Lefort 1 osteotomy in a beta-thalassemia major patient--a case report.
Maxillary setback of patients with protruded maxilla is a complex procedure. This complexity is aggravated when combined with thalassemia. The Aim of this case report was to treat a beta-thalassemia major girl with severe maxillary protrusion. A 16 year-old beta-thalassemia major girl presented with excessive maxilla, incompetent lips and an everted upper lip was referred for treatment. She had her spleen removed at the age of 9 and her blood transfusion was stopped 3 month before referral. After leveling and aligning with 018 standard edgewise system the patient was sent for Lefort 1 osteotomy. Segmental osteotomy was denied due to excessive bleeding in the procedure. The results showed that the thalassemic patient was effectively treated with presurgical orthodontics, Lefort 1 osteotomy followed by post surgical orthodontics. Very satisfactory esthetic results were obtained in the patient after 4.5 years of active treatment.
Orthodontic department, Shahid Beheshti medical sciences university, Iran.
Rahman
R
Showkatbakhsh
Hossein
H
Behnia
Abdolreza
A
Jamilian
Majid
M
Heydarpour
Assal
A
Fetrati
D000293:Adolescent; D017742:Dental Care for Chronically Ill; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000601:surgery / Q000628:therapy*; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D009971:Orthodontics, Corrective / Q000379:methods*; D019340:Osteotomy, Le Fort; D017086:beta-Thalassemia