Diagnosis
Diagnosis is made based on physical exam findings with confirmation by axial CT. The patient is taken for radiography of the head and neck then after obvious fracture signs the patient is taken to CT scan for more specific anatomic information. To qualify for LeFort Fractures the pterygoid plates must be involved. These are seen posterior to the maxillary sinuses on axial CT and inferior to the orbital rim on coronal slices. Also, the palate is usually mobile on physical exam. Continue reading