Pterygoid plates are broken, as is true in all types of Le Fort fracture. Adequate initial resuscitation and stabilization of fractures may improve the morbidity and mortality of these sever injuries.įacial fractures Le fort Resuscitation Trauma. (Reprinted with permission from 2 ) Drawings in lateral ( A) and frontal ( B) projections show Le Fort I fracture runs horizontally above maxillary alveolar process. Le Fort III fractures are rare but critical injuries that require intensive resuscitation and a multidisciplinary approach to achieve wholistic and appropriate management of these patients. Le Fort I fracture (horizontal), otherwise known as a floating palate, may result from a force of injury directed low on the maxillary alveolar rim, or upper dental row, in a downward direction. A case of dacryolith and nasolacrimal duct obstruction after surgery for a Le Fort I fracture is described, and the reasons for and prevention of this condition are discussed. Discussion: This case report walks through step-by-step the management approaches at each stage thereby assessing and managing the outcomes of each diagnosis. Dacryolith after a Le Fort I fracture: case report A dacryolith is a rare finding and can be considered as a complication of a Le Fort I fracture. The morbidity and mortality of these severe fractures is high but with appropriate resuscitation and adequate stabilization of the fracture, this may be improved on and lowered.Ī male sustaining multiple stabs to the face presents to a level one trauma emergency unit haemodynamically unstable/abnormal with a threatened airway and stridor. This makes them difficult to manage and requiring a definitive sequence of resuscitation and thorough secondary and tertiary surveys thereafter. In those rare 20% occurrences, the Le Fort III fractures are the least common and are highly associated with injuries of the cervical spine, intracranial, and internal neck structures. Le Fort fractures occur in approximately 20% of facial fractures and result from a high velocity/force mechanism of injury.
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