González JAS, Mora TJR, Tenorio GJE, Aguilera MMJ

Language: Spanish
References: 17
Page:
PDF size: 218.27 Kb.

ABSTRACT

Coined and classified by René Le Fort, Le Fort fractures encompass a wide range of injuries involving multiple bony structures of the skull, with complex fracture lines extending across them. They most commonly occur in young adults and occasionally in pediatric patients, primarily associated with physical assaults and motor vehicle accidents. Diagnosis, potential complications, and management planning are supported by the Le Fort classification, which facilitates a general approach—though not without its inherent limitations. The large number of sensory and functional organs housed in the face and skull represents a significant concentration of functions within a relatively small space, adding to the anatomical complexity of the craniofacial region. Extensive and complex injuries carry the risk of impairing function or damaging any facial structure, resulting in difficulty performing essential functions such as vision, hearing, speech, chewing, swallowing, and breathing—not to mention the containment of the brain, spinal cord, and the face’s psychosocial roles. High-impact traumatic injuries pose the potential for lasting sequelae and limitations in any of these areas. As a result, their management requires a multidisciplinary team.

REFERENCES

1. Rogers-Hoffman GM, Allen RC. Le Fort fractures. In: Servat JJ, Black EH, NesiFA, Gladstone GJ, Calvano CJ, editors. Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery . Cham: Springer; 2021. p.72.

2. Ikeda, A. K., & Burke, A. B. LeFort Fractures. Seminars in Plastic Surgery ,2021; 35 (4), 250–255.

3. Michel Fabien D, Haréfétéguéna B, Mathieu M, Motandi I, Bertrand ET, Tarcissus K. Epidemiology andmanagement of Lefort fractures at the Sylvanus Olympio University Hospital of Lomé (Togo). Adv Oral Maxillofac Surg . 2022; 8:100376.

4. Al-Habbab RY, AlGhamdi SA, Alsalmi S. The epidemiology, incidence andpatterns of maxillofacial fractures. Saudi J Oral Dent Res . 2020; 5(11):562–8.

5. Perez Otero S, Cassidy MF, Morrison KA, Brydges HT, Muller J, Flores RL, Ceradini DJ. Analyzing epidemiology and hospital course outcomes of LeFort fractures in the largest national pediatric trauma database. Craniomaxillofac Trauma Reconstr .2024.

6. Feier R, Pacurar M, Cocos DI. Materials used in fracture rehabilitation “Le Fort I, II and III.”Med Mater . 2024; 4(1).

7. Hernández-Méndez JR, Felemovicius-Hermangus J, Íñigo-Arroyo F, Arceo-Martínez E, Villafranca-Andino RI.Complicaciones en pacientes operados de reducción de fracturas naso-órbito-etmoidales de acuerdo con la clasificación de Manson y Markowitz. Cir Plást . 2019; 29(3):255–61.

8. Hernández EF, Barrientos Villegas S, Aguilera-Callejas DE, Gómez González JM, Cortés-Contreras AP, Gómez González J, et al. Le Fort fractures: a review. Int Surg J . 2024 Jun;11(6).

9. Fortuna-Sandoval OI, Loe-Hernández AI, Bulbow-Pichardo KS, Martínez-Castillo JE. Fractura Le Fort II pura o piramidal, seguimiento a cinco años. Reporte de caso. 2023;1(2).

10. Barceló Poch A, Onecha Vallejo M, Alaejos Pérez MI, Pérez Lázaro R, Bahamonde Cabria S, Viñuela RuedaBE.Informe estructurado de las fracturas Le Fort. XI Congreso de la Sociedad Centro Norte de Radiología(CENORA); Salamanca, España: 2023 mayo 12-13.

11. Phillips, B. J., & Turco, L. M. Le Fort Fractures: A Collective Review. Bulletin of Emergency and Trauma ,2021; 5 (4), 221–230.

12. Salcedo Gutierrez F, Hidrogo Ordaz E, Pérez Bravo J, Kern García LE, Maqueda Sánchez Y, Sánchez Banderas JA, Ortega Landeros JJ, González Calderón G, Vázquez Santiago SJ. LeFort fractures. A review. Am J Med Surg . 2024.

13. Rashid, T., Chaudhary, A. N., Raza, M. S., & Aslam, Z. Clinical Outcome and Quality of Life in Patients of Lefort Fractures . 2024; 18 (03).

14. Pereira Falcão A, Borges Venturi L, Gushiken de Campos W, Augusto Lemos Júnior C, Barroso Marocco de Abreu Torres G. Hemi Le Fort III fracture with subdural and subarachnoid pneumocephalus with a mild Mount Fuji sign fractura de hemi Le Fort III con neumoencéfalo subdural y subaracnoideo con signo leve del Monte Fuji. Int J Odontostomat . 2022;16.

15. Mhamunkar PA, Kolari V, Sequeira J. Evaluation of trigeminocardiac reflex in patients undergoing elevation ofzygomatic fractures. Cureus . 2022.

16. Bicsák Á, Koch L, Claussen J, Lahmann J, Zeitz L, Hassfeld S, Bonitz L. Longterm evaluation of complications afterosteosynthesis of the jaws in patients with head and neck trauma: an analysis from a German highest level trauma center 2007–2023. Sci Rep .2025;15(1).

17. Abdulla K, Suman SK. Comparative study of computerized tomography imaging of facial trauma using 2D and 3D reconstruction scans. Cureus .2024.