banner1 banner1
banner3 banner3
banner3 banner3

Experience, Personal Attention, Professionalism.

Reconstructive Surgery For Midface Fractures

What is a midface fracture?

Midface fractures, also known as Le Fort fractures, are caused by high-energy blunt force impacts to to the face typically resulting from motor vehicle accidents, altercations and falls.

The ‘middle of the face’ is considered the area from the maxilla (upper jaw) and dental plane (teeth in the upper jaw) up to the cranium (just above the eyebrows). Its intimate association with the oral cavity, nasal cavity, orbits (eyes), and the multitude of structures contained within make the middle of the face a functionally and cosmetically important structure. Fracture of these bones are life-threatening as well as disfiguring. Timely repair of these fractures is a necessity to correct deformities and loss of function

Why is a midface fracture referred to as a LeFort fracture?

In the early 20th century a french surgeon, by the name of Rene Le Fort, utilized a rather controversial method by inflicting traumatic injuries to cadaver heads and then studying the injuries to determine the common patterns of fractures that occur. In 1901 he developed three types of classifications based on these patterns, Le Fort I, II, and III. Although this type of research would never occur in current times, the LeFort classifications are still widely used for clinical purposes.

What are the different types of midface fractures?

Le Fort I: Upper lip swelling and numbness of the upper teeth. Percussion (tapping with a special instrument) of the upper teeth results in a cracked pot sound.

Le Fort II: Edema (swelling) of the soft tissue over the middle third of the face, bilateral orbital ecchymosis, subconjunctival hemorrhage,(bleeding around and in the eyes, and under the skin, discoloration of skin due to the internal bleeding), CSF rhinorrhea (fluid draining from the nose), diplopia (double vision) and a bloody nose. Numbness of the cheek may also be present.

Le Fort III: tenderness of the frontal sinus, lengthening of the face, hooding of the eyes, and sagging on the side of the injury.

How is a midface fracture diagnosed?

A full medical history and physical exam is necessary for a preliminary diagnosis. Then a CT scan of the head and face is needed to confirm diagnosis.

How is a midface fracture treated?

Once all life threatening injuries are stabilized, the treatment of the fractures is surgical and planned based on the individual patient’s injuries.

If you or your family member is currently in the emergency room for a suspected facial fracture, and you would like Dr. Volshteyn to evaluate you for treatment, please ask the emergency room physician to call Dr. Volshteyn at (732)641-3550 and select the emergency option to reach Dr. Volshteyn directly on his cell phone to discuss your case.

More information on facial fractures

dr volshteyn

Dr. Volshteyn is a board certified Plastic Surgeon, who is specialized in reconstructive and plastic surgery.

About Dr. Volshteyn
dr daniels

Dr. Daniels is the Medical Director of Daniels Vein Center, and is a highly skilled vascular specialist.

About Dr. Daniels
dr parler

Janet P Parler MD is one of the most respected and experienced board certified plastic and reconstructive surgeons in New Jersey.

About Dr. Parler
Patient Reviews

"I cannot thank you enough for what you have done for me. You saved my life. I would never do cosmetic surgery abroad EVER. I am not ready to have the reconstruction done yet, but when I am ready, there is no-one else I would trust." -Esmeralda F

"The nightmare is finally over. My stomach looks absolutely wonderful... I will see you next fall for my face and I promise to quit smoking." -Galina P

Read More Reviews Call Us Today (732) 641-3350

Contact Us

nesps abps ama asps
njsps msnj ifats mcsps

Dr. Boris Volshteyn is a plastic surgeon dedicated to excellence in plastic & reconstructive surgery such as breast augmentation, liposuction, and facelifts. Boris Volshteyn MD plastic surgery offices are located in New York and New Jersey. This website is a plastic surgery resource for viewing before and after photos, and learning about various procedures.

107 Monmouth Road Suite 102 West Long Branch, NJ 07764 (732) 641-3350

2023 Atlantic Surgical Associates | Accessibility | Site Developed by