Le Fort II Distraction with Simultaneous Zygomatic Repositioning.

Severe midface hypoplasia is often managed by Le Fort III distraction. Le Fort II distraction with zygomatic repositioning is a modification of the Le Fort III distraction operation aimed to correct abnormal facial ratios of patients with greater central than lateral midface deficiency. The operation starts with Le Fort III osteotomies and is followed by separation and fixation of bilateral zygomas. The central nasomaxillary Le Fort II segment is then distracted to achieve independent movements of the central and lateral midface. The Le Fort II zygomatic repositioning operation has become our procedure of choice for patients with Apert facial dysmorphology.
Competing Interests: Disclosure Dr R.A. Hopper is the inventor on a patent licensed to KLS Martin LP. No other financial interest to disclose.
(Published by Elsevier Inc.)