Influence of skull base or frontal bone fracture on the result of treatment for Le Fort type maxillofacial fractures: Outcomes of Le Fort IV fractures

Dear Editor, Le Fort fractures often extend to the skull base and/or frontal bone, which sometimes results in cerebral spinal fluid (CSF) leakage. Associated injury: the most frequent associated injury was another head and neck fractures, followed by extremity fractures, thoracic injuries, and abdominal injuries, which showed a similar tendency in both groups [Figure 1]Presurgical waiting days and hospitalization periods: the mean period to reduction surgery from injury in patients with Le Fort IV group was 12 ± 4.7 days, and it was 6.0 ± 3.1 days in those with Le Fort I–III. Only the presurgical waiting and hospitalization periods were longer in the Le Fort IV group because it takes about 1 week to control the CSF leakage. [...]once successful treatment of liquorrhea is achieved, Le Fort IV fracture can be treated like any other surgical reduction of Le Fort I–III fractures.