Simultaneous modified le fort III/le fort I osteotomies: a treatment option for midface hypoplasia in nonsyndromic patients

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dc.creatorSergio Monteiro Lima Junior
dc.creatorFernanda Brasil Daura Jorge Boos Lima
dc.creatorI.S. Holz
dc.creatorLeopoldino Capelozza Filho
dc.creatorA.M. dos Santos
dc.date.accessioned2025-03-24T19:04:18Z
dc.date.accessioned2025-09-09T01:28:12Z
dc.date.available2025-03-24T19:04:18Z
dc.date.issued2017-03
dc.identifier.doihttps://doi.org/10.1016/j.ijom.2017.02.1101
dc.identifier.issn0901-5027
dc.identifier.urihttps://hdl.handle.net/1843/80876
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgery
dc.rightsAcesso Aberto
dc.subjectMaxilla
dc.subjectTherapeutics
dc.subjectOsteotomy, le fort
dc.subjectFace
dc.subjectOrthognathic surgery
dc.subjectMalocclusion, angle class III
dc.subjectMandible
dc.titleSimultaneous modified le fort III/le fort I osteotomies: a treatment option for midface hypoplasia in nonsyndromic patients
dc.typeArtigo de periódico
local.citation.issueSupplement 1
local.citation.spage327
local.citation.volume46
local.description.resumoBackground: Le Fort III osteotomy represents the main technique for midface hypoplasia correction in syndromal and non-syndromal patients in order to improve midface advancement and achieve better aesthetic and functional results. Objectives: To present a treatment of a nonsyndromic male patient with severe midface hypoplasia, concave profile and Class III malocclusion treated with Le Fort III surgery in association with Le Fort I advancement osteotomy followed by mandibular repositioning. Methods: The treatment initiated with presurgical orthodontic alignment and further orthognathic surgery with both Le Fort I and Le Fort III advancement and mandibular repositioning to correct mandibular asymmetry. Results: The maxilla moved forward and downward and midface projection improved. The mandible anteroposterior relationship was maintained, the laterognathism was corrected and an orthognathic profile and Class I occlusal relationship were achieved. Conclusions: Development of the simultaneous Le Fort III and Le Fort I osteotomy technique improved stability and facial aesthetics, increasing its indication for nonsyndromic skeletal Class III patients with severe midface deficiency.
local.identifier.orcidhttps://orcid.org/0000-0003-0022-2538
local.identifier.orcidhttps://orcid.org/0000-0003-2847-9685
local.identifier.orcidhttps://orcid.org/0000-0002-0126-2008
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://www.ijoms.com/article/S0901-5027(17)31162-1/fulltext

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