SIMPLIFYING THE LE FORT I TYPE OF MAXILLARY OSTEOTOMY
- 1 July 1974
- journal article
- research article
- Published by Wolters Kluwer Health in Plastic and Reconstructive Surgery
- Vol. 54, 142-147
- https://doi.org/10.1097/00006534-197407001-00003
Abstract
We suggest the use of a posterior vertical maxillary osteotomy, done through the maxillary tuberosity, in an elective Le Fort I osteotomy and mobilization of the maxilla. This is easily done through the cheek, using a two mm osteotome (after blunt dissection to eliminate any possible nerve trauma). Placement of an autogenous bone graft in the posterior gap, after advancement of the maxilla, is easily done when one uses this less-posterior vertical osteotomy. The bone grafting eliminates the need for immediate postoperative craniofacial fixation, and the possibility of late recession of the advanced maxilla.Keywords
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