scholarly journals Modified Le Fort I Osteotomy and Genioplasty for Management of Severe Dentofacial Deformity in β-Thalassaemia Major: Case report and review of the literature

2020 ◽  
Vol 20 (3) ◽  
pp. 362
Author(s):  
Khamis M. Al Hasani ◽  
Abdulaziz A. Bakathir ◽  
Ahmed K. Al-Hashmi ◽  
Badar Al Rawahi ◽  
Abdullah Albakri
Keyword(s):  
Case Report ◽  
Maxillofacial Surgery ◽  
Severe Anaemia ◽  
University Hospital ◽  
Thalassaemia Major ◽  
Le Fort I Osteotomy ◽  
Skeletal Deformity ◽  
Le Fort ◽  
Dentofacial Deformities ◽  
Le Fort I

β-thalassaemia major is an autosomal recessive form of haemoglobinopathy that is characterised by complete lack of production of the β-chains resulting in multiple complications that include severe anaemia, failure to thrive and skeletal abnormalities. Facial deformities induced by β-thalassaemia major are rare and are very challenging to treat from a surgical point of view. We report a 33-year-old female patient with β-thalassaemia major who presented to the Dental & Maxillofacial Surgery Department, Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with gross dentofacial skeletal deformity contributing to her psychosocial issues. The facial deformity was corrected surgically by excision of the enlarged maxilla, modified Le Fort I osteotomy and advancement genioplasty. This case highlights the pre-operative preparation, surgical management, encountered complications and treatment outcome within 24 months of follow-up.Keywords: Beta-Thalassaemia; Thalassaemia Major; Cooley's Anemia; Le Fort Osteotomy; Genioplasty; Dentofacial Deformities; Case Report; Oman.

scholarly journals Le Fort I osteotomy facilitated nasotracheal intubation in a patient with concha bullosa and septal deviation: a case report

2021 ◽  
Keyword(s):  
Case Report ◽  
Nasal Cavity ◽  
Orthognathic Surgery ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Septal Deviation ◽  
Concha Bullosa ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Le Fort I

Introduction: Nasotracheal intubation (NTI) is preferred for general anesthesia in maxillofacial surgery. However, NTI is often traumatic or even unsuccessful, particularly in patients with a narrow nasal pathway. In this case report, we describe a less traumatic NTI approach using maxillary downfracture of Le Fort I osteotomy. Case presentation: A 19-year-old woman was admitted with a skeletal Class III malocclusion and scheduled to undergo bimaxillary orthognathic surgery. A preoperative evaluation revealed no other medical history and abnormal laboratory findings. Preoperative computed tomography showed nasal septal deviation, concha bullosa, and turbinate hypertrophy. A nasal Ring-Adair-Elwyn endotracheal tube and a tube exchanger could not be inserted via NTI because of her narrow nasal cavity. An oral intubation was performed temporarily and surgery was started. After a maxillary downfracture was performed, which made the nasal cavity wider than before, NTI was successfully conducted without difficulty. The patient was ventilated without any problems, and the operation was continued. Postoperatively, the patient had no further complications and her vital parameters were all stable. Conclusions: This case report suggests that NTI after maxillary downfracture of Le Fort I osteotomy can be a good alternative that can be successfully performed with less trauma in patients undergoing orthognathic surgery who are preoperatively evaluated as having a narrow nasal cavity.

scholarly journals Surgical correction of vertical maxillary excess associated with mandibular self-rotation

RSBO ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 56-61
Author(s):  
Michelle Nascimento Meger ◽  
Fernanda Tiboni ◽  
Felipe Silvério dos Santos ◽  
Thalyta Verbicaro ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Rare Condition ◽  
Final Position ◽  
Le Fort I Osteotomy ◽  
Skeletal Deformity ◽  
Le Fort ◽  
Le Fort I ◽  
Gummy Smile

The Class I skeletal deformity associated with vertical maxillary excess is a rare condition reported in the literature. Surgical impaction allows the correction of the long face and gummy smile. Objective: This case report aimed to evaluate the positioning of the condyle after Le Fort I osteotomy associated with mandibular selfrotation. Case report: The patient underwent orthognathic surgery for the correction of maxillary vertical excess. Tomography studies were performed to evaluate the initial and final position of the condyle. The patient improved mastication, breathing and phonetics, with esthetic benefit. Conclusion: After the Le Fort I osteotomy and mandibular self-rotation, the condyle remained stable occupying a new anterior-superior position in the glenoid fossa and patient’s TMJ remained asymptomatic after 9 months of postoperative follow-up.

scholarly journals Surgical correction of vertical maxillary excess associated with mandibular self-rotation

RSBO ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 56 ◽  
Author(s):  
Michelle Nascimento Meger ◽  
Fernanda Tiboni ◽  
Felipe Silvério Dos Santos ◽  
Thalyta Verbicaro ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Rare Condition ◽  
Final Position ◽  
Le Fort I Osteotomy ◽  
Skeletal Deformity ◽  
Le Fort ◽  
Le Fort I ◽  
Gummy Smile

Introduction: The Class I skeletal deformity associated with vertical maxillary excess is a rare condition reported in the literature. Surgical impaction allows the correction of the long face and gummy smile. Objective: This case report aimed to evaluate the positioning of the condyle after Le Fort I osteotomy associated with mandibular selfrotation. Case report: The patient underwent orthognathic surgery for the correction of maxillary vertical excess. Tomography studies were performed to evaluate the initial and final position of the condyle. The patient improved mastication, breathing and phonetics, with esthetic benefit. Conclusion: After the Le Fort I osteotomy and mandibular self-rotation, the condyle remained stable occupying a new anterior-superior position in the glenoid fossa and patient’s TMJremained asymptomatic after 9 months of postoperative follow-up.

scholarly journals Life-threatening, delayed epistaxis after Le Fort I osteotomy: a case report

2021 ◽  
Author(s):  
Amir Eleuch ◽  
Maha Ben Rejeb ◽  
Anis Ayadi ◽  
Samia Ayachi ◽  
Ramzi Moatemri ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Artery ◽  
Internal Maxillary Artery ◽  
Le Fort I Osteotomy ◽  
Case Presentation ◽  
Le Fort ◽  
Operative Complication ◽  
Life Threatening ◽  
The Right ◽  
Le Fort I

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.

scholarly journals A Case Report of Adult Unilateral Cleft Lip and Palate Treated with Closure of Wide Alveolar Cleft by le Fort I Osteotomy

2010 ◽  
Vol 20 (3) ◽  
pp. 258-265
Author(s):  
AYA HONDA ◽  
YOSHIYUKI BABA ◽  
KEIICHI KATAOKA ◽  
SHOICHI SUZUKI ◽  
KEIICHI MORITA ◽  
...  
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Alveolar Cleft ◽  
Le Fort I

Nasal considerations with the Le Fort I osteotomy

2019 ◽  
Vol 12 (3) ◽  
pp. 92-97
Author(s):  
Timothy McSwiney ◽  
Sadaf Khan ◽  
Daljit Dhariwal
Keyword(s):  
Risk Factors ◽  
Orthognathic Surgery ◽  
Restorative Dentistry ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Factors Associated ◽  
Dentofacial Deformities ◽  
Management Techniques ◽  
Le Fort I ◽  
Nasal Changes

Orthognathic surgery involves the correction of severe dentofacial deformities through a combination of orthodontics, surgery and, occasionally, restorative dentistry. This procedure, when involving surgical movement of the maxilla, can lead to changes in the overlying nasal morphology. In this paper, the standard nasal assessment that is undertaken prior to a Le Fort I osteotomy is outlined along with the reported nasal changes seen following this procedure. In addition, the various risk factors associated with adverse nasal changes are considered, as are the management techniques adopted by clinicians to minimize these changes CPD/Clinical Relevance: Clinicians should be aware of the adverse nasal changes associated with the Le Fort I osteotomy.

scholarly journals Le Fort I osteotomy to enucleation of grand proportions fissural cyst—presentation of case report

2016 ◽  
Vol 29 ◽  
pp. 80-84 ◽  
Author(s):  
Rafael Correia Cavalcante ◽  
Fernanda Durski ◽  
Tatiana Miranda Deliberador ◽  
Allan Fernando Giovanini ◽  
Nelson Luís Barbosa Rebellato ◽  
...  
Keyword(s):  
Case Report ◽  
Le Fort I Osteotomy ◽  
Le Fort ◽  
Le Fort I
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