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Title

Completion of nonreducible Le Fort fractures by Le Fort I osteotomy: sometimes an inevitable choice to avoid postoperative malocclusion
Authors
Scolozzi, Paolo
Imholz, Benoît
Published in The Journal of craniofacial surgery. 2015, vol. 26, no. 1, p. e59-61
Abstract The aim of this study was to prospectively evaluate the use of a simultaneous Le Fort I osteotomy for completion of nonreducible Le Fort fractures. We analyzed the clinical and radiological data of 44 patients with Le Fort fractures, 9 of whom presented with a nonreducible type. Seven patients with an incomplete Le Fort I fracture had a contralateral Le Fort I osteotomy, and 2 patients with an incomplete Le Fort III fracture had a true bilateral Le Fort I-type osteotomy. We recorded age and sex, mechanism of injury, level of Le Fort fracture, concomitant mandibular fractures, concomitant maxillomandibular fixation (MMF) and its duration, surgical approach, status of healing, and complications. Follow-ups were at 1 week and 1, 3, 6, and 12 months.All patients recovered their normal pretrauma occlusion without the need for postoperative elastic guidance, except for 1 patient who required light class III traction elastics for 3 weeks to achieve the correct occlusion. None of the patients presented with intraoperative or postoperative complications.The present study has demonstrated that completion of nonreducible Le Fort fractures by Le Fort I osteotomy results in a high rate of success.
Identifiers
PMID: 25569419
Full text
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Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Research group Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
Citation
(ISO format) 		SCOLOZZI, Paolo, IMHOLZ, Benoît. Completion of nonreducible Le Fort fractures by Le Fort I osteotomy: sometimes an inevitable choice to avoid postoperative malocclusion. In: The Journal of craniofacial surgery, 2015, vol. 26, n° 1, p. e59-61. doi: 10.1097/SCS.0000000000001178 https://archive-ouverte.unige.ch/unige:48087

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Deposited on : 2015-03-11

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