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“Modified Oblique Le Fort III Osteotomy” New Concepts

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Abstract

Introduction

The purpose of this study is to demonstrate the surgical technique for the correction of midfacial deformities; vertical excess and posteroanterior hypoplasia. This situation obligates the need to move the whole osseous structure in an oblique posteroanterior movement that should correct both midfacial deformities. This should also correct the lip incompetence while improving the malar projection on a profile view of the patient. We also present a mathematical formula that gives the angulation needed for moving the midface complex in a simultaneous vertical and posteroanterior direction. Once given the correct angulation for the desired oblique movement, the surgeon can reproduce this angulation with custom made surgical guides over the stereolithographic model, that can then be used during surgery to achieve the desired movement accurately. This technique exemplified on this paper will give maxillofacial surgeons a new and affordable tool for the correction of midfacial deformities in an accurate and easily reproducible manner and amplifying the surgical repertoire.

Materials and Methods

Patients seen in the specialty hospital “Dr. Bernardo Sepulveda” National Medical Center XXI Century, IMSS, during the period from February 2013 to November 2014 with Modified Oblique Le Fort III osteotomies, with the application of two trigonometric formulas for the accuracy of the technique.

Conclusions

The application of the formulas give accurate results as well as the enlargement of the upper airway and esthetic results.

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References

  1. Gateno J, Teichgraeber JF, Xia JJ (2003) Three-dimensional surgical planning for maxillary and midface distraction osteogenesis. J Craniofac Surg 14(6):833–839

    Article  PubMed  Google Scholar 

  2. Pai L, Kohout MP, Mulliken JB (1999) Prospective anthropometric analysis of sagittal orbital-globe relationship following frontoorbital advancement in childhood. Plast Reconstr Surg 103:1341–1346

    Article  CAS  PubMed  Google Scholar 

  3. Gateno J, Xia JJ, Teichgraeber JF et al (2007) Clinical feasibility of computer-aided surgical simulation (CASS) in the treatment of complex cranio-maxillofacial deformities. J Oral Maxillofac Surg 65:728

    Article  PubMed  Google Scholar 

  4. Xia JJ, Gateno J, Teichgraeber JF (2009) New clinical protocol to evaluate craniomaxillofacial deformity and plan surgical correction. J Oral Maxillofac Surg 67:2093–2106

    Article  PubMed  PubMed Central  Google Scholar 

  5. Gateno J, Forrest KK, Camp B (2001) A comparison of 3 methods of face-bow transfer recording: implications for orthognathic surgery. J Oral Maxillofac Surg 59:635

    Article  CAS  PubMed  Google Scholar 

  6. Troulis MJ, Everett P, Seldin EB et al (2002) Development of a three-dimensional treatment planning system based on computed tomographic data. Int J Oral Maxillofac Surg 31:349

    Article  CAS  PubMed  Google Scholar 

  7. Ellis E III, Tharanon W, Gambrell K (1992) Accuracy of face-bow transfer: effect on surgical prediction and postsurgical result. J Oral Maxillofac Surg 50:562

    Article  PubMed  Google Scholar 

  8. Severt TR, Proffit WR (1997) The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. Int J Adult Orthodon Orthognath Surg 12:171

    CAS  PubMed  Google Scholar 

  9. Swennen GR, Schutyser F (2006) Three-dimensional cephalometry: spiral multi-slice vs cone-beam computed tomography. Am J Orthod Dentofacial Orthop 130:410

    Article  PubMed  Google Scholar 

  10. Bell WH (1992) Modern practice in orthognathic and reconstructive surgery, vol 1. W.B. Saunders, Philadelphia

    Google Scholar 

  11. Proffit WR, White RP Jr, Sarver DM (2003) Contemporary treatment of dentofacial deformity. Mosby, St. Louis

    Google Scholar 

  12. Xia JJ, Shevchenko L, Gateno J, Teichgraeber JF, Taylor TD, Lasky RE, English JD, Hau CH, McGrory KR (2011) Outcome study of computer-aided surgical simulation in the treatment of patients with craniomaxillofacial deformities. J Oral Maxillofac Surg 69:2014–2024

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hsu SS-P, Gateno J, Bell RB, Hirsch DL, Markiewicz MR, Teichgraeber JF, Zhou X, Xia JJ (2013) Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study. J Oral Maxillofac Surg 71:128–142

    Article  PubMed  Google Scholar 

  14. Epker BN, Stella JP, Fish LC (1995) Dentofacial deformities: integrated orthodontic and surgical correction, vol 1. Mosby, St. Louis

    Google Scholar 

  15. Obwegeser HL (2001) Mandibular growth anomalies. Springer, Berlin

    Book  Google Scholar 

  16. Miloro M (2004) Peterson’s principles of oral and maxillofacial surgery. BC Decker, Hamilton

    Google Scholar 

  17. Ettorre G, Weber M, Schaaf H, Lowry JC, Mommaerts MY, Howaldt HP (2006) Standards for digital photography in craniomaxillo-facial surgery—part I: basic views and guidelines. J Craniomaxillofac Surg 34:65–73

    Article  PubMed  Google Scholar 

  18. Schaaf H, Streckbein P, Ettorre G, Lowry JC, Mommaerts MY, Howaldt HP (2006) Standards for digital photography in craniomaxillo-facial surgery—part II: additional picture sets and avoiding common mistakes. J Craniomaxillofac Surg 34:366–377

    Article  PubMed  Google Scholar 

  19. Bell WH, Proffit WR, White RP (1980) Surgical correction of dentofacial deformities. W.B. Saunders, Philadelphia

    Google Scholar 

  20. García y Sánchez JM, Gómez Rodríguez CL, Romero Flores J (2015) Surgical guides for modified oblique Le Fort III osteotomy. J Maxillofac Oral Surg. doi:10.1007/s12663-014-0620-1

    Google Scholar 

  21. Garcia y Sanchez JM (1992) Oblique modified Le Fort III osteotomy. Chapter 50: modern practice in orthognathic and reconstructive surgery, vol 3. W.B. Saunders, Philadelphia

    Google Scholar 

  22. Ellis E III, Zide MF (2006) Surgical approaches to the facial skeleton, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  23. Communicación Personal, Ingeniero Francisco Javier Sanchez Murguiondo UNAM

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Authors and Affiliations

  1. Maxillofacial Surgery Service, Specialty Hospital, National Medical Center XXI Century, IMSS, Avenida Cuahtemoc, #330, Colonia Doctores, Mexico, Distrito Federal, Mexico

    J. M. García y Sánchez, J. Romero Flores, C. L. Gómez Rodríguez, G. Pacheco Rubio, D. Rosales Díaz Mirón & A. Hernández Miranda

Authors
  1. J. M. García y Sánchez
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  2. J. Romero Flores
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  3. C. L. Gómez Rodríguez
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  4. G. Pacheco Rubio
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  5. D. Rosales Díaz Mirón
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  6. A. Hernández Miranda
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Corresponding author

Correspondence to C. L. Gómez Rodríguez.

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García y Sánchez, J.M., Romero Flores, J., Gómez Rodríguez, C.L. et al. “Modified Oblique Le Fort III Osteotomy” New Concepts. J. Maxillofac. Oral Surg. 16, 22–42 (2017). https://doi.org/10.1007/s12663-016-0893-7

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  • DOI: https://doi.org/10.1007/s12663-016-0893-7

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