![]() Additionally, he boiled the skulls to strip off the flesh and expose the underlying fractures. He then cut the body segments open and studied the fractures they had sustained. The impacts included hitting the midface of a whole or decapitated cadaver with a baseball bat, and hitting the midface region onto a granite tabletop. Various forces were applied to inflict these injuries, some of which are controversial. Precise recognition of these deviations and recognition of additional associated fractures is pivotal in their management, assisting the surgeon in determining the treatment plan, such as the surgical approach and the order in which to fix the various fractured components.Īround the turn of the 19th into the 20th centuries, RenÉ Le Fort, a renowned French surgeon, conducted a series of experiments using human cadavers to study facial bone fractures resulting from blunt trauma. Mandibular and zygomatic bone fractures were found to be common associations with Le Fort injuries, occurring in 58% and 33% of the cases respectively.ĬONCLUSION: Fractures occurring in modern practice often deviate from the traditional Le Fort classification. Nine patients had Le Fort fractures and additional fractures. RESULTS: Of the 52 cases, 12 (23%) had Le Fort injuries, with true Le Fort fractures occurring in only 1, and 11 deviating from the classic description. Deviations from the true Le Fort types, which are often depicted in the literature as occurring bilaterally and symmetrically, were documented these included unilaterality, occurrence of several Le Fort fractures on one side of the face, occurrence of several Le Fort fractures on different levels and on different sides of the face, and occurrence of other fractures in addition to Le Fort fractures. Injuries were classified using the Le Fort classification system. METHOD: A retrospective study comprising the review of CT scans of 52 patients with high-velocity facial fractures was performed between April 2007 and March 2013. OBJECTIVES: A retrospective study to define facial bone fractures occurring subsequent to high-velocity trauma. In modern practice, in a quaternary-level referral hospital, patients are often admitted following high-velocity injuries that mostly result from motor vehicle collisions. This classification, however, was based on low-velocity trauma. IIIDepartment of Surgical Sciences, University of KwaZulu-Natal, South AfricaīACKGROUND: In the early 20th century, RenÉ Le Fort studied facial fractures resulting from blunt trauma and devised a classification system still in common use today. IITrauma Service and Trauma ICU, Inkosi Albert Luthuli Central Hospital, Durban, South Africa IDepartment of Diagnostic Radiology, University of KwaZulu-Natal, South Africa Defining current facial fracture patterns in a quaternary institution following high-velocity blunt trauma ![]()
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