Le Fort Fractures

Progression

• When did disease process start
  
• Initial versus subsequent visit
  

Location

• N/A
  

Acuity

• N/A
  

Name

• Type I:
  • Transverse fracture thru maxillary sinus and pterygoid plates
    
  • Complications-loss of teeth, infection, malocclusion
• Type II:
  • Separation thru frontal process, lacrimal bones, floor of orbits, zygomaticomaxillary suture line, lateral wall of maxillary sinus and pterygoid plates
    
  • Complications include nonunion, malunion, lacrimal system obstruction, infraorbital nerve anesthesia, diplopia
• Type III:
  
  • Separation of mid third of face at zygomaticotemporal and naso-frontal sutures, and across the orbital floors
    
  • Complications include nonunion, malunion, malocclusion, lengthening of mid face, and lacrimal system obstruction

Necessary Procedures

• Specify type of fracture treatment with or without bone graft or implant, tracheostomy, cricothyroidotomy, mechanical ventilation (less than 24 hrs, 24-96 hrs, over 96 hours)
  

Other

• Any additional trauma, without or with loss of consciousness (specify time frame for LOC)

Why

• Airway obstruction, acute blood loss anemia, respiratory failure (specify acuity)