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LeFort I segmented osteotomy experience with piezosurgery in orthognathic surgery
Sergio Olate1, Leandro Pozzer2, Alejandro Unibazo3
1Division of Oral & Maxilofacial Surgery & CIMA Group, Universidad de La Frontera Chile ; Center for Biomedical Research, Universidad Autónoma de Chile Chile.
International Journal of Clinical and Experimental Medicine
|September 19, 2014
Summary
Piezoelectric LeFort I segmented osteotomy offers a safe and efficient method for correcting skeletal anomalies. This technique minimizes soft tissue injury and can be completed within approximately 50 minutes.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthognathic Surgery
- Piezoelectric Surgery
Background:
- Skeletal anomalies often require surgical correction.
- LeFort I osteotomy is a common procedure in orthognathic surgery.
- Advancements in surgical technology aim to improve safety and efficiency.
Purpose of the Study:
- To evaluate the use of piezoelectric system for LeFort I segmented osteotomy.
- To assess surgical time and complication rates in patients undergoing this procedure.
Main Methods:
- A descriptive study of consecutive patients (November 2012 - January 2014).
- All patients underwent maxillary surgery exclusively with piezoelectric osteotomies.
- Surgical time and complications were recorded and analyzed.
Main Results:
- 19 patients underwent consecutive surgeries with an average osteotomy time of 45 minutes.
- Surgical times decreased from longer durations initially to approximately 40 minutes in later cases.
- No instances of vascular element laceration or palatal tissue injury were observed.
Conclusions:
- LeFort I segmented osteotomy using piezoelectric systems is associated with a low risk of soft tissue injury.
- The procedure for maxillary osteotomy can likely be completed in under 50 minutes.
- The piezoelectric system offers advantages for LeFort I segmented osteotomy procedures.

