Comparison of maxillary stability after Le Fort I osteotomy for occlusal cant correction surgery and maxillary advanced surgery

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jul;104(1):38-43. doi: 10.1016/j.tripleo.2006.11.018. Epub 2007 Mar 26.

Abstract

Objective: To compare postoperative maxillary stability following Le Fort I osteotomy for the correction of occlusal cant as compared with conventional Le Fort I osteotomy for maxillary advancement.

Study design: The subjects were 40 Japanese adults with jaw deformities. Of these, 20 underwent a Le Fort I osteotomy and intraoral vertical ramus osteotomy (IVRO) to correct asymmetric skeletal morphology and inclined occlusal cant. The other 20 patients underwent a Le Fort I osteotomy and sagittal split ramus osteotomy (SSRO) to advance the maxilla. Lateral and posteroanterior cephalograms were taken postoperatively and assessed statistically. Thereafter, the 2 groups were followed for time-course changes.

Results: There was no significant difference between the 2 groups with regard to time-course changes during the immediate postoperative period.

Conclusion: This suggests that maxillary stability after Le Fort I osteotomy for cant correction does not differ from that after Le Fort I osteotomy for maxillary advancement.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Cephalometry / methods
  • Humans
  • Maxilla / abnormalities
  • Maxilla / surgery*
  • Osteotomy / methods
  • Osteotomy, Le Fort / methods*
  • Prognathism / surgery*
  • Retrognathia / surgery*
  • Treatment Outcome