Maxilla Fracture (Lefort Fractures)


General Information

Pathophysiology

History

Physical exam

Specific findings

Diagnostic imaging

Treatment

  1. ABCs & primary survey first
  2. Retropharyngeal hematomas can obstruct airway
  3. If significant epistaxis
  4. NG tubes contraindicated
  5. Watch for: Open fractures
  6. Pain management
  7. Antibiotics for all fractures

Disposition

  1. Admit all pts to trauma service
  2. Facial trauma consult
  3. Head of bed elevated 40-60° if possible