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[Problems posed by fixation after Lefort III osteotomy].

D Marchac

    Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
    |January 1, 1977
    PubMed
    Summary
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    This study addresses contention issues following Lefort type III osteotomy, highlighting the utility of posterior iliac crest grafting. It presents results from 18 cases, suggesting osteosynthesis is crucial but maxillo-mandibular fixation may be avoidable.

    Area of Science:

    • Maxillofacial Surgery
    • Orthognathic Surgery
    • Craniofacial Reconstruction

    Context:

    • Lefort type III osteotomy presents challenges, particularly post-operative contention.
    • Managing skeletal stability and patient comfort after complex midface advancement is critical.

    Purpose:

    • To evaluate the use of posterior iliac crest grafts in managing contention after Lefort type III osteotomy.
    • To explore the necessity of maxillo-mandibular fixation in these cases.

    Summary:

    • The study focuses on contention problems after Lefort type III osteotomy.
    • Posterior iliac crest grafting is proposed as a beneficial technique.
    • Osteosynthesis is deemed essential, with potential to avoid maxillo-mandibular block in select cases.
    • Results from 18 patient cases are presented.

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    Impact:

    • Provides insights into optimizing surgical techniques for Lefort type III osteotomy.
    • Suggests methods to potentially reduce patient morbidity by avoiding maxillo-mandibular fixation.
    • Contributes to the understanding of bone grafting applications in craniofacial surgery.