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Le Fort III osteotomic variants
1Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy. emiliano.riccardi@hotmail.it
European Review for Medical and Pharmacological Sciences
|October 24, 2012
Summary
This study presents two craniofacial dysostosis cases treated with combined Le Fort III and Le Fort I osteotomies. This surgical approach allows for midface advancement while preserving dental occlusion in adult patients.
Area of Science:
- Craniofacial surgery
- Orthognathic surgery
- Maxillofacial reconstruction
Background:
- Midface hypoplasia requires complex 3D repositioning.
- Craniofacial dysostosis presents significant skeletal challenges.
- Le Fort osteotomies are key procedures for midface correction.
Observation:
- Two cases of craniofacial dysostosis were treated.
- Case 1: Simultaneous Le Fort I and Le Fort III osteotomies without pterygomaxillary disjunction.
- Case 2: Modified Le Fort III osteotomy with median disjunction and reduction of facial dimensions.
Findings:
- Combined Le Fort III and Le Fort I osteotomy (Obwegeser technique) allows simultaneous midface and dental repositioning.
- Le Fort I without pterygomaxillary disjunction achieved midface mobilization preserving occlusal ratios.
- Modified Le Fort III with median disjunction addressed transverse and pyriform dimensions.
Implications:
- This combined technique offers a viable option for midface advancement in adults with normal occlusion.
- Preserves dento-skeletal relations for improved functional and aesthetic outcomes.
- Highlights the versatility of Le Fort osteotomies in treating complex craniofacial deformities.
