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Updated: Feb 3, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
Length-Marked Osteotome for Secure Le Fort I Osteotomy
1Department of Oral and Maxillofacial Surgery, Division of Oral Pathobiological Science, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido 060-8586 Japan.
A novel depth-marked osteotome aids surgeons in performing Le Fort I osteotomies accurately. This tool helps prevent descending palatine artery injury by ensuring precise bone cuts.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Instrumentation
Background:
- Le Fort I osteotomy carries a risk of descending palatine artery injury.
- Accurate measurement from the piriform rim to the descending palatine canal is crucial for preventing vascular damage.
Purpose of the Study:
- To introduce a novel, length-marked osteotome designed to enhance surgical precision.
- To facilitate safe and efficient Le Fort I osteotomies by providing clear depth guidance.
Main Methods:
- Development of a 6 mm width osteotome with laser-striped, color-coded depth markings (25-40 mm).
- The instrument allows for easy and rapid bone cuts at critical lengths and depths.
Main Results:
- The length-marked osteotome enables precise bone cuts.
- It simplifies the surgical procedure, reducing operative time and anxiety.
Conclusions:
- The novel length-marked osteotome is a reliable tool for secure osteotomies.
- It effectively minimizes the risk of injury to vital structures like the descending palatine artery.
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