Complex Le Fort II and III Fracture With Ocular Dystopia Secondary to Asymmetric Orbital Emphysema

Le Fort fractures refer to relatively common patterns of midfacial trauma and are usually associated with symptoms such as periorbital edema, epistaxis, and maxillary immobility. This report discusses a case of a mixed Le Fort II and III fracture after a fall down the stairs, presenting with periorbital emphysema causing vertical ocular dystopia. The patient underwent successful open reduction and fixation of the fractures with miniplates with no severe complications. To our knowledge, this is the first report of Le Fort fractures presenting with bidirectional vertical dystopia.