title: Combined orthognathic distraction procedure: Le Fort I maxillary osteotomy and mandibular curvilinear distraction osteogenesis. A new technique for craniofacial management.
abstract: Dentofacial deformities are traditionally treated by maxillary and mandibular osteotomies conducted separately or simultaneously. Recently, distraction osteogenesis has become an irreplaceable part of the surgical armamentarium, for its ability to induce new bone formation between the surfaces of bone segments that are gradually separated by incremental traction, along with a simultaneous expansion of the surrounding soft-tissue envelope. The aim of this article is to describe a combined surgical technique consisting of simultaneous maxillary Le Fort I advancement and mandibular surgical repositioning by means of bilateral sagittal split osteotomy with a curvilinear distractor based on a preliminary computerized presurgical prediction.
authors.affiliation: Stanford and Los Angeles, Calif.; and Haifa, Israel From the Department of Surgery, Stanford University; Department of Orthodontics, University of California-Los Angeles School of Dentistry; and Orthodontic and Craniofacial Anomalies Department, School of Graduate Dentistry, Rambam Health Care Campus and Technion Faculty of Medicine.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Schendel
authors.forename: Hagai
authors.initials: H
authors.lastname: Hazan-Molina
authors.forename: Dror
authors.initials: D
authors.lastname: Aizenbud
mesh_terms: D019465:Craniofacial Abnormalities / Q000601:surgery*; D006801:Humans; D019186:Mandibular Advancement / Q000379:methods*; D008437:Maxilla / Q000601:surgery*; D063166:Maxillary Osteotomy / Q000379:methods*; D019857:Osteogenesis, Distraction / Q000379:methods*; D019340:Osteotomy, Le Fort