Titanium mesh rigid internal fixation of the modified LeFort III osteotomy

Surgical techniques for correcting midfacial deformities have used bone grafting with direct wire fixation, occlusal overcorrection, and maxillomandibular fixation for 6 to 8 weeks. With the advent of rigid internal fixation, the need for occlusal overcorrection and maxillomandibular fixation has been reduced or eliminated. A technique of rigid internal fixation using titanium mesh is presented. Two representative cases and their 18-month followups are described.