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Head and Neck
Diagnosis
Skull Base, Facial, and Temporal Bone Trauma
Facial Bones
Transfacial Fractures (Le Fort)
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
Gómez Roselló E et al: Facial fractures: classification and highlights for a useful report. Insights Imaging. 11(1):49, 2020
Phillips BJ et al: Le Fort fractures: a collective review. Bull Emerg Trauma. 5(4):221-30, 2017
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
Chung KJ et al: Treatment of complex facial fractures: clinical experience of different timing and order. J Craniofac Surg. 24(1):216-20, 2013
Winegar BA et al: Spectrum of critical imaging findings in complex facial skeletal trauma. Radiographics. 33(1):3-19, 2013
Yamamoto K et al: Maxillofacial fractures in children. J Craniofac Surg. 24(1):153-7, 2013
Kim SH et al: Analysis of 809 facial bone fractures in a pediatric and adolescent population. Arch Plast Surg. 39(6):606-11, 2012
Lo Casto A et al: Imaging evaluation of facial complex strut fractures. Semin Ultrasound CT MR. 33(5):396-409, 2012
Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
Salonen EM et al: Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Acta Radiol. 48(4):449-55, 2007
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
Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
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
Rhea JT et al: How to simplify the CT diagnosis of Le Fort fractures. AJR Am J Roentgenol. 184(5):1700-5, 2005
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
Gómez Roselló E et al: Facial fractures: classification and highlights for a useful report. Insights Imaging. 11(1):49, 2020
Phillips BJ et al: Le Fort fractures: a collective review. Bull Emerg Trauma. 5(4):221-30, 2017
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
Chung KJ et al: Treatment of complex facial fractures: clinical experience of different timing and order. J Craniofac Surg. 24(1):216-20, 2013
Winegar BA et al: Spectrum of critical imaging findings in complex facial skeletal trauma. Radiographics. 33(1):3-19, 2013
Yamamoto K et al: Maxillofacial fractures in children. J Craniofac Surg. 24(1):153-7, 2013
Kim SH et al: Analysis of 809 facial bone fractures in a pediatric and adolescent population. Arch Plast Surg. 39(6):606-11, 2012
Lo Casto A et al: Imaging evaluation of facial complex strut fractures. Semin Ultrasound CT MR. 33(5):396-409, 2012
Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
Salonen EM et al: Multidetector computed tomography imaging of facial trauma in accidental falls from heights. Acta Radiol. 48(4):449-55, 2007
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
Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
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
Rhea JT et al: How to simplify the CT diagnosis of Le Fort fractures. AJR Am J Roentgenol. 184(5):1700-5, 2005
JA et al: Long-term physical impairment and functional outcomes after complex facial fractures. Plast Reconstr Surg. 108(2):312-27, 2001
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