Escolar Documentos
Profissional Documentos
Cultura Documentos
ANATOMA
HISTORIA
The origin of the Le Fort 1 maxillary osteotomy: Cheever' s operation Frank Moloney, MD,
DDS; and Philip Worthington, MD, DDS, Seattle J ORAL SURGERY VOL 39, OCTOBER 1981
Ren Le Fort
1901
Etude
exprimental sur
les fractures de
la machoire
suprieure
Martin Wassmund
1927
Georg Axhausen
1934
Osteotoma Le
Fort I en 2
estadios:
Separacin
pterygomaxilar
Traccin
externa
utilizada para
llevar hacia
adelante el
maxilar
Sugiri la
completa
movilizacin del
maxilar sin
tensin
William H. Bell
1977
Nuevas tcnicas
para asegurar
aporte sanguneo
y evitar posibles
complicaciones
Panormica
Ceflica
Cefalometra - Predicciones
Modelos Articulador Prediccin
Frula Quirrgica
Estudio Fotogrfico
Exmenes pre quirrgicos
Valoracin pre anestsica
OSTEOTOMA LE FORT
Osteotoma Le Fort I
Movimientos en
los 3 planos del
espacio
Posicin del
labio superior
Punta de la nariz
Base alar
ngulo de
columnela labial
Peterson's principles of oral and maxillofacial surgery second edition
Osteotoma Le Fort I
Esquemas de Osteotomas
Osteotoma Le Fort I
Variacin
Variacin
Interposicin de Injerto
G.R. Hoffmana. The skeletal stability of one-piece Le Fort 1 osteotomy to advance the maxilla
Part 2. The influence of uncontrollable clinical variablesBritish Journal of Oral and
Maxillofacial Surgery (2004) 42, 226230
TCNICA QUIRRGICA
ANESTESIA GENERAL
INFILTRACIN
Pravin K. Patel. The Surgical Tools: The LeFort I, Bilateral Sagittal Split Osteotomy of the
Mandible, and the Osseous Genioplasty. Clin Plastic Surg 34 (2007) 447475
INCISIN
DISECCIN
TRAZADO DE CORTE
CORTE - Sierra
CORTE - Cincel
DOWN FRACTURE
DOWN FRACTURE
Pravin K. Patel. The Surgical Tools: The LeFort I, Bilateral Sagittal Split Osteotomy of the
Mandible, and the Osseous Genioplasty. Clin Plastic Surg 34 (2007) 447475
FIJACIN
Cincha Alar
Pravin K. Patel,Michael V. Novia, The Surgical Tools: The LeFort I, Bilateral Sagittal Split
Osteotomy of the Mandible, and the sseous Genioplasty. Clin Plastic Surg 34 (2007) 447475
SimPlant
Use of stereolithographic cutting guides in corrective (wedge)
Lefort I osteotomy. R. Seeberger et al. / British Journal of Oral and Maxillofacial
Surgery 49 (2011) e20e21
COMPLICACIONES
EXTRAORALES
SEMIRIGIDA
SUSPENSION
ESQUELETICA
INTERDENTAL
INTERMAXILAR
(tornillo)
Koichiro Ueki The Use of an Intermaxillary Fixation Screw for Mandibular Setback Surgery. J Oral Maxillofac Surg 65:1562-1568, 2007
ALAMBRADO
INTEROSEO
OSTEOSNTESIS
RIGIDA
PLACAS DE
TITANIO
REABSORBIBLES
TORNILLOS
Aceptado
universalmente
Familiarizado
tcnica
Maleable
Pequeo
Resistente
Crecimiento
nios????
Migracin tornillo
Maleable
Palpar
Destellos
RADIOGRAFA
Alergnicos ??
Retiro?
PLACAS DE
TITANIO
Tercio
superior
0.6 espesor
Long 2-10mm
titanio
Tercio medio
0.6 espesor
Long 2-10mm
titanio
Tercio
inferior y
medio
0.6 espesor
Long 2-10mm
titanio
PLACAS DESLIZANTES
Espesor 0.7 mm
MODUS OSS 2.0
PLACAS DESLIZANTES
PLACAS DE
COMPRESION
TERCIO INFERIOR
ESPESOR 1.6mm
Zona
Deslizante
Espesor
Perfil
1.6 mm
1.5 mm
COMPRESION
DINAMICA
Baker S. Concepts and Techniques of Rigid Fixation. Fonseca RI y Col Oral and Maxilofacial Trauma. 1997
No infeccin
No corrosin
No 2 ciruga
No palpacin
No destellos
Costo
No re-esterilizacin
Fracturas material
Estudios
Reabsorcin completa?
TIPOS
Polidioxanona (PDO)
Poligliconato
Ac Poliglicolico (PGA)
Ac Polilactico (PLLA)
Copolimero PGA-PLLA
(Lactosorb)
Turvey T. The use of self-Reinforced Biodegradable Bone Plates ans Screws in Orthognatic Surgery. J Oral
Maxillofac Surg 60: 59-65, 2002
AC POLIGLICOLICO (PGA)
Ac Polilactico (PLLA)
Nureddin Ashammakhi. Successful Use of Biosorb Osteofixation Devices in 165 Cranial and Maxillofacial Cases: A multicenter Report. The Journal
Of Craniofacial Surgery / Volume 15, Number 4 July 2004
Barry L. use a resorbable plates and screws in pediatric facial fractures. J Oral Maxillofacial Surg 63: 385-391, 2005
GRACIAS