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Pterygoid Plates Le Fort — NDEB AFK MCQ

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ModerateOral SurgeryPterygoid Plates Le FortNDEB AFK

Which structure connects the maxilla to the cranial base and is fractured bilaterally in all Le Fort fracture patterns?

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Correct answer: EPterygoid plates of the sphenoid bone

The pterygoid plates of the sphenoid bone are fractured bilaterally in ALL three Le Fort fracture patterns (I, II, and III). This is because the pterygoid plates connect the maxilla to the cranial base, and separation of the maxilla from the skull base in any Le Fort pattern must involve fracture of this junction. This common feature is an important radiographic sign for confirming Le Fort fractures on CT imaging.

Reference: Hupp – Contemporary Oral and Maxillofacial Surgery, 7th ed., 2019