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Le Fort III osteotomic variants.

C Ungari1, A Agrillo, V Mitro

  • 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
PubMed
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.

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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.

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  • 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.