A 30-year-old male presents with a suspected facial fracture following a motor vehicle collision. He has noticeable swelling around the midface, periorbital ecchymosis, and facial asymmetry. Which of the following symptoms would indicate a Le Fort III fracture?
A Le Fort III fracture, also known as craniofacial disjunction, involves a separation of all facial bones from the cranial base, resulting in a mobile midface. Mobility of the midface is a hallmark of this type of fracture. Other options like malocclusion, nasal bone tenderness, and infraorbital nerve paresthesia can be associated with other types of facial fractures but are not definitive for a Le Fort III fracture.
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