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Mnemonics, Simplified Concepts & Thoughts

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Mnemonics, Simplified Concepts & Thoughts

Le Fort Fractures : Mnemonics

Epomedicine, Jun 21, 2023Aug 15, 2023

Le Fort fractures are the fractures that separate mid-face from the skull.

Classification

All of these subtypes involve a fracture of the pterygoid plate.

LeFort typeFracture configurationMnemonicMnemonic
IHorizontalFloating palateSpeak no evil – fracture through maxilla just above roots of teeth (affects speaking)
IIPyramidalFloating maxillaSee no evil – slightly higher; triangle around nasal cavity with apex into inferior part of orbit (also affects seeing)
IIITransverse a.k.a Craniofacial dysjunctionFloating faceHear no evil – higher; goes through middle of orbit and base of skull (also affects hearing)
IVLefort III + frontal bone involvement
CSF rhinorrhea occurs in type II and III due to injury in cribriform plate.

Reference: Type 1, 2, 3 Le Fort Fracture Classification Mnemonic: Maxillofacial Trauma Surgery and Radiology — EZmed (ezmedlearning.com)

Further reading: Lefort Fractures – EyeWiki (aao.org)

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PGMEE, MRCS, USMLE, MBBS, MD/MS DentalOtorhinolaryngology

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