Emergency removal of a grinding wheel embedded in the midface via modified Le Fort I osteotomy.
Le Fort I osteotomy is commonly used to rectify craniofacial deformity in orthognathic surgery and it can be used in approaching a cranial base lesion. This technique has not been well documented in craniofacial penetrating trauma. This article describes a case of midface penetrating injury caused by a grinding wheel. A modified Le Fort I osteotomy was used to remove the foreign object. This surgical approach can be safe and effective when removing foreign bodies in the midface. Good access and adequate exposure can be achieved, which facilitate precise foreign body extraction and achieve reasonable cosmetic results.
Department of Oral and Maxillofacial Surgery, Affiliated Shanghai Ninth People' s Hospital, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
W H
WH
Jiang
X D
XD
Wang
G F
GF
Shen
D004638:Emergency Treatment; D005145:Face / Q000601:surgery; D005147:Facial Bones / Q000601:surgery*; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery*; D019340:Osteotomy, Le Fort / Q000379:methods; D012887:Skull Fractures / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery*; D055815:Young Adult