Serious circulatory disturbance after Le Fort I osteotomy. A case report.
Severe impairment of the blood supply occurred in a patient who underwent a Le Fort I type osteotomy in which the fragment was displaced in a cranio-dorsal direction. Necrosis with sequestration of the torus palatinus present and some permanent parodontal damage ensued. Alternative procedures and management of developing circulatory impairment during surgery are discussed.
Yeo
J F
JF
Dept. of Oral Surgery, National University Hospital, Singapore.
Loh
F C
FC
Egyedi
P
P
Djeng
S K
SK
D000328:Adult; D001862:Bone Resorption / Q000209:etiology; D005096:Exostoses / Q000503:physiopathology; D005889:Gingival Recession / Q000209:etiology; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008439:Maxillary Diseases / Q000503:physiopathology; D009061:Mouth Mucosa / Q000098:blood supply*; D006472:Oral Hemorrhage / Q000209:etiology; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods; D010159:Palate / Q000098:blood supply*; D012039:Regional Blood Flow