Le Fort III Advancement Redesigned: 11 year Experience
نویسنده
چکیده
In 1993, I retrospectively reviewed Le Fort III osteotomies performed at Children’s Hospital Oakland. The cases had been performed without distraction and employed internal bone plate fixation. It was disappointing to discover the amount of midface protraction achieved, when measured on lateral cephalograms, was typically 0 to 25% of the magnitude required for reconstruction to facial norms. To address this disparity, we began a process to redesign the Le Fort III procedure with the objective of improving efficacy and reducing risks. This paper reviews a series of design modifications made to the Le Fort III procedure over the past 11 years.
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Additional orthognathic surgery following Le Fort III and monobloc advancement.
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Since its introduction in about 1950, the Le Fort III (LF III) procedure has become a widely accepted treatment for correction of midface hypoplasia and related functional and esthetic problems. As long-term surgical experience grows and improvements are made in technique, equipment and peri-operative care, the number of LF III procedures performed worldwide is increasing. A number of fundament...
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