2021
DOI: 10.1055/s-0041-1735816
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LeFort Fractures

Abstract: Consultations for management of facial fractures in the emergency setting are not uncommon for the oral maxillofacial surgeon, otolaryngologist, and/or plastic surgeon. This necessitates a knowledge foundation and working understanding of the evaluation, assessment, and timely management. Here, we will focus on the workup and management of LeFort fractures.

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Cited by 8 publications
(7 citation statements)
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“…Initial evaluation of patients who have sustained craniofacial trauma must center around securing an airway as maxillary displacement and intraoral edema may result in airway compromise. After the airway is secured, the primary goal of operative management of Le Fort fractures is restoration of dental occlusion and the horizontal and vertical buttress of the face 14,24. This is accomplished through intermaxillary fixation or open reduction with internal fixation (ORIF).…”
Section: Discussionmentioning
confidence: 99%
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“…Initial evaluation of patients who have sustained craniofacial trauma must center around securing an airway as maxillary displacement and intraoral edema may result in airway compromise. After the airway is secured, the primary goal of operative management of Le Fort fractures is restoration of dental occlusion and the horizontal and vertical buttress of the face 14,24. This is accomplished through intermaxillary fixation or open reduction with internal fixation (ORIF).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the analysis herein is limited to the variables that are included in the ACS-NSQIP database. Consequently, certain potentially confounding patient characteristics-such as income level, zip code, and health literacy-as well as complications that are rather specific to Le Fort fractures-including malunion, malocclusion, or nasolacrimal duct injury 24 -could not be analyzed in this study. In that same line, the authors would like to draw attention to the measured overall complication rate of ~2.5% calculated herein; although this may seem to suggest that operative reduction of Le Fort fractures is generally welltolerated, the authors would like to underscore the fact that this injury is frequently associated with other severe injuriesneurological and otherwise-that shape prognosis.…”
Section: Discussionmentioning
confidence: 99%
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“…The traditional Le Fort system divides midface fractures into three types based on three typical fracture lines 39 (►Fig. 10).…”
Section: Epidemiology and Anatomymentioning
confidence: 99%
“…Additionally, other complications can include epistaxis, NLDO with epiphora, and CSF rhinorrhea from anterior skull base involvement. 39 It is worth mentioning that dental injury is not uncommon with Le Fort injuries and thus prompt evaluation by a capable dental team is recommended if a tooth avulsion is suspected. 3…”
Section: Diagnosismentioning
confidence: 99%