This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Trauma, Subject name: Surgery
A 43-year-old man is hit in the face with a baseball bat and presents to the emergency department with massive facial swelling, ecchymosis, and an elongated face. There is mobility of the middle third of the face on digital manipulation of the maxilla. What is the likely diagnosis? 
Select and explain. 
A. Lambdoid injury, B. Odontoid fracture, C. LeFort III fracture, D. Palatal split
C: LeFort III fracture
Answer: C: LeFort III fracture 
Explanation: The physical findings are characteristics of a Le Fort III fracture (Figure below). In this injury, the fracture passes through maxilla and nasal bones and above the zygomatic bone.Classic Le Fort fracture patterns