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A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma, particularly those affecting the mid-face.
Between the two surgeries, a patient's constricted maxillary arch is expanded with the rapid maxillary expander device placed in the maxilla. For the first surgery, under local anaesthesia and iv sedation or general anesthesia, a patient first goes through Le Fort fracture of skull without the downfracture of maxilla. The oral surgeon also ...
The Le Fort III fracture (transverse fracture) occurs at the level of the skull base, resulting in complete craniofacial separation of the midface from the base of the skull. [ 2 ] [ 3 ] The fracture line extends through the zygomatic arch , the pterygoid plates , the lateral and medial orbital walls , the nasal bones , and the nasal septum .
Craniofacial surgery and follow-up care are usually conducted by a multidisclinary team of doctors, surgeons, nurses, and various therapists. [10] As of 2016, there is a new multidisciplinary care team of Neuroplastic Surgeons working with Neurosurgeons to prevent and/or correct neurosurgical-related deformities and to maximize outcomes in ...
Orthognathic surgery (/ ˌ ɔːr θ ə ɡ ˈ n æ θ ɪ k /), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, and other orthodontic dental bite problems that cannot ...
Oral and maxillofacial surgery requires an extensive 4-6 year surgical residency training covering the U.S. specialty's scope of practice: surgery of the oral cavity, dental implant surgery, dentoalveolar surgery, surgery of the temporomandibular joint, general surgery, reconstructive surgery of the face, head and neck, mouth, and jaws, facial ...
Le Fort II fractures, also called pyramidal fractures of the maxilla, [16] cross the nasal bones and the orbital rim. [15] Le Fort III fractures, also called craniofacial disjunction and transverse facial fractures, [ 17 ] cross the front of the maxilla and involve the lacrimal bone , the lamina papyracea , and the orbital floor , and often ...
Dentoalveolar fracture (segmental) Fracture of the maxilla: Le Fort fracture, zygomatic fracture, orbital blowout; Fracture of the mandible; Trauma injuries involving the alveolus can be complicated as it does not happen in isolation, very often presents along with other types of tooth tissue injuries. Signs of dentoalveolar fracture: Change to ...