1. Fracture line separates alveolus and palate from the facial skeleton.
2. Fracture line passes from the pyriform aperture.
3. Fracture line runs posteriorly to include pterygoid plates.
4. Fracture line passes through orbit.
Which of the statements given above are correct?
Le Fort I Fracture: Correct Statements
The question asks to identify the correct statements describing a Le Fort I fracture.
Analysis of Statements:
- Statement 1: Fracture line separates alveolus and palate from the facial skeleton.
This statement is correct. A Le Fort I fracture is characterized by a horizontal fracture separating the teeth-bearing alveolar process and the hard palate from the rest of the midface.
- Statement 2: Fracture line passes from the pyriform aperture.
This statement is correct. The fracture line typically originates superior to the anterior nasal spine and the pyriform aperture and extends laterally.
- Statement 3: Fracture line runs posteriorly to include pterygoid plates.
This statement is correct. The fracture extends posteriorly, separating the pterygoid plates, which results in the detachment of the entire mobile midface segment.
- Statement 4: Fracture line passes through orbit.
This statement is incorrect. Le Fort I fractures are typically located below the orbital floor. Fractures extending through the orbit are characteristic of Le Fort II or Le Fort III fractures.
Conclusion
Based on the analysis, statements 1, 2, and 3 accurately describe the Le Fort I fracture pattern. Statement 4 is incorrect as it describes features of higher-level Le Fort fractures.
Therefore, the correct option includes statements 1, 2, and 3.
Important Questions from Trauma & Injury Management
Which of the following are stages of damage control surgery?
1. Patient's selection
2. Control of haemorrhage
3. Resuscitation in ICU
4. Preventive surgery
Select the correct answer using the code given below.
- A 30-year-old road traffic accident victim is being taken up for emergency laparotomy for haemoperitoneum and suspected multiorgan trauma. Which one of the following will be an indication for performing damage control surgery?
- A 30-year-old motorbike rider is brought to the emergency with history of a road traffic accident and altered consciousness. On secondary survey, the doctor notices presence of a bruise over the left mastoid process. The finding indicates
A young 23 year old male riding his motorcycle meets with a road accident. He is tachypnoeic with HR 110/m and BP 112/74 mmHg. On examination, he ha tenderness over left side of chest with decreased air entry. His trachea is pushed to opposite side. Abdominal examination is unremarkable. Most probably he is sufferin from:
- In an unconscious patient with multiple injuries, what is the best and reliable modality for assessment of cervical spine injury?
