Modified LeFort II procedure for simultaneous correction of maxillary and nasal deformities

An approach to correction of nasomaxillary dysplasia is described. Where midfacial hypoplasia is managed by surgical anteropositioning of the affected skeletal parts, this technique permits management of the associated nasal dysmorphia as well. The one-stage correction is performed with the midfacial skeleton entirely degloved, under direct vision. Details are described, and diagnostic and treatment considerations of two patients are given.