Le Fort osteotomy

A Le Fort osteotomy is the name for three types of osteotomies of the jaw and face. They are based on[1] the analogous bone fractures described by the French surgeon and physician René Le Fort.[2]

Le Fort osteotomy
MeSHD019340

Type I

The Le Fort I osteotomy advances the jaw in case of malocclusion and maxillomandibular deformities.[1]

Type II

The Le Fort II osteotomy treats maxillary fractures.[3]

Type III
Main article: Le Fort III osteotomy

The Le Fort III osteotomy treats midfacial abnormalities and deficiencies.[4]

Additional types

"Le Fort IV" has been used to describe a monobloc frontofacial osteotomy in 2000s French literature, but the use is heavily disputed.[5] In 2014, the same term was used by a Japanese group to describe a "monobloc minus Le Fort I" osteotomy.[6]

References
  1. Buchanan EP, Hyman CH (August 2013). "LeFort I Osteotomy". Seminars in Plastic Surgery. 27 (3): 149–54. doi:10.1055/s-0033-1357112. PMC 3805729. PMID 24872761. The LeFort I osteotomy is named after the fracture pattern originally described by Rene LeFort in 1901 that extends from the nasal septum, along the tooth apices, and through the pterygomaxillary junction.
  2. Patterson R (April 1991). "The Le Fort fractures: René Le Fort and his work in anatomical pathology". Canadian Journal of Surgery. 34 (2): 183–4. PMID 2025808.
  3. Lakin GE, Kawamoto HK (November 2012). "Le Fort II osteotomy". The Journal of Craniofacial Surgery. 23 (7 Suppl 1): 1964–7. doi:10.1097/SCS.0b013e31825b351d. PMID 23154355. S2CID 22115386.
  4. Tiwana PS, Turvey TA (November 2004). "Subcranial procedures in craniofacial surgery: the Le Fort III osteotomy". Oral and Maxillofacial Surgery Clinics of North America. 16 (4): 493–501. doi:10.1016/j.coms.2004.08.001. PMID 18088750.
  5. LAURENT, Elodie (2013). CRANIOSTENOSE: ETUDE D'UN CAS FAMILIAL - PRISE EN CHARGE ODONTOLOGIQUE ET MAXILLO- FACIALE (PDF).
  6. Sakamoto, Y; Nakajima, H; Tamada, I; Sakamoto, T (April 2014). "Le Fort IV + I distraction osteogenesis using an internal device for syndromic craniosynostosis". Journal of Oral and Maxillofacial Surgery. 72 (4): 788–95. doi:10.1016/j.joms.2013.09.041. PMID 24280175.
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