학술논문

Le Fort I Osteotomy with Bone Grafts in Preprosthetic Surgery: Technical Note
Document Type
Academic Journal
Source
Craniomaxillofacial Trauma & Reconstruction. Jun 01, 2013 6(2):143-146
Subject
Language
English
ISSN
1943-3875
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.