Le Fort Osteotomy or Maxillary Osteotomy

LE FORT OSTEOTOMY OR MAXILLARY OSTEOTOMY

Le Fort Osteotomy is the transverse sectioning and repositioning of the maxilla (upper jaw). There are three types:
•  Le Fort I osteotomy for maxillary advancement or the treatment of maxillary fractures
•  Le Fort II osteotomy for the treatment of maxillary fractures
•  Le Fort III osteotomy for the treatment of maxillary fractures with fracture of one or more facial bones. Le Fort III is often used also to correct craniofacial dysostosis and related facial abnormalities.

LE FORT I OSTEOTOMY

The Le Fort I osteotomy involves separating the maxilla and the palate from the skull above the roots of the upper teeth through an incision inside the upper lip. The maxilla is fixed in its new position with titanium screws and plates. The operation is frequently carried out with the mandibular Sagittal split osteotomy when it is termed a Bimaxillary Osteotomy. This operation is used in the treatment of:
•  open bite
•  problems of long face
•  problems of short face
•  horizonal maxillary deficiency (underbite)
•  horizontal maxillary protrusion (overbite)

LE FORT II OSTEOTOMY

The Le Fort II Osteotomy is an uncommon procedure used when there has been a problem with growth in the centre of the face and the upper jaw and nose requires movement together. This is a major surgical operation that involves the mouth, the lower eyelids, the nose and the scalp.

LE FORT III OSTEOTOMY

The Le Fort III Osteotomy is used to correct generalised growth failure of the midface involving the upper jaw nose and cheek bones (zygomas). The surgical approach and post operative management is similar as for the Le Fort II procedure.

COST OF LE FORT OSTEOTOMY

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