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Le Fort Fracture Description Front View Side View Stability
Type I
  • Transverse fracture separating body of maxilla from pterygoid plate and nasal septum[1]
  • Only hard palate and teeth move (when rock hard palate while stabilizing forehead)
LeFort1e.png LeFort1a.png Stable
Type II
  • Pyramidal fracture through central maxilla and hard palate
  • Movement of hard palate and nose occurs, but not the eyes
LeFort2b.png LeFort2a.png Can be stable or unstable fracture
Type III
  • Craniofacial dysjunction (fracture through frontozygomatic sutures, orbit, nose, ethmoids)
  • Entire face shifts with globes held in place only by optic nerve)
  • Dish face deformity on lateral view
LeFort3b.png LeFort3a.png Unstable
Type IV
  • Le Fort III plus involvement of frontal bone
Unstable
  1. Tintinalli 7th Edition, pgs 1730-1738