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Improved maxillary stability with modified Lefort I technique.

R M Kaminishi·W H Davis·D A Hochwald·N Nelson
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Abstract

This modification of the LeFort I osteotomy places the horizontal bony cut higher and into the dense cortical bone of the maxillozygomatic complex. It gives greater stability and also provides a more solid bony base for intraosseous wiring of the mobilized segment. This usually eliminates the need for dento-osseous or maxillomandibular fixation, and the segments appear to solidify more quickly. Over the last year, we have used this technique in 23 cases (four maxillary advancements, seven one-piece maxillary intrusions, and 12 segmental maxillary intrusions) with very favorable results. This modification has given us greater control and stability, especially in combined maxillary and mandibular osteotomies.

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BibTeXRIS

R M Kaminishi, W H Davis, D A Hochwald, N Nelson. 1983. Improved maxillary stability with modified Lefort I technique.. https://doi.org/10.1016/0278-2391(83)90084-8

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