Precision of Le Fort I osteotomy: planning versus outcome. A multi-centre retrospective study.
J Orthod
; 44(1): 8-13, 2017 03.
Article
em En
| MEDLINE
| ID: mdl-28248616
ABSTRACT
INTRODUCTION:
The purpose of this study was to evaluate the accuracy of Le Fort I surgery by comparing planned surgical movements with actual outcomes. MATERIALS ANDMETHODS:
A minimum number of seven consecutive cases that had undergone a Le Fort I osteotomy procedure alone or in combination with a mandibular osteotomy from six different hospital units in the East of England between 2009 and 2010 were identified. A total of 56 cases met the inclusion criteria where surgical splints were used and model surgery had been performed. Pre- and post-operative lateral cephalograms were digitised using Dolphin© imaging software (Version 10.0) and three cephalometric points were assessed to measure precision of surgical movements A point (A-pt); Upper incisor tip (U1 tip); and Upper first molar occlusal point (U6 occ). The final position of the maxilla was compared to the planned position.RESULTS:
In 71% of cases surgical movements were within 2â mm and 20% of this group were within 1â mm of the predicted position. The mean accuracy was 1.39â mm (SD 0.92â mm) for the former and 0.78â mm (SD 0.58â mm) for the latter. Accuracy correlated negatively with increased surgical complexity, particularly posterior differential impactions of the maxilla. There was no statistically significant difference between centres.CONCLUSIONS:
Pre-operative surgical planning of Le Fort I osteotomies was generally accurate. This study demonstrates that different operators across six centres produced consistent surgical outcomes and this confirms previously reported data.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Osteotomia de Le Fort
/
Maxila
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Reino Unido