Academic Journal
A modified minimally invasive Le Fort I approach allowing four-point fixation osteosynthesis using lateral punctiform incisions.
| Τίτλος: | A modified minimally invasive Le Fort I approach allowing four-point fixation osteosynthesis using lateral punctiform incisions. |
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| Συγγραφείς: | Morand S; MaxilloFacial Surgery Department, Hospices Civils of Lyon, Croix Rousse Hospital, 103 Grande rue de la Croix Rousse, 69004 Lyon, France. Electronic address: sanela.morand@chu-lyon.fr., Morel O; MaxilloFacial Surgery Department, Hospices Civils of Lyon, Croix Rousse Hospital, 103 Grande rue de la Croix Rousse, 69004 Lyon, France., Lange E; MaxilloFacial Surgery Department, Hospices Civils of Lyon, Croix Rousse Hospital, 103 Grande rue de la Croix Rousse, 69004 Lyon, France., Gleizal A; MaxilloFacial Surgery Department, Hospices Civils of Lyon, Croix Rousse Hospital, 103 Grande rue de la Croix Rousse, 69004 Lyon, France. |
| Πηγή: | International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2026 Aug; Vol. 55 (8), pp. 956-959. Date of Electronic Publication: 2026 Jan 22. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Churchill Livingstone Country of Publication: Denmark NLM ID: 8605826 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-0020 (Electronic) Linking ISSN: 09015027 NLM ISO Abbreviation: Int J Oral Maxillofac Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Copenhagen : Churchill Livingstone Original Publication: Copenhagen : Munksgaard, c1986- |
| Ιατρικοί όροι (MeSH): | Minimally Invasive Surgical Procedures*/methods , Osteotomy, Le Fort*/methods , Fracture Fixation, Internal*/methods , Maxillary Fractures*/surgery, Humans ; Bone Plates |
| Περίληψη: | Surgical techniques in orthognathic surgery have recently evolved and now tend towards soft-tissue-preserving approaches. The concept of minimally invasive Le Fort I osteotomy and down-fracture is interesting, as it preserves almost all paranasal and upper-lip musculature. It has already been described with a four-point fixation on the canine and zygomatic buttress pillars, depending on the mucosal incision length and plate type. This article proposes an alternative technique, respecting the concept of minimally invasive surgery, with a very small medial mucosal incision adding two lateral punctiform incisions, thus enabling a four-point fixation of the Le Fort I fracture. This technique allows wide maxillary movements, significant maxillary expansion; and can be performed even if the surgeon does not have very specific instrumentation. Compared with previously described techniques, this approach offers equivalent surgical exposure, improved access for four-point fixation, and greater safety against mucosal tearing, while maintaining the minimally invasive concept. (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Competing interests None. |
| Contributed Indexing: | Keywords: Bone plate; Maxillary osteotomy; Minimally invasive surgical procedures; Orthognathic surgery |
| Entry Date(s): | Date Created: 20260123 Date Completed: 20260701 Latest Revision: 20260701 |
| Update Code: | 20260702 |
| DOI: | 10.1016/j.ijom.2026.01.009 |
| PMID: | 41577488 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1399-0020 |
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| DOI: | 10.1016/j.ijom.2026.01.009 |