The Le Fort I osteotomy as a surgical approach for removal of tumours of the midface

Tumours of the midface and maxillary sinuses have been removed via multiple approaches. The most common approaches are those using incisions in the facial skin, especially in the case of malignant tumours. The Le Fort I procedure via an intraoral incision as described by Sailer in 1986 is a versatil...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 1999-02, Vol.27 (1), p.1-6
Main Authors: Sailer, Hermann F., Haers, Piet E., Grätz, Klaus W.
Format: Article
Language:English
Subjects:
Adipose Tissue - transplantation
Adolescent
Adult
Aged
Biological and medical sciences
Bone Transplantation
Cicatrix - prevention & control
Dentistry
Ethmoid Sinus - surgery
Facial Bones - surgery
Feasibility Studies
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Maxillary Sinus Neoplasms - surgery
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Nasal Cavity - surgery
Nose Neoplasms - surgery
Orbital Neoplasms - surgery
Osteotomy - methods
Osteotomy, Le Fort
Paranasal Sinus Neoplasms - surgery
Prosthesis Implantation
Reproducibility of Results
Retrospective Studies
Skull Base - surgery
Skull Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Tumours of the midface and maxillary sinuses have been removed via multiple approaches. The most common approaches are those using incisions in the facial skin, especially in the case of malignant tumours. The Le Fort I procedure via an intraoral incision as described by Sailer in 1986 is a versatile alternative. Combined with a coronal approach and various osteotomies of the upper face it also allows removal of tumours extending into the orbits, the nasoethmoidal complex and the skull base. The versatility of the Le Fort I osteotomy as a surgical approach was analysed in 17 cases. This method is reliable and gives excellent access. Further advantages are the wide surgical exposure and the clear visibility of the resection margins, the absence of visible scars, the feasibility of combining this approach with reconstruction using the buccal fat pad and the possibility of simultaneous placement of bone grafts, insertion of endosseous implants or other preprosthetic procedures via the same incision.
ISSN:1010-5182
1878-4119
DOI:10.1016/S1010-5182(99)80002-X