W-Shaped Osteotomy to Avoid Paranasal Deformity After Standard Le Fort I in Orthognathic Surgery

Mario Santagata; Nicola Sgaramella; Fabrizio Chirico; Salvatore D'Amato; Ivo Ferrieri; Giovanni Corvo; Camilla Corvo; Gianpaolo Tartaro

doi:10.1177/2292550320969655

W-Shaped Osteotomy to Avoid Paranasal Deformity After Standard Le Fort I in Orthognathic Surgery

Plast Surg (Oakv). 2022 Feb;30(1):45-48. doi: 10.1177/2292550320969655. Epub 2020 Nov 10.

Authors

Mario Santagata¹, Nicola Sgaramella¹, Fabrizio Chirico¹, Salvatore D'Amato¹, Ivo Ferrieri¹, Giovanni Corvo¹, Camilla Corvo¹, Gianpaolo Tartaro¹

Affiliation

¹ Multidisciplinary Department of Medical and Dental Specialities, Oral and Maxillofacial Department, University of Campania "Luigi Vanvitelli," Piazza Miraglia, Naples, Italy.

Abstract
in English, French

When occlusal alterations are not accompanied by paranasal deficiencies, mobilization of the maxilla via Le Fort I osteotomy should be made with a different design. In this preliminary report, a W-shaped osteotomy that doesn't change the position of the maxillary bone surrounding the pyriform aperture was presented for the first time. Advantages and indications of this new procedure are discussed.

Lorsque les altérations occlusales ne sont pas accompagnées d’anomalies paranasales, la mobilisation du maxillaire par l’ostéotomie de LeFort I devrait être conçue différemment. Le présent rapport préliminaire décrit une ostéotomie en W qui ne modifie pas la position de l’os maxillaire entourant l’orifice piriforme. Les avantages et les indications de cette nouvelle intervention sont exposés.

Keywords: Le Fort I; UT angle; W-shaped; orthognathic surgery; osteotomy.

Abstract in English, French

Abstract
in English, French