Le fort I osteotomy with bone grafts in preprosthetic surgery: technical note.
Background Being edentulous causes progressive bony resorption in maxillae, which can lead to altered maxillomandibular relationships. Discussion should consider Le Fort I osteotomy with inlay grafts for a better success rate. Thus, this article introduces a technical note in improving the success rate. Case Report The presented technical note permits transformation of the surgery in a conventional Le Fort I with a simple fixation not only of the grafts but also of the osteotomy. The surgical steps are explained as well as the follow-up results. Discussion Adding additional wire anchorage around bone grafts greatly improved our success rate and reduced our operative time. Bone grafting concurrently with Le Fort I osteotomy immediately improved the facial skeletal profile. Several in vitro studies have shown that galvanic corrosion does not play a significant role when combining stainless steel and titanium. Our novel technique is relatively simple and can be easily picked up by young surgeons.
Oral and Maxillofacial Surgery, Hospital Sanitas La Moraleja, Madrid, Spain ; Oral and Maxillofacial Surgery, Ninth People Hospital, Shanghai, China.
Lorena
L
Pingarron-Martin
Oral and Maxillofacial Surgery, Hospital Sanitas La Moraleja, Madrid, Spain.
Javier
J
Arias-Gallo
Oral and Maxillofacial Surgery, Ninth People Hospital, Shanghai, China.
Hui Shan
HS
Ong
Oral and Maxillofacial Surgery, Hospital Sanitas La Moraleja, Madrid, Spain.
Manuel
M
Chamorro Pons
Le Fort I osteotomy; bone graft; wire fixation