A patient with a Le Fort III facial fracture has been admitted to the ICU. Which of the following statements is true regarding this type of facial fracture?
a. They are frequently associated with cerebrospinal fluid leaks.
b. They are not as severe as Le Forte I and II injuries.
c. The patient's airway is not usually compromised.
d. Patients with these injuries are not at risk for hemorrhagic shock.
A
Le Fort III fractures are associated with craniofacial disruption. Cerebrospinal fluid frequently leaks with Le Fort II and III fractures because there is frequently communication between the cranial base and the cribriform plate. Patients are at risk of airway occlusion from the tongue, hemorrhage, broken teeth, emesis, or bone fragments. Significant blood loss can occur with these injuries because of the extensive soft tissue and vascular damage that results.
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