Signs and Symptoms of Le Fort Fractures |
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Le Fort I signs and symptoms
¨ Mobility of whole of tooth bearing segment of upper jaw ¨ Disturbed occlusion ¨ Palpable crepitation in upper buccal sulcus ¨ ‘cracked pot’ percussion note from upper teeth ¨ Haematoma intra-orally over root of zygoma ¨ Haematoma in palate ¨ Fractured cusps of cheek teeth ¨ Bruising of upper lip and lower half of mid-face
Le Fort II signs and symptoms
¨ Mobile maxilla ¨ Gagging on posterior teeth ¨ Anterior open bite ¨ Periorbital echymosis/haematoma ¨ Nose included or separate ¨ Eyes – diplopia, subconjunctival haemorrhage ¨ Steps – zygomatic buttress, infraorbital margin ¨ Infra-orbital nerve damage
Le Fort III signs and symptoms
¨ Mobile middle third of face ¨ Gagging on posterior teeth ¨ Anterior open bite ¨ Periorbital ecchymosis/haematoma ¨ Nose included or separate ¨ eyes – diplopia, subconjunctival haemorrhage ¨ Steps – zygomatic buttress, infraorbital margin ¨ Infraorbital nerve damage ¨ Separation at F-Z suture ¨ CSF Rhinorrhea
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