Ponce GV, Franco CR

Language: Spanish
References: 11
Page: 228-236
PDF size: 579.10 Kb.

ABSTRACT

Introduction: the most widely used classification for maxillofacial traumatism is that described by the French physician Rene Le Fort in 1901, which describes experimentally produced patterns of fractures, as a result of which the majority are lowenergy traumatisms. At present traffic accidents are the most common mechanism of injury that conditions high-energy facial injuries. The present classification takes into consideration the functional anatomy of the facial skeleton, analyzed by means of the faucial pillars or supports that give stability to the functional units of the face, combined with the findings of multisection computed tomography in transverse planes and coronal multiplanar and three-dimensional (3D) volumetric reconstructions. The sagittal plane can be used only for exploration of displacement of fragments in fractures. The accumulation of knowledge of the functional anatomy of the facial skeleton, the biomechanics of the faucial pillars in relation to the base of the skull, and the most common fracture patterns will lead to more accurate classification and surgical planning in maxillofacial traumatism.
Conclusion: radiologists’ learning of the classification most commonly used for maxillofacial traumatism will provide sufficient criteria for surgical planning and for more accurate diagnosis in injuries of the facial skeleton.

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