eMedicine Specialties > Plastic Surgery > Facial Fractures

Facial Trauma, Maxillary and Le Fort Fractures: Multimedia

Author: Kris S Moe, MD, FACS, Chief, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Clinical Associate Professor of Surgery, Division of Head and Neck Surgery, University of California, San Diego
Coauthor(s): Patrick Byrne, MD, Assistant Professor, Department of Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins University; David W Kim, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Director, Division of Facial Plastic and Reconstructive Surgery, University of California at San Francisco; Adel R Tawfilis, DDS, Assistant Clinical Professor, Department of Surgery, Division of Plastic Surgery, University of California at San Diego Medical Center
Contributor Information and Disclosures

Updated: Dec 19, 2008

Multimedia

Typical Le Fort I fracture pattern.
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Media file 1: Typical Le Fort I fracture pattern.
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Typical Le Fort I fracture pattern.

Typical Le Fort I fracture pattern.

Typical Le Fort II fracture pattern.
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Media file 2: Typical Le Fort II fracture pattern.
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Typical Le Fort II fracture pattern.

Typical Le Fort II fracture pattern.

Typical Le Fort III fracture pattern.
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Media file 3: Typical Le Fort III fracture pattern.
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Typical Le Fort III fracture pattern.

Typical Le Fort III fracture pattern.

Vertical buttresses of facial skeleton.
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Media file 4: Vertical buttresses of facial skeleton.
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Vertical buttresses of facial skeleton.

Vertical buttresses of facial skeleton.

Horizontal buttresses of facial skeleton.
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Media file 5: Horizontal buttresses of facial skeleton.
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Horizontal buttresses of facial skeleton.

Horizontal buttresses of facial skeleton.

(A) Axial CT scan. Note that determining whether ...
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Media file 6: (A) Axial CT scan. Note that determining whether the vertical buttresses have been compromised is difficult using the axial image. (B) Coronal CT scan. This view demonstrates fractures through the nasomaxillary and zygomaticomaxillary buttresses. (C) Coronal CT scan. This more posterior view demonstrates fractures through the pterygoid plates.
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(A) Axial CT scan. Note that determining whether ...

(A) Axial CT scan. Note that determining whether the vertical buttresses have been compromised is difficult using the axial image. (B) Coronal CT scan. This view demonstrates fractures through the nasomaxillary and zygomaticomaxillary buttresses. (C) Coronal CT scan. This more posterior view demonstrates fractures through the pterygoid plates.

Cadaver demonstration of sublabial approach to ri...
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Media file 7: Cadaver demonstration of sublabial approach to rigid titanium plate and screw fixation of Le Fort I fracture.
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Cadaver demonstration of sublabial approach to ri...

Cadaver demonstration of sublabial approach to rigid titanium plate and screw fixation of Le Fort I fracture.

More on Facial Trauma, Maxillary and Le Fort Fractures

Overview: Facial Trauma, Maxillary and Le Fort Fractures
Workup: Facial Trauma, Maxillary and Le Fort Fractures
Treatment: Facial Trauma, Maxillary and Le Fort Fractures
Follow-up: Facial Trauma, Maxillary and Le Fort Fractures
Multimedia: Facial Trauma, Maxillary and Le Fort Fractures
References
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References

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  2. Markowitz BL, Manson PN. Panfacial fractures: organization of treatment. Clin Plast Surg. Jan 1989;16(1):105-14. [Medline].

  3. Barone CM, Boschert MT, Jimenez DF. Usefulness of endoscopy in craniofacial trauma. J Craniomaxillofac Trauma. Fall 1998;4(3):36-41. [Medline].

  4. Chen CT, Lai JP, Chen YR, Tung TC, Chen ZC, Rohrich RJ. Application of endoscope in zygomatic fracture repair. Br J Plast Surg. Mar 2000;53(2):100-5. [Medline].

  5. Lee C, Jacobovicz J, Mueller RV. Endoscopic repair of a complex midfacial fracture. J Craniofac Surg. May 1997;8(3):170-5. [Medline].

  6. Kokoska MS, Hardeman S, Stack BC. Computer-aided reduction of zygomatic fractures. Arch Facial Plast Surg. Sep-Oct 2003;5(5):434-6. [Medline].

  7. Czerwinski M, Lee C. The rationale and technique of endoscopic approach to the zygomatic arch in facial trauma. Facial Plast Surg Clin North Am. Feb 2006;14(1):37-43. [Medline].

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  10. Manson PN, Clark N, Robertson B, et al. Subunit principles in midface fractures: the importance of sagittal buttresses, soft-tissue reductions, and sequencing treatment of segmental fractures. Plast Reconstr Surg. Apr 1999;103(4):1287-306; quiz 1307. [Medline].

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  15. Nicholoff TJ Jr, Del Castillo CB, Velmonte MX. Reconstructive surgery for complex midface trauma using titanium miniplates: Le Fort I fracture of the maxilla, zygomatico-maxillary complex fracture and nasomaxillary complex fracture, resulting from a motor vehicle accident. J Philipp Dent Assoc. Dec-1999 Feb 1998;50(3):5-13. [Medline].

  16. Phillips JH, Gruss JS, Wells MD, Chollet A. Periosteal suspension of the lower eyelid and cheek following subciliary exposure of facial fractures. Plast Reconstr Surg. Jul 1991;88(1):145-8. [Medline].

  17. Rohrich RJ, Shewmake KB. Evolving concepts of craniomaxillofacial fracture management. Clin Plast Surg. Jan 1992;19(1):1-10. [Medline].

  18. Schon R, Gellrich NC, Schmelzeisen R. Frontiers in maxillofacial endoscopic surgery. Atlas Oral Maxillofac Surg Clin North Am. Sep 2003;11(2):209-38. [Medline].

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  20. Shetty V, Atchison K, Der-Martirosian C, Wang J, Belin TR. Determinants of surgical decisions about mandible fractures. J Oral Maxillofac Surg. Jul 2003;61(7):808-13. [Medline].

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Further Reading

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Keywords

Le fort fracture, le fort fracture, facial trauma, facial fracture repair, facial fracture treatment, horizontal fracture, pyramidal fracture, transverse fracture, craniofacial dysjunction, maxilla repair, LeFort fracture, Le Fort fracture, maxilla fracture, maxillary fracture, facial fracture, facial trauma, Le Fort I fracture, Le Fort II fracture, Le Fort III fracture, maxillofacial repair, maxillo-facial repair, MMF, maxillomandibular fixation, maxillo-mandibular fixation

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Contributor Information and Disclosures

Author

Kris S Moe, MD, FACS, Chief, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine; Clinical Associate Professor of Surgery, Division of Head and Neck Surgery, University of California, San Diego
Kris S Moe, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Society for Head and Neck Surgery, and North American Skull Base Society
Disclosure: Nothing to disclose.

Coauthor(s)

Patrick Byrne, MD, Assistant Professor, Department of Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Johns Hopkins University
Patrick Byrne, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, and American College of Surgeons
Disclosure: Nothing to disclose.

David W Kim, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Director, Division of Facial Plastic and Reconstructive Surgery, University of California at San Francisco
David W Kim, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery and American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Adel R Tawfilis, DDS, Assistant Clinical Professor, Department of Surgery, Division of Plastic Surgery, University of California at San Diego Medical Center
Adel R Tawfilis, DDS is a member of the following medical societies: American Association of Oral and Maxillofacial Surgeons, American Dental Association, and American Society of Maxillofacial Surgeons
Disclosure: Nothing to disclose.

Medical Editor

James F Thornton, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, University of Texas Southwestern
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Jaime R Garza, MD, DDS, FACS, Consulting Staff, Private Practice
Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Allergan Honoraria Consulting

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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