title: Controlled central advancement of the midface after Le Fort III osteotomy by a 3-point skeletal anchorage.
abstract: A 3-point skeletal anchorage with taping screws for distraction osteogenesis after a Le Fort III osteotomy was applied for the first time in a severely mentally impaired patient where intraoral devices had to be avoided. All 3-force application points included the center of resistance, which allowed an optimal control on the resulting moment. A novel device for skeletal long-term retention into the nasal dorsum prevented a relapse, whereas adjustment of the midface position was observed. Fusioned three-dimensional computed tomography analysis revealed real movements not accessible by a conventional cephalometry.
authors: Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany. jcamilo.roldan@yahoo.com
authors: J Camilo
authors: JC
authors: Roldán
authors: Antonios
authors: A
authors: Moralis
authors: Sebastian
authors: S
authors: Dendorfer
authors: Jens
authors: J
authors: Witte
authors: Claudia
authors: C
authors: Reicheneder
mesh_terms: D000168:Acrocephalosyndactylia / Q000601:surgery*; D000293:Adolescent; D002508:Cephalometry; D005147:Facial Bones / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D019857:Osteogenesis, Distraction; D019340:Osteotomy, Le Fort; D014057:Tomography, X-Ray Computed