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Le fort I osteotomy with bone grafts in preprosthetic surgery: technical note
Lorena Pingarron-Martin1, Javier Arias-Gallo2, Hui Shan Ong3
1Oral and Maxillofacial Surgery, Hospital Sanitas La Moraleja, Madrid, Spain ; Oral and Maxillofacial Surgery, Ninth People Hospital, Shanghai, China.
Craniomaxillofacial Trauma & Reconstruction
|January 18, 2014
Summary
This technical note improves Le Fort I osteotomy success rates for edentulous patients. Adding wire anchorage to bone grafts enhances stability and reduces surgery time.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Techniques
- Bone Grafting
Background:
- Edentulism leads to progressive maxillary bone resorption, altering maxillomandibular relationships.
- Le Fort I osteotomy with inlay grafts is a consideration for managing these changes.
Purpose of the Study:
- Introduce a novel technical note to improve the success rate of Le Fort I osteotomy with bone grafting.
Main Methods:
- A modified Le Fort I osteotomy technique incorporating simple fixation for both osteotomy and grafts.
- Detailed explanation of surgical steps and follow-up procedures.
Main Results:
- Additional wire anchorage around bone grafts significantly improved success rates.
- Reduced operative time was observed with the novel technique.
- Concurrent bone grafting and Le Fort I osteotomy immediately improved facial skeletal profile.
Conclusions:
- The described technique offers a simple and effective method for enhancing Le Fort I osteotomy outcomes in edentulous patients.
- The technique is suitable for adoption by less experienced surgeons.
