[Minimally invasive approach for Le Fort I osteotomy].

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Orthodontics

Background:

• Orthognathic surgery corrects skeletal and developmental facial abnormalities.
• Le Fort I osteotomy is a standard procedure for maxillary mobilization.
• Current techniques often result in significant postoperative swelling and pain due to large surgical flaps.

Purpose of the Study:

• To review historical and current maxillary osteotomy techniques.
• To present a modified minimally invasive surgical approach for Le Fort I osteotomy.
• To evaluate the potential of this modified technique in reducing postoperative complications.

Main Methods:

• Review of existing literature on maxillary osteotomy.
• Description of a modified minimally invasive surgical technique involving a smaller superior-gingival flap.
• Surgical access to the maxilla through a reduced incision.

Main Results:

• The modified approach provides adequate access for osteotomy.
• Reduced surgical incision size is associated with decreased postoperative swelling and pain.
• Minimally invasive technique aims to limit surgical trauma and complications.

Conclusions:

• A modified minimally invasive Le Fort I osteotomy approach is feasible.
• This technique offers a potential solution to mitigate common postoperative complications.
• Further studies are warranted to validate the long-term outcomes and benefits.