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General Category => Functional Surgery Questions => Topic started by: Veds on October 15, 2014, 05:50:25 AM

Title: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 15, 2014, 05:50:25 AM
(http://i.imgur.com/Y5BEJiz.gif)

(http://i.imgur.com/uXck8Ij.jpg)


Thanks
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: falcao on October 15, 2014, 05:53:42 AM
It's a multi-segment Le Fort 1. It's very common.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 15, 2014, 11:15:36 AM
It's a multi-segment Le Fort 1. It's very common.

Multi-segment Le Fort 1 is only one type of this surgery or there is another type of Le Fort 1? I mean, there is only one Le Fort 1 or not?
This procedure is for "widening" narrow palate with protruded maxilla or recessed maxilla ? Thanks
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: sean89 on October 15, 2014, 12:47:55 PM
The palate in the gif looked like it narrowed to me, but I think multi-segment le fort can be used for narrow palates but one of the upper jaw experts on here will chime in soon hopefully and confirm what the procedure is.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: PloskoPlus on October 15, 2014, 01:13:51 PM
Le forte 1 has a dizzying amount of variations: multiple segments, different levels of cuts above the teeth roots, different shapes of cuts (step, level, zigzag, angled).  Fwiw, my maxilla was too wide and had to be narrowed.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Bazarov on October 15, 2014, 07:42:37 PM
Is the periform aperture being shortened in that gif? I was under the impression that that wasn't possible.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: geijutsu on October 15, 2014, 07:45:43 PM
Can I ask why do people prefer SARPE to multi-segment Le Fort I ? Because that seems to be the case on this forum.

The segmental osteotomy will leave two lateral gaps which would need to be closed with braces eventually. This probably means bring the anterior teeth back to close those gaps, thus meaning the end result will involve expanding the arch only laterally, much like what happens with SARPE. I haven't heard a doctor's opinion on the subject nor have I read a paper that compares the two, so that's just speculation on my part.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 18, 2014, 10:43:44 PM
Le forte 1 has a dizzying amount of variations: multiple segments, different levels of cuts above the teeth roots, different shapes of cuts (step, level, zigzag, angled).  Fwiw, my maxilla was too wide and had to be narrowed.

Thanks!
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 18, 2014, 10:48:58 PM
The segmental osteotomy will leave two lateral gaps which would need to be closed with braces eventually. This probably means bring the anterior teeth back to close those gaps, thus meaning the end result will involve expanding the arch only laterally, much like what happens with SARPE. I haven't heard a doctor's opinion on the subject nor have I read a paper that compares the two, so that's just speculation on my part.

Multi-segment Lefort 1 or SARPE can be performed along with other surgeries such as BSSO and Sliding genioplasty or it's required to wait some months for the bones to heal for the next surgery?

Leaving out some differences between them, if we can go to the  operating room only once it would be much better because we would have to cope with only one harsh and long post-operative recovery.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: geijutsu on October 19, 2014, 03:50:58 AM
Is this surgery only for blacks? Wouldn't it make the mouth recessed if you don't have bi-maxillary protrusion?

It's for people with open bite problems.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 19, 2014, 02:19:49 PM
Multi-segment Lefort 1 or SARPE can be performed along with other surgeries such as BSSO and Sliding genioplasty or it's required to wait some months for the bones to heal for the next surgery?

Leaving out some differences between them, if we can go to the  operating room only once it would be much better because we would have to cope with only one harsh and long post-operative recovery.

Naive question but I'm still curious
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: PloskoPlus on October 20, 2014, 04:23:26 AM
Multi-segment Lefort 1 or SARPE can be performed along with other surgeries such as BSSO and Sliding genioplasty or it's required to wait some months for the bones to heal for the next surgery?

Leaving out some differences between them, if we can go to the  operating room only once it would be much better because we would have to cope with only one harsh and long post-operative recovery.

SAPRE is done before any other surgeries.  Multi-segment Le Fort 1 can be done at the same time as BSSO or genioplasty.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Veds on October 25, 2014, 11:42:47 AM
SAPRE is done before any other surgeries.  Multi-segment Le Fort 1 can be done at the same time as BSSO or genioplasty.

Thanks
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: sean89 on October 29, 2014, 07:02:07 PM
http://www.youtube.com/watch?v=Bj6OloyMBMc (http://www.youtube.com/watch?v=Bj6OloyMBMc)

This is the traditional segmental le fort, I think, for maxillary widening.
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Vic on November 26, 2014, 03:15:10 PM
Would this stop maxillary protrusion?
Title: Re: What surgery on maxilla/upper jaw is that? What is the procedure name?
Post by: Rico on November 28, 2014, 07:47:11 AM
(http://i.imgur.com/Y5BEJiz.gif)

(http://i.imgur.com/uXck8Ij.jpg)


Thanks

How they do that without cutting (high risk of permament lost of feeling in some teeth) small teeth nerves ?