Facial Fractures

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also known as
broken facial bone

Common Description

Fractures of the face can happen in all kinds of places and ways. Not all fractures are simple and some will require surgery in order to obtain the best outcome.

Medical Description

The face is divided into 3 thirds, upper 1/3(forehead), lower1/3(chin) and middle1/3. A classification of fractures of the middle third of the face was described by French surgeon Rene Le Fort in 1901.


  • Le Fort I Fracture - results from a blow to the upper lip region and the fracture extends horizontally through the maxilla. In this fracture the upper teeth and palate are detached from the upper part of the face
  • Le Forte II Fracture - is sustained after a large impact to the midfacial region. This is also called a pyramidal fracture because the mobile segment includes the mid face pyramid, the base of which is the upper tteth and palate and the apex is the nasal bridge.
  • Le Fort III Fracture p occurs when the bony attachments of the face are broken from the base of the skull. In this fracture the whole midface, including the cheek bones may move freely.

Before Surgery

After Treatment

Our Recommendation

Every facial fracture is unique, just like the patient. Professor David will advise you based on the type of fracture that you have.
If you have experienced a fracture at work, in a car accident or an assualt we are happy to work with Workcover, your insurer or your legal team. Just let us know who to contact and we will make the experience as easy as possible.

Professor David is an accredited independant medical examiner and experienced expert witness.

DDMS Process and Procedure

Facial Fractures should all be treated on their merits. Not all require surgical intervention, however management of craniofacial fractures should be managed by a multi-disciplinary craniofacial team that includes: craniofacial surgeon, ophthalmologist, dentist and orthodontist . All of whom will be assisted by the 3D CT images.

Pre-Op Preparation

Multidisciplinary, appropriate radiology, general health check,and planning meeting with patient and all relevant specialists.

Post-Op Recovery

Depends entirely on the nature of the fracture and the extent of the intervention


Q:  How soon after a facial fracture should surgery take place?
A:   Surgery to repair facial fracture is only undertaken AFTER: life threatening situations have been managed and after radiological and multi-disciplinary team assessment, which can be 7-10 days following injury.

Q:  Will there be any residual deformity from the fracture?
A:   Sometimes yes. The risk is lessened by well planned and executed primary surgery, but secondary surgery to correct/minimise residual deformity may be required.

Q:  If I go to a Public Hospital Emergency Department for treatment, can I still see Professor David?
A:   Yes! You are entitled to request that he, or even a member of the Craniofacial team see you.

Q:  Will Professor David treat me if I do not have Private Health Insurance?
A:   Yes, although he may not do the surgery himself, a member of Craniofacial team will.

Q:  Will Professor David treat me if the injury is a result of a car accident, work accident or assualt?
A:   Yes. Professor David has extensive experience dealing with insurance companys in these types of cases.


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Contact Information

David David Medical Services
226 Melbourne Street
North Adelaide
South Australia, 5006
T (61) 8 8267 1466
F (61) 8 8267 3403