LeFort I soft tissue distraction: A hybrid technique

Granger Wong, Bonnie L. Padwa

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Distraction osteogenesis of the craniofacial skeleton has greatly enhanced traditional osteotomies and bone grafting techniques. The obvious drawbacks to an external distraction device are visibility and awkwardness. A hybrid technique of maxillary distraction for soft tissue expansion and formation of regenerate, combined with rigid internal fixation, is proposed. This technique permits maxillary advancement that may be unattainable by traditional methods and obviates the extended use of external hardware during latency and consolidation of the regenerate. It also allows for optimization of the dental occlusion. The study group was composed of five patients with severe skeletal class III malocclusion who had combined maxillary distraction followed by rigid internal fixation. The average age at the time of LeFort osteotomy was 17 years, with a range of 13 to 19 years. The latency period ranged from 1 to 5 days, and distraction was done at the rate of 1 mm/d in all patients. After the proposed advancement was attained, all patients had reoperation, consisting of distractor removal, optimized interdental relationships with intermaxillary fixation, and placement of rigid internal fixation. The average anterior-posterior maxillary advancement was 11.6 mm, with a range of 10 to 13 mm. Lateral cephalograms and clinical examination showed no relapse at an average follow-up of 25 months, with a range of 5 to 40 months.

Original languageEnglish (US)
Pages (from-to)572-576
Number of pages5
JournalJournal of Craniofacial Surgery
Volume13
Issue number4
DOIs
StatePublished - Jan 1 2002

Keywords

  • Cleft
  • Distraction osteogenesis
  • LeFort
  • Orthognathic surgery
  • Rigid fixation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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