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Related Experiment Video

Updated: May 10, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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STABLE: an innovative device for three-part maxillary osteotomy.

D Bertossi1, M Albanese2, G Farronato3

  • 1Oral and Maxillofacial Surgery Dental School, University of Verona, Verona, Italy - dario.bertossi@univr.it.

Minerva Stomatologica
|June 13, 2013
PubMed
Summary

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Annals of medicine·2024

Le Fort I osteotomy is a common surgical technique for midfacial deformities. A new device, the STABLE (Surgical Tripartition Auxiliary Block Element), aids stabilization after complex three-piece maxillary Le Fort I surgery, reducing relapse.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Craniofacial Surgery

Background:

  • Le Fort I osteotomy is a standard surgical procedure for correcting dento-midfacial deformities.
  • Three-piece Le Fort I osteotomies can present challenges, including adverse surgical movements and post-operative relapse.
  • Skeletal Class III malocclusion with transverse maxillary deficiency requires complex surgical correction.

Purpose of the Study:

  • To present a case report of a patient with skeletal Class III malocclusion and transverse maxillary deficiency.
  • To describe the surgical correction using bilateral sagittal split osteotomy and segmental Le Fort I.
  • To introduce and evaluate the STABLE (Surgical Tripartition Auxiliary Block Element) device for post-operative stabilization.

Main Methods:

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  • A 26-year-old male patient with skeletal Class III malocclusion and transverse maxillary deficiency was treated.
  • Surgical correction involved a bilateral sagittal split osteotomy (BSSO) and a segmental Le Fort I osteotomy.
  • Post-treatment stabilization was achieved using the novel STABLE device.

    • Main Results:

    • The patient's skeletal Class III malocclusion and transverse maxillary deficiency were successfully corrected.
    • The STABLE device provided effective stabilization following the three-part maxillary Le Fort I surgery.
    • No significant adverse movements or relapse were reported during the post-treatment stabilization phase.

    Conclusions:

    • The combination of BSSO and segmental Le Fort I osteotomy is effective for correcting complex dento-midfacial deformities.
    • The STABLE device represents an innovative and useful tool for stabilizing the maxilla after three-piece Le Fort I surgery.
    • This case highlights a successful treatment protocol for a challenging malocclusion, emphasizing the role of advanced stabilization techniques.