The traditional Le Fort level 1 osteotomy has proven to be an effective in approaching central skull base lesions. The challenge being - stabilization of the down-fractured maxilla in an amenable position for tumour resection. The authors describe a simple technique to overcome the task of stabilizing the down-fractured maxilla.
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http://dx.doi.org/10.1007/s12070-023-04292-1 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
February 2024
Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka India.
Plast Reconstr Surg
February 1990
Division of Plastic and Reconstructive Surgery, Pennsylvania Hospital.
Inferior repositioning of the maxilla to correct vertical maxillary deficiency has been associated with variable degrees of instability and subsequent relapse. Resorption of bone-graft material has been incriminated as the primary cause of postoperative instability. This paper reports on nine patients who have undergone inferior maxillary repositioning resulting in no residual bone contact between the down-fractured maxilla and superior midface.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
October 1989
Dept. of Maxillo-Facial Surgery, University Hospital, Zürich, Switzerland.
A new method is described (Sailer, 1988) whereby endosseous implants are inserted in the totally atrophic maxilla, the intermaxillary relationship and vertical dimension corrected and a vestibuloplasty performed during one surgical procedure. The method can also be used to treat minor degrees of maxillary alveolar atrophy. The procedure enables 20 mm-long Titanium screws to be used in totally atrophic maxillae.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
April 1989
Dept. of Maxillo-Facial Surgery, University and Hospital of Parma, Italy.
The maxillo-malar osteotomy is one of the osteotomies developed over the years to correct the deformities of the midface without modifying the nasal projection. After having for many years approached the osteotomy through the classic double access, intraoral and subciliary, we verified the feasibility of this osteotomy via an intraoral route only. For this purpose we modified slightly the classic osteotomy lines, however still including in the mobilized fragment the most prominent and therefore the most aesthetically important portion of the zygoma.
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