):1123-9, 2005
                                                                  14. Rhea JT et al: How to simplify the CT diagnosis of Le Fort fractures. AJR Am J Roentgenol. 184(5):1700-5, 2005
                                                                  15. JA et al: Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg. 108(2):312-27, 2001