Mario Santagata*, Salvatore D’Amato, Pasquale Verolino, Raffaele Rauso, Ivo Ferrieri and Gianpaolo Tartaro
Department of Medical and Dental Specialties, AOU - University of Campania “Luigi Vanvitelli”, ItalyFulltext PDF
Objective: The aim of authors is to present a surgical technique that helps mobilize the maxilla in the three planes of space and maxillary advancement.
Methods: This result can be obtained through the combined use of Tessier bone spreader and wire inserted at the base of the anterior nasal spine.
Results: This approach is useful in the tridimensional mobilization of the jaw; it allows, further more a better control of the detachment of bone segments.
Conclusions: The Le Fort I osteotomy is commonly used in orthognathic surgery to correct the dental-facial deformities. Sometimes it can be difficult to mobilize the jaw after performing the osteotomy. Although in the literature several techniques have been advocated to aid in mobilization of the jaw after running the Le Fort I osteotomy, all apply a unidirectional downward vector of force on the maxilla.
Santagata M, D’Amato S, Verolino P, Rauso R, Ferrieri I, Tartaro G. The Use of a Tessier Bone Spreader and Wire Inserted at the Base of the Anterior Nasal Spine to Aid Maxillary Advancement after Le Fort I Osteotomy. Ann Plast Reconstr Surg. 2021;5(2):1079..