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Which type of Le Fort fracture is most commonly associated with leaking of CSF?

By Matthew Perez

Le Fort Type III This discontinuity between the skull and the face is termed craniofacial dissociation. This may be associated with a cerebrospinal fluid (CSF) leak.

What are Le Fort fractures and how do they occur?

Le Fort fractures are typically the result of forceful impact to the face. They are often caused by rapid deceleration car crashes in which the midface strikes a stationary object, such as the car’s dashboard. It can also occur if the midface is struck by a rigid object, such as a baseball bat.

What are Le Fort fractures?

Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base. In order to be separated from the skull base, the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bone dorsally.

What is the difference between LeFort 1 2 and 3?

Le Fort I is a floating palate (horizontal) Le Fort II is a floating maxilla (pyramidal) Le Fort III is a floating face (transverse)

How do you remember Le Fort fractures?

It should be noted that Le Fort fractures are often associated with other facial fractures, neuromuscular injury and dental avulsions….A memory aid is:

  1. Le Fort I is a floating palate (horizontal)
  2. Le Fort II is a floating maxilla (pyramidal)
  3. Le Fort III is a floating face (transverse)

How do you remember Le Fort fracture?

What does Le Fort mean?

French and English: from Old French fort ‘strong’, ‘brave’ (see Fort), with the definite article le.

What is a Le Fort fracture?

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. His experiments determined the areas of structural weakness of the maxilla designated as “lines of weakness” where fractures occurred.

What is Lefort type 1 horizontal maxillary fracture?

Le Fort type I horizontal maxillary fracture, separating the teeth from the upper face fracture line passes through the alveolar ridge, lateral nose and inferior wall of the maxillary sinus also known as a Guerin fracture

What is Lele fort type 2 nasal fracture?

Le Fort Type II These fractures extend superiorly in the midface to include the nasal bridge, maxilla, lacrimal bones, orbital floor, and rim. They are pyramidal fractures with teeth at the base and nasal bone at the apex. These fractures are typically bilateral.

What is Le Fort II and Le Fort III?

Le Fort II is a floating maxilla (pyramidal) Le Fort III is a floating face (transverse) Any combination is possible. For example, there may be type 2 on one side and contralateral type 3, or there may be unilateral type 1 and 2 fractures.