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Segmental Le Fort I osteotomy with bone grafting in unilateral severely atrophied maxilla.

Identifieur interne : 001685 ( PubMed/Checkpoint ); précédent : 001684; suivant : 001686

Segmental Le Fort I osteotomy with bone grafting in unilateral severely atrophied maxilla.

Auteurs : S. Pelo [Italie] ; G. Gasparini ; A. Moro ; R. Boniello ; P F Amoroso

Source :

International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2009.

RBID : pubmed:19162442

Descripteurs français

English descriptors

KwdEn :
- Alveolar Bone Loss (pathology), Alveolar Bone Loss (surgery), Bone Transplantation (methods), Functional Laterality, Humans, Ilium (transplantation), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Maxilla (pathology), Maxilla (surgery), Maxillary Sinus (surgery), Oral Surgical Procedures (methods), Osteotomy, Le Fort (methods), Reconstructive Surgical Procedures (methods), Treatment Outcome.
MESH :
- methods : Bone Transplantation, Oral Surgical Procedures, Osteotomy, Le Fort, Reconstructive Surgical Procedures.
- pathology : Alveolar Bone Loss, Maxilla.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Alveolar Bone Loss, Jaw, Edentulous, Partially, Maxilla, Maxillary Sinus.
- transplantation : Ilium.
- Functional Laterality, Humans, Treatment Outcome.

Abstract

This study describes the use of a segmental Le Fort I osteotomy for interpositional autogenous iliac bone grafts in 5 patients with severe unilateral atrophy of the maxilla. Unilateral pterygomaxillary disjunction and osteotomy of the lateral and medial walls of the maxillary sinus were performed. The mucosa of the maxillary sinus was preserved and lifted cranially. It was stabilized with autogenous cancellous bone grafts. One side of the maxilla was gently downfractured until it replaced the original morphology of the alveolar crest. The inter-arch space was therefore reduced to the ideal level for placing implants. Lateral widening of the alveolar crest was obtained with on-lay bone grafts. Segmental osteotomy with bone grafting is a modification of Le Fort I swing osteotomy that has several advantages. The in-lay graft was not resorbed because it was rapidly revascularized and implant placement was delayed. This article presents a surgical technique for the reduction of vertical inter-arch space for the correct positioning of osseointegrated implants.

DOI: 10.1016/j.ijom.2008.12.011
PubMed: 19162442

Affiliations:

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Le document en format XML

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<author><name sortKey="Pelo, S" sort="Pelo, S" uniqKey="Pelo S" first="S" last="Pelo">S. Pelo</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Columbus Hospital, Catholic University of S. Cuore, A. Gemelli, Rome, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Columbus Hospital, Catholic University of S. Cuore, A. Gemelli, Rome</wicri:regionArea>
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<region nuts="2">Latium</region>
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<author><name sortKey="Gasparini, G" sort="Gasparini, G" uniqKey="Gasparini G" first="G" last="Gasparini">G. Gasparini</name>
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<author><name sortKey="Moro, A" sort="Moro, A" uniqKey="Moro A" first="A" last="Moro">A. Moro</name>
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<author><name sortKey="Boniello, R" sort="Boniello, R" uniqKey="Boniello R" first="R" last="Boniello">R. Boniello</name>
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<author><name sortKey="Amoroso, P F" sort="Amoroso, P F" uniqKey="Amoroso P" first="P F" last="Amoroso">P F Amoroso</name>
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<term>Alveolar Bone Loss (surgery)</term>
<term>Bone Transplantation (methods)</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Oral Surgical Procedures (methods)</term>
<term>Osteotomy, Le Fort (methods)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Ilium (transplantation)</term>
<term>Latéralité fonctionnelle</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Ostéotomie de Le Fort ()</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire ()</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire ()</term>
<term>Transplantation osseuse ()</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Maxillaire</term>
<term>Résorption alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term>
<term>Oral Surgical Procedures</term>
<term>Osteotomy, Le Fort</term>
<term>Reconstructive Surgical Procedures</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Ilium</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Functional Laterality</term>
<term>Humans</term>
<term>Treatment Outcome</term>
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<term>Ilium</term>
<term>Latéralité fonctionnelle</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Ostéotomie de Le Fort</term>
<term>Procédures de chirurgie maxillofaciale et buccodentaire</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Résorption alvéolaire</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire</term>
<term>Transplantation osseuse</term>
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<front><div type="abstract" xml:lang="en">This study describes the use of a segmental Le Fort I osteotomy for interpositional autogenous iliac bone grafts in 5 patients with severe unilateral atrophy of the maxilla. Unilateral pterygomaxillary disjunction and osteotomy of the lateral and medial walls of the maxillary sinus were performed. The mucosa of the maxillary sinus was preserved and lifted cranially. It was stabilized with autogenous cancellous bone grafts. One side of the maxilla was gently downfractured until it replaced the original morphology of the alveolar crest. The inter-arch space was therefore reduced to the ideal level for placing implants. Lateral widening of the alveolar crest was obtained with on-lay bone grafts. Segmental osteotomy with bone grafting is a modification of Le Fort I swing osteotomy that has several advantages. The in-lay graft was not resorbed because it was rapidly revascularized and implant placement was delayed. This article presents a surgical technique for the reduction of vertical inter-arch space for the correct positioning of osseointegrated implants.</div>
</front>
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<Title>International journal of oral and maxillofacial surgery</Title>
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<Abstract><AbstractText>This study describes the use of a segmental Le Fort I osteotomy for interpositional autogenous iliac bone grafts in 5 patients with severe unilateral atrophy of the maxilla. Unilateral pterygomaxillary disjunction and osteotomy of the lateral and medial walls of the maxillary sinus were performed. The mucosa of the maxillary sinus was preserved and lifted cranially. It was stabilized with autogenous cancellous bone grafts. One side of the maxilla was gently downfractured until it replaced the original morphology of the alveolar crest. The inter-arch space was therefore reduced to the ideal level for placing implants. Lateral widening of the alveolar crest was obtained with on-lay bone grafts. Segmental osteotomy with bone grafting is a modification of Le Fort I swing osteotomy that has several advantages. The in-lay graft was not resorbed because it was rapidly revascularized and implant placement was delayed. This article presents a surgical technique for the reduction of vertical inter-arch space for the correct positioning of osseointegrated implants.</AbstractText>
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Segmental Le Fort I osteotomy with bone grafting in unilateral severely atrophied maxilla.

Segmental Le Fort I osteotomy with bone grafting in unilateral severely atrophied maxilla.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki