Lefort 3

Question 1

Syn for Lefort 3 #?

Answer 1

Craniofacial dysjunction

Suprazygomatic #

Question 2

MOON FACE appearance seen in?

Answer 2

Lefort 2 n 3…

Subconjunctival ecchymosis also seen in?? Lefort 1 n 2…

But Panda face - Lefort 2… (Still check this!!)

Question 3

What’s MOON FACE Appearance?

Answer 3

Gross edema (Balooning) of soft tissues overlying the MIDDLE third of face….

Seen in Lefort 2 n 3…

Question 4

In Lefort 3 all seen except?

Answer 4

All seen ——-
1. Crack pot sound on tapping

2. CSF Rhinorrhea (also seen in Lefort 2) So, Basically… Seen in both Lefort 2 n 3?? 1. Subconjunctival ecchymosis
3. Ballooning (MOON face)
4. CSF rhinorrhea
   But As far as so far… Panda face only in Lefort 2…
5. # at frontozygomatic suture
6. Whole face is Mobile!!

Question 5

Hooding of Eye seen in? N explain it…

Answer 5

Lefort 3

If the # libe passes above the WHITNALL’s TUBERCLE, it removes the support given to eye by SUSPENSORY LIGAMENT OF LOCKWOOD… Thus now upper eyelid gollows the eyeball… producing ‘HOODING OF EYES’…

Question 6

What’s hooding of Eye?

Answer 6

When # line passes above Whitnall’s tubercle… It removes the support to eye given by suspensory ligament of Lockwood… ———-+ Upper eyelid follows the globe down producing HOODING of Eyes…

Seen in Lefort 3

Question 7

Antimongoloid slant us seen in?

Answer 7

Lefort 3

Question 8

Antimongoloid slant also seen in?

Answer 8

1 Craniofacial dysostosis
2. Mandibulo facial dysostosis

Mongoliid slant seen in…
Thalassemia (Cooley’s anemia)

Question 9

CSF Rhinorrhea seen in?

Answer 9

1. Lefort 2 n 3
2. Nasoethmoidal #

Basically when there is comminuted cribriform plate of ethmoid…

Question 10

EPIPHORA is seen in??

Answer 10

Lefort 2 n 3 n severe nasal complex injuries… It’s due to partial or complete obstruction of NASOLACRIMAL duct….

Question 11

MC cause of CSF leakage in MIDDLE cranial fossa fractures is due to?

Answer 11

Tegman tympani…

Question 12

The weekest of all the cranial fossae?

Answer 12

Middle cranial fossa due to presence of a lot of foramina n vital structures..

Question 13

CSF Rhinorrhea n EPIPHORA both seen in?

Answer 13

1. Lefort 2 n 3

2. Nasoethmoidal #

Question 14

In Lefort 3 anti mongoloid slant is seen because of?

Answer 14

Downward displacement of zygoma…

Also Alw Rm – Enophthomos n accentuation of supratarsal fold of upper eyelid are also seen in LEFORT 3..

Question 15

Enoptholmos is seen in??

Answer 15

Lefort 3

Zygomatic complex #

Orbital #