Life-threatening hemorrhage from a Le Fort I osteotomy

1982 ◽  
Vol 40 (2) ◽  
pp. 117-119 ◽  
Author(s):  
Ricney F. Newhouse ◽  
Sterling R. Schow ◽  
Richard A. Kraut ◽  
John C. Price
2021 ◽  
Author(s):  
Amir Eleuch ◽  
Maha Ben Rejeb ◽  
Anis Ayadi ◽  
Samia Ayachi ◽  
Ramzi Moatemri ◽  
...  

Abstract Introduction: When performing a Le Fort 1 osteotomy, there is always a risk of injuring the internal maxillary artery or one of its branches. This diagnosis should be considered when confronted to recurrent or massive epistaxis following surgery.Case presentation: The authors present a case of a life-threatening, delayed and massive epistaxis caused by a ruptured pseudoaneuvrysm of the right sphenopalatine artery as a post-operative complication of a Le Fort I osteotomy successfully managed by anterior and posterior nasal packing.Conclusion: Despite its simplicity and attested reliability, Le Fort I osteotomy is not completely free of complications.


2013 ◽  
Vol 127 (6) ◽  
pp. 610-613 ◽  
Author(s):  
Y-W Kim ◽  
M-J Baek ◽  
H-D Kim ◽  
K-S Cho

AbstractObjective:To introduce pseudoaneurysm of the sphenopalatine artery as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.Methods:Case report and literature review.Results:This paper reports a case of acute life-threatening epistaxis following Le Fort I osteotomy. Computed tomography and angiography showed a pseudoaneurysm of the sphenopalatine artery, which was successfully treated by endovascular embolisation.Conclusion:Although a pseudoaneurysm of the sphenopalatine artery following Le Fort I osteotomy is extremely rare, it should be considered as the possible aetiology of acute massive epistaxis in patients with a history of orthognathic surgery accompanied by Le Fort I osteotomy.


2020 ◽  
pp. 229255032096965
Author(s):  
Mario Santagata ◽  
Nicola Sgaramella ◽  
Fabrizio Chirico ◽  
Salvatore D’Amato ◽  
Ivo Ferrieri ◽  
...  

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.


2021 ◽  
pp. 103707
Author(s):  
Oliver da Costa Senior ◽  
Lukas Vaes ◽  
Delphine Mulier ◽  
Reinhilde Jacobs ◽  
Constantinus Politis ◽  
...  

2013 ◽  
Vol 71 (2) ◽  
pp. e120-e125 ◽  
Author(s):  
George K. Sándor ◽  
Jarkko T. Korpi ◽  
Leena P. Ylikontiola ◽  
Niina Salokorpi ◽  
Jani Katisko ◽  
...  

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