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Traumatic Le Fort III osteotomy.

N Zachariades, E Vairaktaris, D Papavassiliou

    The British Journal of Oral & Maxillofacial Surgery
    |February 1, 1986
    PubMed
    Summary
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    A Le Fort III fracture reduction successfully corrected a pre-existing Class III skeletal relationship in this case study. This demonstrates a potential treatment outcome for complex craniofacial deformities.

    Area of Science:

    • Craniofacial surgery
    • Orthognathic surgery
    • Maxillofacial trauma

    Background:

    • Le Fort III fractures involve midface instability.
    • Class III skeletal relationships indicate a retruded maxilla or prognathic mandible.
    • Orthognathic surgery is often required for skeletal Class III correction.

    Observation:

    • A patient presented with a Le Fort III fracture.
    • The fracture was surgically reduced.
    • The patient had a pre-existing Class III skeletal relationship.

    Findings:

    • Reduction of the Le Fort III fracture led to the correction of the Class III skeletal relationship.
    • The surgical intervention achieved simultaneous fracture repair and malocclusion correction.

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    Implications:

    • Le Fort III fracture reduction can potentially correct underlying skeletal discrepancies.
    • This case highlights an unexpected benefit of treating midface fractures.
    • Further investigation into this phenomenon in orthognathic surgery is warranted.