![]() Our experienced team of personal injury lawyers has more than 70 years of collective experience obtaining millions of dollars in verdicts and settlements for our clients (see our case results). The personal injury attorneys at Estey & Bomberger, an AV-rated law firm, represent victims of serious and catastrophic injuries throughout California. Broken Facial Bone Personal Injury Claims Most CSF rhinorrhea cases heal on their own over the course of a few days. With any CSF leak, there is the possibility of infection, which could be fatal. Diagnosis may be made using an x-ray with contrast dye, MRI, and injection of a radioisotope in the spinal fluid. Le Fort III fractures predispose the patient to cerebral spinal fluid leakage (CSF rhinorrhea), a loss of the fluid that surrounds the brain and spinal cord. Facial trauma patients may be cared for by a team of specialists, including plastic surgeons, oral surgeons, orthodontists, ophthalmologists, otolaryngologists, and neurosurgeons. Cosmetic surgery may also be necessary because trauma can result in severe damage to the skin, underlying skull and maxillofacial bones. Open reduction, internal fixation (ORIF) surgery may be used to stabilize displaced fractures. Treatment of a Le Fort III fracture will vary depending on the severity of the fracture, whether the patient also suffered any sort of brain swelling or traumatic brain injury, and whether the patient suffered other facial fractures. Zygomatic fracture (cheekbone fracture).Le Fort III fractures are serious injuries that are often associated with traumatic brain injuries, and other facial fractures: Patients may also have a condition called “dish face deformity” in which the face appears somewhat concave due to blunt trauma. Patients with Le Fort III fractures may have anosmia (loss of smell) due to fracture of the cribriform plate (the horizontal plate of the ethmoid bone). Symptoms of a Le Fort III FractureĬommon symptoms are obvious visible trauma, bleeding, pain, swelling, and tenderness. In reality, not all maxillary fractures fit into these three categories, and fractures may actually be a combination of the three types of Le Fort fractures. Rene Le Fort, the French surgeon who first described the fractures in the early 20th century. He would then boil the heads to remove soft tissue and record the results 4,5.The three types of Le Fort fractures were named after Dr. Le Fort conducted experiments on 35 cadavers inflicting varying facial trauma by dropping cannon balls and striking them with a bat. They are named after René Le Fort, French surgeon (1869-1951). It should be noted that Le Fort fractures are often associated with other facial fractures, neuromuscular injury and dental avulsions. For example, there may be type 2 on one side and contralateral type 3, or there may be unilateral type 1 and 2 fractures. Le Fort III is a floating face (transverse)Īny combination is possible.Le Fort II is a floating maxilla (pyramidal).Le Fort I is a floating palate (horizontal).unsurprisingly type III fractures have the highest rate of CSF leak.because of the involvement of the zygomatic arch, there is a risk of the temporalis muscle impingement.transverse fracture line passes through nasofrontal suture, maxillo-frontal suture, orbital wall, and zygomatic arch/ zygomaticofrontal suture.uppermost fracture line can pass through the nasofrontal junction or the frontal process of the maxilla 3.fracture arch passes through the posterior alveolar ridge, lateral walls of maxillary sinuses, inferior orbital rim and nasal bones.pyramidal fracture, with the teeth at the pyramid base, and nasofrontal suture at its apex.fracture line passes through the alveolar ridge, lateral nose and inferior wall of the maxillary sinus.horizontal maxillary fracture, separating the teeth from the upper face.The commonly used classification is as follows:
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