[Le Fort type I segmentary and nasoorbitalethmoidal fractures. A case report]

The association of Le Fort fractures and those of the nasoorbito-etmoidal complex represent severe injuries usually associated to traffic accidents or physical violence. The occurrence of such combination of fractures represents a challenge for the maxillofacial surgeon due to the great index of comminuted and displacement fragments. The initial evaluation represents the opportunity to identify and treat possible life-threatening complications such as brain damage or airway compromise; this first evaluation will also allow the establishment of diagnosis and a suitable surgical plan in order to preserve both the aesthetic and functional aspects.