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Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series

Orthognathic surgeries are considered successful on the basis of postoperative stability, vascularity, and relapse rates. One among them is the multisegment Le Fort I osteotomy, which has often been disregarded due to vascular compromise. The complications associated with such an osteotomy are also...

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Autores principales: Manishaa, V, Pendem, Sneha, M R, Muthusekhar, Pandurangan, Senthil Murugan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312255/
https://www.ncbi.nlm.nih.gov/pubmed/37398804
http://dx.doi.org/10.7759/cureus.39772
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author Manishaa, V
Pendem, Sneha
M R, Muthusekhar
Pandurangan, Senthil Murugan
author_facet Manishaa, V
Pendem, Sneha
M R, Muthusekhar
Pandurangan, Senthil Murugan
author_sort Manishaa, V
collection PubMed
description Orthognathic surgeries are considered successful on the basis of postoperative stability, vascularity, and relapse rates. One among them is the multisegment Le Fort I osteotomy, which has often been disregarded due to vascular compromise. The complications associated with such an osteotomy are also primarily due to vascular ischemia. In the past, it was hypothesized that segmentation of the maxilla disrupted vascular supply to the osteotomized segments. However, the case series attempts to analyze the complications associated with a multisegment Le Fort I osteotomy and its incidence. This article documents four such cases that involve a Le Fort I osteotomy along with anterior segmentation. The patients experienced minimal or no postoperative complications. Thus, the case series exhibits that multisegment Le Fort I osteotomies can be successfully carried out without much complications and hence prove to be a safe treatment option in cases of increased advancement, setback, or combination.
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spelling pubmed-103122552023-07-01 Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series Manishaa, V Pendem, Sneha M R, Muthusekhar Pandurangan, Senthil Murugan Cureus Plastic Surgery Orthognathic surgeries are considered successful on the basis of postoperative stability, vascularity, and relapse rates. One among them is the multisegment Le Fort I osteotomy, which has often been disregarded due to vascular compromise. The complications associated with such an osteotomy are also primarily due to vascular ischemia. In the past, it was hypothesized that segmentation of the maxilla disrupted vascular supply to the osteotomized segments. However, the case series attempts to analyze the complications associated with a multisegment Le Fort I osteotomy and its incidence. This article documents four such cases that involve a Le Fort I osteotomy along with anterior segmentation. The patients experienced minimal or no postoperative complications. Thus, the case series exhibits that multisegment Le Fort I osteotomies can be successfully carried out without much complications and hence prove to be a safe treatment option in cases of increased advancement, setback, or combination. Cureus 2023-05-31 /pmc/articles/PMC10312255/ /pubmed/37398804 http://dx.doi.org/10.7759/cureus.39772 Text en Copyright © 2023, Manishaa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Manishaa, V
Pendem, Sneha
M R, Muthusekhar
Pandurangan, Senthil Murugan
Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title_full Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title_fullStr Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title_full_unstemmed Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title_short Evaluation of Postoperative Outcome and Incidence of Complications in Multisegment Le Fort I Osteotomies: A Case Series
title_sort evaluation of postoperative outcome and incidence of complications in multisegment le fort i osteotomies: a case series
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312255/
https://www.ncbi.nlm.nih.gov/pubmed/37398804
http://dx.doi.org/10.7759/cureus.39772
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