[Application of Le Fort Ⅲ osteotomy with minimal invasive approach in the treatment of midfacial hypoplasia].

中华整形外科杂志 Pub Date : 2016-03-01
Ruichen Wang, Chunming Liu, Quanwen Gao, Min Hou, Limin Liang, Yusheng Yao, Zuo Ma, Zenggiang Jin, Shimin Chang
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引用次数: 0

Abstract

Objective: To describe a minimal invasive approach in the Le Fort Ⅲ osteotomy procedure.

Methods: 33 cases with midfacial hypoplasia were treated by Le Fort Ⅲ osteotomy.Incisions were performed with minimal invasive approach,through lower eyelid,intraoral and upper eyelid crease or medial part of eyebrow instead of coronal incision.After the completion of osteotomy,distraction osteogenesis or orthognathic procedures were followed.

Results: The midfacial segments achieved enough advancement without obvious relapse.Bleeding and operative time were reduced compared with coronal approach.No obvious scar was left.

Conclusion: The Le Fort Ⅲ osteotomy procedure could be successfully performed through minimal approach with steady results and minimal scars.

[Le FortⅢ微创截骨术在治疗面中发育不全中的应用]。
目的:介绍一种微创Le FortⅢ截骨术。方法:采用Le FortⅢ截骨术治疗面中发育不全33例。采用微创入路,下睑、口内、上睑折痕或眉内侧切口代替冠状切口。截骨完成后,进行牵张成骨或正颌手术。结果:面中节段取得足够进展,无明显复发。与冠状入路相比,出血量减少,手术时间缩短。没有留下明显的疤痕。结论:Le FortⅢ截骨术采用最小入路,手术效果稳定,瘢痕小。
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CiteScore
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