Cleft Le Fort I Osteotomy: A Video Presentation. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Moores, Craig; DeSesa, Christopher; Steinbacher, Derek
• Is Part Of: Journal of craniofacial surgery. Volume 27:Issue 2(2016)
• Page Start: e112
• Page End: e113
• Publication Date: 2016-03
• Subjects: Cleft palate -- Le Fort -- maxillary mobilization -- osteotomy; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002100
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Supplemental Digital Content is available in the text Abstract : 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.