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Revista Mexicana de Cirugía Bucal y Maxilofacial

ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.
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2009, Number 1

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Rev Mex Cir Bucal Maxilofac 2009; 5 (1)

Segmented in-arrow osteotomy

Wong RG, Miranda VJE
Full text How to cite this article

Language: Spanish
References: 8
Page: 13-17
PDF size: 168.23 Kb.


Key words:

Maxillary osteotomy, vertical excess, maxillary impaction, in-arrow osteotomy.

ABSTRACT

Segmented osteotomy has been performed during a long time in the anterior or posterior way, with limited indications due to the engagement of the vascular supply and the complexity of the reported techniques. This study describes the surgical technique and the results obtained from an osteotomy of Dr. Miranda’s personal design, called in-arrow osteotomy. This procedure allows movements in the posterior segments and the anterior segment of the maxillary bone in an independent form, improving osseous stability and mobilization, as well as giving an extensive vascular security.


REFERENCES

  1. Moloney F, Worthington P. The origin of the Le Fort I maxillary osteotomy: Cheever‘s operation. J Oral Surg 1981; 39: 731-734.

  2. Proffit W, White R, Sarver D. Contemporary treatment of dentofacial deformity. Mosby; 2003: 283.

  3. Bell WH et al. Bone healing and revascularization after total maxillary osteotomy. J Oral Surg 1975; 33: 253-260.

  4. Bell WH. Correction of maxillary excess by anterior maxillary osteotomy. Oral Surg Oral Med Oral Pathol 1977; 43: 323-332.

  5. Bell WH, Turvey TA. Surgical correction of posterior crossbite. J Oral Surg 1974; 32: 811-822.

  6. Fonseca RL. Oral and maxillofacial surgery, Vol 2. W.B. Saunders Company; 2000: 255-258.

  7. Arpornmaeklong P, Heggie A, Shand J. A comparison of the stability of single-piece and segmental Le Fort I maxillary advancements. J Craniofac Surg 2003; 14(1): 3-9.

  8. Wolfe SA, Hu L, Berkowitz S. In search of the harmonious face: Apollo revisited, with an examination of the indication for retrograde maxillary displacement. Plast Reconstr Surg 2002; 110(4): 1172-1174.




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Rev Mex Cir Bucal Maxilofac. 2009;5