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Maxillofacial Fractures

The most common complication is malocclusion.

Periorbital hematoma
Nasopharyngeal bleeding
The most important finding is that the maxillary dental arch is mobile.
Diagnosis is made by CT.
Le forte-1 Fracture (Guerin fracture)
It is a fracture line that passes horizontally from the lower level of the maxilla just above the alveolar crest. A complete Le forte I fracture passes through the nasal floor and maxillary sinus and involves the pterygoid plates.
Le forte II Fracture (pyramidal fracture)
The most common is Le forte fracture (35-55%). Commonly seen with Le forte-1
If the fracture line also entered the pterygomaxillary fossa and broke the pterygoid plates, a mobile maxilla called "floating maxilla" is encountered.
Lefort III Fracture (craniofacial separation)
It is the most serious maxillofacial fracture.








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