title: Cleft Le Fort I Osteotomy: A Video Presentation.
abstract: In this video, we present a single piece Le Fort I osteotomy with bone graft in a patient with a unilateral cleft lip and palate. Maxillary osteotomies in the cleft patient can be challenging because of the presence of scar, palatal or alveolar fistulae, compromised teeth, and vascularization of the segments. The video demonstrates our current approach and technique. The authors particularly want to highlight aspects of the approach, such as the incision, exposure, osteotomies, mobilization, splints, and plating. The associated manuscript discusses the depicted video as well as the blood supply to the maxilla, and postoperative patient care.
authors.affiliation: Yale New Haven Hospital, Yale University, New Haven, CT.
authors.forename: Craig
authors.initials: C
authors.lastname: Moores
authors.forename: Christopher
authors.initials: C
authors.lastname: DeSesa
authors.forename: Derek
authors.initials: D
authors.lastname: Steinbacher
mesh_terms: D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods; D002921:Cicatrix / Q000601:surgery; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery*; D003399:Craniotomy; D004210:Dissection / Q000379:methods; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation; D008437:Maxilla / Q000098:blood supply / Q000601:surgery*; D009296:Nasal Cavity / Q000601:surgery; D009297:Nasal Mucosa / Q000601:surgery; D019340:Osteotomy, Le Fort / Q000379:methods*; D013165:Splints; D015050:Zygoma / Q000601:surgery