Advertisement

Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 2, pp 218–227 | Cite as

Modified Le Fort III Osteotomy: Different Applications

  • J. M. García y Sánchez
  • C. L. Gómez Rodríguez
  • G. Pacheco Rubio
Original Article

Abstract

Summary

Based on the new concepts of the modified Le Fort III osteotomy (MLFIIIO), Three variations of this technique are implemented: (A) the modified osteotomy Le Fort III Champy (1980) technique to be described with the use of surgical guides, and subciliary approach or an transconjunctival approach. Excellent technique for horizontal advancement no further to 6 mm, without requiring any type of graft.. (B) The modified Le Fort III osteotomy in “Z”: to solve horizontal (posterior anterior) problems of more than 6 mm without bone grafting. It is itself a modification of the technique described by Champy. (C) The modified Le Fort III osteotomy ascending: modified the original technique described by Bell and Epker with interpositional grafts, was modified by the called ascendant, making it higher in cases where the patient has an acceptable nasal bridge, but exorbitism the lateral wall of the orbit. Le Fort III osteotomy combined with a Le Fort I osteotomy and a front implant.

Method

As pointed out in Part I for the modified oblique Le Fort III osteotomy, methods for the design of the osteotomy Le Fort III property will depend on the requirements of individual patients, and this has led us to design specific techniques for the deformity.

Results

Patients have a right projection of the middle third, and protection of the eyeball.

Conclusions

The techniques presented for the advancement of the middle third have excellent results with the ability to be tailored to each patient deformity.

Keywords

Osteotomy Champy Ascending Le Fort III 

Notes

Compliance with Ethical Standards

Conflict of interest

There are no conflict of interest from authors.

References

  1. 1.
    García y Sánchez JM, Romero Flores J, Gómez Rodríguez CL (2017) Modified oblique Le Fort III osteotomy new concepts. J Maxillofac Oral Surg 16(1):22–42. doi: 10.1007/s12663-016-0893-7 (Epub 2016 May 13)CrossRefPubMedGoogle Scholar
  2. 2.
    García y Sánchez JM, Gómez Rodríguez CL, Romero Flores J (2015) Surgical guides for modified oblique Le Fort III osteotomy. J Maxillofac Oral Surg 14(2):487–496. doi: 10.1007/s12663-014-0620-1 (Epub 2014 Mar 19)CrossRefPubMedGoogle Scholar
  3. 3.
    García y Sánchez JM, Dávila JT, Gómez Pedrozo AB (1992) Advantages of the oblique modified Le fort III osteotomy, surgical technique, case studies. In: Modern practice in orthognathic and reconstructive surgery, vol 3, Chap 50. W.B. Saunders, Philadelphia, pp 1771–1789Google Scholar
  4. 4.
    Champy M (1980) Surgical treatment of midface deformities. Head Neck Surg 2(6):451–465CrossRefPubMedGoogle Scholar
  5. 5.
    Bell WH, Proffit WR, White RP (1980) Surgical correction of dentofacial deformities. W.B. Saunders, PhiladelphiaGoogle Scholar
  6. 6.
    Ellis E III, Zide MF (2006) Surgical approaches to the facial skeleton, 2nd edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  1. 1.Maxillofacial Surgery Service, Specialty Hospital, National Medical Center XXI Century, IMSSInstituto Mexicano del Seguro SocialMexicoMexico

Personalised recommendations