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Related Experiment Video

Updated: Jul 5, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

[Rare complication after Le Fort I osteotomy].

H Grundig¹, C Buitrago-Tellez, H-F Zeilhofer

¹Klinik für Hals-, Nasen- und Ohrenkrankheiten, Gesichts- und Halschirurgie, Kantonsspital Aarau, 5001, Aarau, Schweiz. Hans.Grundig@gmx.ch

|April 30, 2008

Summary

Eustachian tube dysfunction after Le Fort I osteotomy is rare. This case study links pterygoid hamulus dislocation and tensor veli palatini muscle damage to unilateral tubal issues post-surgery.

Related Experiment Videos

Last Updated: Jul 5, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

Oral and Maxillofacial Surgery
Otolaryngology
Anatomy

Background:

Le Fort I osteotomy is a surgical procedure to correct midface hypoplasia.
Eustachian tube (ET) dysfunction is a potential complication, though rare after this procedure.
This report details a unique case of persistent ET dysfunction post-osteotomy.

Observation:

A 22-year-old female presented with recurrent left-sided Eustachian tube malfunction and middle ear effusions after Le Fort I osteotomy for maxillary retrognathism.
Conservative treatments including adenotomy, tonsillectomy, and tympanostomy tube insertion failed to resolve the symptoms.
Imaging revealed a significant forward dislocation of the left pterygoid hamulus and apparent damage to the tensor veli palatini muscle.

Findings:

The study identified a direct correlation between the surgical trauma and the observed anatomical changes.
Forward dislocation of the pterygoid hamulus and tensor veli palatini muscle damage were the primary findings.
These sequelae were implicated as the cause of the unilateral Eustachian tube dysfunction.

Implications:

This case highlights a previously under-recognized complication of Le Fort I osteotomy.
It emphasizes the importance of careful surgical technique to avoid injury to adjacent structures like the pterygoid hamulus and tensor veli palatini.
Understanding these specific anatomical sequelae can improve diagnosis and management of post-surgical Eustachian tube dysfunction.