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Fracture, Le Fort, Sports Medicine

Amy Leu, DO, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

Le Fort fractures are midface maxillary fractures involving the maxilla; the maxilla, orbital bones, and nasal bones; or the maxilla, orbital bones, nasal bones, and zygoma. 
Pediatric Considera...

DIAGNOSIS

Pediatric Considerations
  • Young children are often frightened and in pain. Through kindness, patience, and distraction, cooperation can be gained.

  • Sedation may be required to perform a thorough...

TREATMENT

Pediatric Considerations
  • Surgical cricothyroidotomy should not be considered in children age <10 yr.

  • Needle cricothyroidotomy with jet ventilation may be attempted if intubation attempts fa...

ONGOING CARE

COMPLICATIONS

  • Infection can emerge from multiple stages during the treatment process, particularly if there is extensive soft tissue involvement.

  • Scarring can occur depending on the suturin...

REFERENCES

1
Rajkumar GC, Ashwin DP, Singh R, et al. Ocular injuries associated with midface fractures: a 5 year survey. J Maxillofac Oral Surg.  2015;14(4):925–929.
2
Septa D, Newaskar VP, Agrawal ...

ADDITIONAL READING

  • Colucciello SA, Sternbach G, Walker SB. The treacherous and complex spectrum of maxillofacial trauma: etiologies, evaluation, and emergency stabilization. Emerg Med Rep.  1995;...

CLINICAL PEARLS

  • Le Fort fractures are typically the result of high-velocity blunt force trauma to the midface, thus evaluation for concurrent cervical spine injury and intracranial trauma must be cons...

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