Le Fort I osteotomy for non‐orthognathic surgery indications: a review

Abstract

The authors review the historical evolution of the Le Fort I osteotomy, compiling the whole current indications and utilities of the maxillary mobilisation through this technique, the potential risks and sequelae of this surgical procedure and the evolution and improvement of this osteotomy to obtain higher stability and reliability with greater long-term outcomes.

Morphologic Evaluation for Safe Le Fort I Osteotomy in Cleft Lip and Palate

“…Since the first successful tumorectomy of the rhinopharynx by von Langenbeck in 1859, LFI osteotomy has been established as an appropriate surgical treatment for maxillofacial deformities, allowing for both functional and aesthetic correction via various modifications (Drommer, 1986;Pingarron et al, 2013). The incidence of complications following LFI osteotomy is approximately 6.4%, including postoperative hemorrhage, necrosis of the maxilla, and abnormal fracture of the pterygomaxillary junction (Lanigan and West, 1984;Robinson and Hendy, 1986;Lanigan et al, 1990aLanigan et al, , 1990bKramer et al, 2004;Cruz and dos Santos, 2006;Pereira et al, 2010;Chung et al, 2014;Garg and Kaur, 2014).…”