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Le Fort I Down-Fracture for Management of Midface Tumors
Lilian Caldas Quirino1,2, Pedro Henrique de Azambuja Carvalho1,2, José Cleveilton Dos Santos1,2
1Department of Diagnosis and Surgery, São Paulo State University.
Objective:
To perform an integrative review associating current literature with a clinical series regarding the use of Le Fort I osteotomy for the removal of tumors located in the midface and central region of the skull base.
Methods:
A systematic review was performed through the PubMed, SCOPUS, and Cochrane databases. In addition, 4 different patients operated using the above-cited technique are described in this study.
Results:
Initially, 123 articles were found. After the removal of duplicates, and title and abstract reading, 27 articles were selected for data extraction. The Le Fort I surgical approach of tumors was performed in 183 patients.
Conclusion:
The Le Fort I surgical approach allows lesion exeresis with good visualization, low rates of recurrences and complications, and without aesthetic compromises for the patient.
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