![]() Make sure to carefully weigh the benefits against the hardship and expense of the surgery.įor those few people who also have serious functional problems, such as problems with chewing or closing the mouth, orthognathic surgery may be a necessity. The surgery requires a long and difficult recovery period. Other risks include infection, bleeding (hemorrhage), swelling, muscle spasm, and temporomandibular disorder.įor most people, this surgery is elective, based on personal choice. The most common problem after this surgery is numbness of the upper or lower lip (paresthesia). Bony facial symmetry and palpable step off's in the nasal dorsum, inferior orbital rims, zygomaticofrontal suture area and zygomatic arch. Carefully inspect the dentition, remove any dental fragments from the mouth. While the bone slowly heals, the jaw is held in place with wires or plates and screws. Occlusion, look for anterior open bite and midfacial mobility. Oral and maxillofacial surgeons or plastic surgeons perform this surgery using general anesthesia. Severe jaw problems can include upper jaws that don't match with the lower jaws. and maxillary fractures to maintain proper occlusion during surgery and for post-operative fracture healing in adults and adolescents in whom permanent teeth have erupted. During Le Fort I surgery, your maxillary bone (area just above your upper teeth) is fractured. Each type of surgery moves different bones in your face. Adults who have severe jaw problems may need surgery to improve their looks and how the jaw works. Discharge Inpatient Precare Espaol Le Fort osteotomy is surgery to break and move bones in your face. special type of maxillary fracture, Le Fort fracture was separately. Or they can have orthodontic treatment combined with orthognathic surgery. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital. They can have simple orthodontic treatment. If it is determined that surgical intervention is appropriate. The average patient age was 40.1 years (range, 25-73 years) (Table 3). It restructures the jaw through cutting the bone and repositioning the bone segments.Īdults who have jaw-related malocclusion are sometimes offered a choice. fractures, such as the Le Fort II and III, are typically repaired in one to two weeks.21. There were no Le Fort or skull base injuries. Several of the more commonly encountered complications will also be described. Orthognathic surgery treats malocclusion ("poor bite"). The objective of this article is to describe the CT appearance of the midfacial skeleton after surgical repair of posttraumatic Le Fort, nasoorbitoethmoidal (NOE), and frontal sinus fractures.
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