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Le Fort I Osteotomy with Bone Grafts in Preprosthetic Surgery: Technical Note

Identifieur interne : 002404 ( Main/Exploration ); précédent : 002403; suivant : 002405

Le Fort I Osteotomy with Bone Grafts in Preprosthetic Surgery: Technical Note

Auteurs : Lorena Pingarron-Martin ; Javier Arias-Gallo ; Hui Shan Ong ; Manuel Chamorro Pons

Source :

Craniomaxillofacial Trauma & Reconstruction [ 1943-3875 ] ; 2013.

RBID : PMC:3721011

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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721011

DOI: 10.1055/s-0033-1333876
PubMed: 24436751
PubMed Central: 3721011

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p><bold>Background</bold>
 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.</p>
<p><bold>Case Report</bold>
 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.</p>
<p><bold>Discussion</bold>
 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.</p>
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<name sortKey="Pingarron Martin, Lorena" sort="Pingarron Martin, Lorena" uniqKey="Pingarron Martin L" first="Lorena" last="Pingarron-Martin">Lorena Pingarron-Martin</name>
<name sortKey="Pons, Manuel Chamorro" sort="Pons, Manuel Chamorro" uniqKey="Pons M" first="Manuel Chamorro" last="Pons">Manuel Chamorro Pons</name>
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Le Fort I Osteotomy with Bone Grafts in Preprosthetic Surgery: Technical Note

Le Fort I Osteotomy with Bone Grafts in Preprosthetic Surgery: Technical Note

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