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How to Simplify the CT Diagnosis of Le Fort Fractures

¹ Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Fruit St., FH 210, Boston, MA 02114.
² Present address: Department of Radiology, University of California San Francisco and San Francisco General Hospital, 1001 Potrero Ave., Rm. 1x55, San Francisco, CA 94110.

OBJECTIVE. The numerous components seen in the Le Fort fractures make classification difficult. Our objective is to simplify the task of classifying Le Fort fractures.

CONCLUSION. Each of the Le Fort fractures has at least one unique component that is easily recognizable: I, the anterolateral margin of the nasal fossa; II, the inferior orbital rim; and III, the zygomatic arch. Classification of the Le Fort fractures is simplified by using these unique components to establish a tentative classification that is then confirmed.

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