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Surgical correction of septal deviation after Le Fort I osteotomy

BACKGROUND: The Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal structure. Postoperative nasal septum deviation is a rare and unpredi...

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Autores principales: Shin, Young-Min, Lee, Sung-Tak, Kwon, Tae-Geon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856713/
https://www.ncbi.nlm.nih.gov/pubmed/27226966
http://dx.doi.org/10.1186/s40902-016-0067-z
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author Shin, Young-Min
Lee, Sung-Tak
Kwon, Tae-Geon
author_facet Shin, Young-Min
Lee, Sung-Tak
Kwon, Tae-Geon
author_sort Shin, Young-Min
collection PubMed
description BACKGROUND: The Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal structure. Postoperative nasal septum deviation is a rare and unpredicted outcome after the surgery. There are only a few reports reporting the management of this complication. CASE PRESENTATION: In our department, three cases of the postoperative nasal septum deviation after the Le Fort I osteotomy had been experienced. Via limited intraoral circumvestibular incision, anterior maxilla, the nasal floor, and the anterior aspect of the septum were exposed. The cartilaginous part of the nasal septum was resected and repositioned to the midline and the anterior nasal spine was recontoured. Alar cinch suture performed again to prevent the sides of nostrils from flaring outwards. After the procedure, nasal septum deviation was corrected and the esthetic outcomes were favorable. CONCLUSION: Careful extubation, intraoperative management of nasal septum, and meticulous examination of pre-existing nasal septum deviation is important to avoid postoperative nasal septum deviation. If it existed after the maxillary osteotomy, septum repositioning technique of the current report can successfully correct the postoperative septal deviation.
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spelling pubmed-48567132016-05-23 Surgical correction of septal deviation after Le Fort I osteotomy Shin, Young-Min Lee, Sung-Tak Kwon, Tae-Geon Maxillofac Plast Reconstr Surg Case Report BACKGROUND: The Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal structure. Postoperative nasal septum deviation is a rare and unpredicted outcome after the surgery. There are only a few reports reporting the management of this complication. CASE PRESENTATION: In our department, three cases of the postoperative nasal septum deviation after the Le Fort I osteotomy had been experienced. Via limited intraoral circumvestibular incision, anterior maxilla, the nasal floor, and the anterior aspect of the septum were exposed. The cartilaginous part of the nasal septum was resected and repositioned to the midline and the anterior nasal spine was recontoured. Alar cinch suture performed again to prevent the sides of nostrils from flaring outwards. After the procedure, nasal septum deviation was corrected and the esthetic outcomes were favorable. CONCLUSION: Careful extubation, intraoperative management of nasal septum, and meticulous examination of pre-existing nasal septum deviation is important to avoid postoperative nasal septum deviation. If it existed after the maxillary osteotomy, septum repositioning technique of the current report can successfully correct the postoperative septal deviation. Springer Berlin Heidelberg 2016-05-04 /pmc/articles/PMC4856713/ /pubmed/27226966 http://dx.doi.org/10.1186/s40902-016-0067-z Text en © Shin et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Shin, Young-Min
Lee, Sung-Tak
Kwon, Tae-Geon
Surgical correction of septal deviation after Le Fort I osteotomy
title Surgical correction of septal deviation after Le Fort I osteotomy
title_full Surgical correction of septal deviation after Le Fort I osteotomy
title_fullStr Surgical correction of septal deviation after Le Fort I osteotomy
title_full_unstemmed Surgical correction of septal deviation after Le Fort I osteotomy
title_short Surgical correction of septal deviation after Le Fort I osteotomy
title_sort surgical correction of septal deviation after le fort i osteotomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856713/
https://www.ncbi.nlm.nih.gov/pubmed/27226966
http://dx.doi.org/10.1186/s40902-016-0067-z
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