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Miniplate fixation of Le Fort I osteotomies.

Miniplate fixation of Le Fort I osteotomies.

Authors :
Rosen HM
Source :
Plastic and reconstructive surgery [Plast Reconstr Surg] 1986 Dec; Vol. 78 (6), pp. 748-55.
Publication Year :
1986

Abstract

The use of rigid, internal, three-dimensional fixation using vitallium bone plates in 28 consecutive Le Fort I osteotomies is presented. A minimum follow-up period of 6 months was required for inclusion in this patient group. Maxillary movements included advancements (17), intrusions (9), lengthenings (5), and retrusions (2). The majority of maxillae were moved in more than one plane of space. Technical details, complications, and relapse potential are discussed. Advantages of rigid plate fixation include marked reductions in the length of intermaxillary fixation with light training elastics only. Immediate postoperative airway problems are thereby eliminated. Six months of follow-up would appear to indicate a low potential for osseous relapse when compared to wire osteosynthesis, regardless of the direction of maxillary movement. The major disadvantage is the decreased ability of postoperative orthodontics to move dento-osseous segments if skeletal occlusal disharmony persists postoperatively. For this reason, close attention to preoperative planning and operative technique is critical for the success of this fixation method.

Details

Language :
English
ISSN :
0032-1052
Volume :
78
Issue :
6
Database :
MEDLINE
Journal :
Plastic and reconstructive surgery
Publication Type :
Academic Journal
Accession number :
3786528
Full Text :
https://doi.org/10.1097/00006534-198678060-00006