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Updated: Mar 2, 2026

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Le Fort II osteotomy.

Gregory E Lakin1, Henry K Kawamoto

  • 1Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California-Los Angeles, Santa Monica, CA 90404, USA.

The Journal of Craniofacial Surgery
|November 17, 2012
PubMed
Summary

This study defines indications and techniques for elective Le Fort II osteotomy, a procedure with limited literature. The longest single-institution series provides a management algorithm for this midface advancement surgery.

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Area of Science:

  • Craniofacial Surgery
  • Orthognathic Surgery
  • Maxillofacial Reconstruction

Background:

  • Limited literature exists on Le Fort II osteotomy compared to Le Fort I and III.
  • This study addresses the scarcity of information on elective Le Fort II osteotomy.
  • It presents the longest single-institution experience with this procedure.

Purpose of the Study:

  • To define the indications for elective Le Fort II osteotomy.
  • To elucidate the surgical techniques for Le Fort II osteotomy.
  • To develop a management algorithm for Le Fort II osteotomy.

Main Methods:

  • Retrospective review of 13 consecutive patients diagnosed with Le Fort II.
  • Analysis of demographic data, indications, surgical techniques, complications, and combined procedures.
  • Development of a treatment algorithm based on surgical outcomes.

Main Results:

  • Indications included nasomaxillary deviation from synostosis, hemifacial microsomia, Romberg disease, and hypoplasia.
  • Average follow-up was 60 months; average blood loss was 950 mL.
  • Complications included persistent nasal deviation, temporary obstruction, and hematoma; complementary procedures were common.

Conclusions:

  • Elective Le Fort II osteotomy indications and less invasive techniques are clarified.
  • No major complications were reported in this series.
  • A management algorithm for Le Fort II osteotomy is presented.