Midface Advancement in a Simple Approach.
J Craniofac Surg
; 28(1): 108-112, 2017 Jan.
Article
in En
| MEDLINE
| ID: mdl-27922954
ABSTRACT
BACKGROUND:
Midface advancement is a keystone intervention in the treatment plan of syndromic hypoplasia of the midface. Although earlier authors had been using a combination of smaller incisions to acquire enough access to perform the different osteotomies, Tessier popularized the bicoronal incision. This approach can be time-consuming however and leaves an ear-to-ear scar. The authors describe an endoscopically assisted piezo-electric Le Fort III osteotomy performed through minimal invasive access. The cutaneous incision was limited to a single-short mid-glabellar vertical scar (8âmm) to perform the nasofrontal and septum osteotomy. Further osteotomies are performed through a 1.5âcm intraoral incision and a transconjunctival approach with a retrocaruncular extension. A lateral canthotomy was avoided to lower the risk of postoperative eyelid malposition.METHODS:
A feasibility study using 2 fresh nonfrozen cadaver heads.CONCLUSION:
The minimally invasive Le Fort III approach is feasible and efficacious for clinical use in a cadaveric setup.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteotomy, Le Fort
/
Facial Asymmetry
/
Facial Bones
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
J Craniofac Surg
Journal subject:
ODONTOLOGIA
Year:
2017
Document type:
Article
Affiliation country:
España