Le fort I osteotomy with bone grafts in preprosthetic surgery: technical note.
Identifieur interne : 001073 ( Main/Exploration ); précédent : 001072; suivant : 001074Le fort I osteotomy with bone grafts in preprosthetic surgery: technical note.
Auteurs : Lorena Pingarron-Martin [République populaire de Chine] ; Javier Arias-Gallo [Espagne] ; Hui Shan Ong [République populaire de Chine] ; Manuel Chamorro Pons [Espagne]Source :
- Craniomaxillofacial trauma & reconstruction [ 1943-3875 ] ; 2013.
Abstract
Background Being edentulous causes progressive bony resorption in maxillae, which can lead to altered maxillomandibular relationships. Discussion should consider Le Fort I osteotomy with inlay grafts for a better success rate. Thus, this article introduces a technical note in improving the success rate. Case Report The presented technical note permits transformation of the surgery in a conventional Le Fort I with a simple fixation not only of the grafts but also of the osteotomy. The surgical steps are explained as well as the follow-up results. Discussion Adding additional wire anchorage around bone grafts greatly improved our success rate and reduced our operative time. Bone grafting concurrently with Le Fort I osteotomy immediately improved the facial skeletal profile. Several in vitro studies have shown that galvanic corrosion does not play a significant role when combining stainless steel and titanium. Our novel technique is relatively simple and can be easily picked up by young surgeons.
DOI: 10.1055/s-0033-1333876
PubMed: 24436751
Affiliations:
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<front><div type="abstract" xml:lang="en">Background Being edentulous causes progressive bony resorption in maxillae, which can lead to altered maxillomandibular relationships. Discussion should consider Le Fort I osteotomy with inlay grafts for a better success rate. Thus, this article introduces a technical note in improving the success rate. Case Report The presented technical note permits transformation of the surgery in a conventional Le Fort I with a simple fixation not only of the grafts but also of the osteotomy. The surgical steps are explained as well as the follow-up results. Discussion Adding additional wire anchorage around bone grafts greatly improved our success rate and reduced our operative time. Bone grafting concurrently with Le Fort I osteotomy immediately improved the facial skeletal profile. Several in vitro studies have shown that galvanic corrosion does not play a significant role when combining stainless steel and titanium. Our novel technique is relatively simple and can be easily picked up by young surgeons.</div>
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