Simultaneous Intranasal Procedures to Improve Chronic Obstructive Nasal Breathing in Patients Undergoing Maxillary (Le Fort I) Osteotomy

Maxillary sinus recovery after LeFort I osteotomy: a prospective clinical and radiographic evaluation

“…LeFort I osteotomy had become a versatile procedure for correcting dentofacial deformities [2,3]. Apart from skeletal problems, Lefort I osteotomy was also useful in correcting obstructive sleep apnoea, nasopharyngeal tumours, nasal septal deformities, inferior turbinate enlargement, a tight nasal inlet (constricted piriform apertures) and an elevated nasal floor commonly co-exist with maxillary deformity [5][6][7][8]. Pre-operative assessment with CT scan was a helpful tool in identifying any abnormal sino-nasal changes preoperatively and aggravation of such changes after Lefort I osteotomy postoperatively especially when the maxilla was impacted [9,10].…”

Outcome Assessment of 603 Cases of Concomitant Inferior Turbinectomy and Le Fort I Osteotomy

“…In describes the association of upper respiratory obstruction and changes in the neuromuscular system that alters the bony, soft tissue, craniofacial, and dental structures. When addressing hypertrophied turbinates along with correction of dentofacial deformities, especially in the case of performing Le Fort I osteotomies, postsurgical patency of the airway should be considered (31)(32)(33). When the Le Fort osteotomy is performed, the maxilla can be mobilized, repositioned, and stabilized in any of four possible directions, affecting the associated and adjunctive soft tissues (34).…”

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

“…The number of life‐threatening complications associated with Le Fort I osteotomy appears to be very small, and the incidence of other minor intra‐operative and peri‐operative complications are considered low. The most common complications are unsatisfactory results with regard to the cephalometric objectives in presurgical planning in orthognathic surgery, infections requiring antibiotics or draining, aseptic necrosis, oronasal fistula, oroantral fistula, fibrous unions, bleeding requiring secondary transfusion treatment and periodontal damage. Avascular necrosis of maxilla may occur less commonly (1% of cases).…”