Advancement of the midface, from conventional Le Fort III osteotomy to Le Fort III distraction: review of the literature

Le Fort III osteotomy for severe dentofacial deformity correction associated with hypoplasia of the midface

“…When the maxilla and midface movements are confronted, it is necessary to perform the Le Fort I associated with the Le Fort III osteotomy. Le Fort I osteotomy association is also especially useful in cases in which there is a difference in the extent of the midface hypoplasia in the orbital region in relation to a maxillo-mandibular discrepancy 14 .…”

“…In addition, it minimizes the advancement in the Le Fort III osteotomy, reducing the need for bone grafts [14][15] .…”

“…The Le Fort III osteotomy is considered a complex technique, representing a challenge to surgeons due to the risk associated with several complications that could be a mild recurrence and extending to blindness and death 14 . Therefore, it should be considered only in specific cases in which it is impossible to resolve the patient's deformity and complaints with other less complex techniques.…”

Clinical Applications of Rapid Prototyping Models in Cranio-Maxillofacial Surgery

“…The method was applied to a 7-year-old Apert craniosynostosis patient. Lefort III osteotomies were associated with internal distraction devices for the midface advancement (Nout et al;). …”

Complex craniofacial advancement in paediatric patients: Piezoelectric and traditional technique evaluation

“…The senior maxillofacial surgeon (GS) performed all of the 13 surgical craniofacial osteotomies and facial advancements, with collaboration by the neurosurgeon who operated on the cranial vault. The surgical technique was chosen based on the personal experience of the surgeon, by comparing surgical techniques reported in the literature (Ortiz-Monasterio et al, 1978;Nout et al, 2008;Nada et al, 2010;Laure et al, 2014).…”