Management of Bilateral Le Fort Ii Fracture - A Case Report

An attempt to classify mid-facial fractures was made by Rene Le Fort who categorised them into LeFort I, II and III . Le Fort II fracture is also known as ‘ PYRAMIDAL or “SUBZYGOMATIC FRACTURE’ . The Lefort fracture line runs from the frontonasal suture line originating form the thin nasal bones running down on either side , crossing the frontal process of maxilla into the medial wall of each orbit . Within the orbit , the fracture line runs across the lacrimal bone posterior to the lacrimal sac and crosses the infra orbital margin medial to or through the infra orbital foramen. The line then extends downwards and backwards across the lateral wall of the antrum inferior to the zygomaticomaxillary suture and divides the pterygoid laminae. Pterygoid process of sphenoid bone is involved in all Lefort fractures . The LeFort fractures are further classified depending upon the involvement of the zygomatic , nasal and the maxillary bones . Trauma to the mid face due to motor vehicle collisions , physical assault , falls or sports injuries are the most common causes. In this case , LeFort II fracture resulted due to a rod traffic accident.