UMEM Educational Pearls

Category: Trauma

Title: Lefort Fracture Review

Keywords: Lefort, facial, trauma, fracture (PubMed Search)

Posted: 5/26/2024 by Robert Flint, MD (Updated: 6/22/2024)
Click here to contact Robert Flint, MD

On exam, assess for facial instability and airway patency. CT scan is the imaging of choice. The higher the number, the more complex the fracture, the more unstable and the more difficult the airway managment will be. Look for open lacerations or blood in the sinuses and treat with antibiotics if these are found. Consult ENT or plastics urgently for further management. 
The reference is a nice review of these fractures