Epidemiology and management of Lefort fractures at the Sylvanus Olympio University Hospital of Lom´e (Togo),
Auteur(s): Dargani Michel Fabien,*, Bissa Harefeteguena, Millogo Mathieu, Idani Motandi, Essobiyou Tamassi Bertrand, Konsem Tarcissus
Résumé

Introduction: Lefort fractures are lesions of the facial mass following violent trauma. They can be life-threatening
and functionally dangerous in the short or long term. This study aimed to report the management of this type of
fracture in our context.
Methodolog: yThis was a descriptive cross-sectional study with retrospective data collection from January 1,
2011, to December 31, 2020, in the Department of Otolaryngology and Cervico-Maxillofacial Surgery at the
Sylvanus Olympio University Hospital of Lom´e.
Results: The annual frequency was 15.2 cases. The average age of the patients was 34.43 ± 11.98 years with
extremes of 15 and 70 years and a sex ratio of 9.13. The majority of patients were workers in the informal sector
(44.08%). The etiologies were dominated by road traffic accidents (91.45%) and 28.29% of the patients were
emergency cases on admission. Imaging showed 51.06% Lefort II fractures. Treatment was surgical in 99.34%,
with screw plates (89.40%). Functional sequelae were reported in 5.92% of patients.
Conclusion: Lefort fractures are common in young adult males after road traffic accidents. Their treatment is
delicate and often leaves serious after-effects. Active measures for the prevention of these road traffic accidents
are therefore necessary.

Mots-clés

Lefort fracture Maxillofacial trauma Treatment

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