Description

Familiarity with Treatment

Maxillary osteotomy, also known as Le Fort I osteotomy, is a surgical procedure that involves repositioning the upper jaw (maxilla) to correct various dental and skeletal abnormalities. It is commonly performed as part of orthognathic surgery to improve the alignment of the upper and lower jaws, correct bite issues, and enhance facial aesthetics.

Procedure

The maxillary osteotomy procedure involves the following steps:

1. Anesthesia: The patient is placed under general anesthesia to ensure comfort and safety during the surgery.
2. Incisions: Incisions are made inside the mouth along the gum line to access the maxilla.
3. Bone Cutting: The surgeon carefully cuts the maxilla in predetermined locations to allow for repositioning.
4. Repositioning: The maxilla is repositioned according to the treatment plan to correct the dental and skeletal abnormalities.
5. Fixation: Titanium plates and screws are used to secure the repositioned maxilla in its new position.
6. Closure: The incisions are closed with sutures, and the patient is moved to the recovery area.

Who is it Suitable for?

Maxillary osteotomy is suitable for individuals with a wide range of dental and skeletal abnormalities, including malocclusion (misalignment of the teeth and jaws), overbite or underbite, open bite, facial asymmetry, maxillary hypoplasia (underdevelopment of the upper jaw), and maxillary hyperplasia (overdevelopment of the upper jaw).

Who is it Not Suitable for?

Maxillary osteotomy may not be suitable for individuals with certain medical conditions or those who are not in good overall health. Additionally, individuals with unrealistic expectations or those who are unable to commit to the necessary preoperative and postoperative care may not be suitable candidates for this procedure.

Advantages

• Improved Bite and Function: Maxillary osteotomy can correct bite issues, such as overbite or underbite, improving the overall function of the jaw and facilitating proper chewing and speaking.
• Enhanced Facial Aesthetics: Repositioning the upper jaw can improve facial symmetry and balance, enhancing the overall appearance of the face.
• Psychological Benefits: Correcting dental and skeletal abnormalities through maxillary osteotomy can boost self-confidence and improve quality of life.

Complications

• Infection: As with any surgical procedure, there is a risk of postoperative infections.
• Nerve Damage: Nerves in the jaw and surrounding areas may be affected during the surgery, leading to temporary or permanent numbness, tingling, or altered sensation.
• Relapse: In some cases, there may be a tendency for the corrected jaw position to gradually shift back towards its original position over time.
• Bleeding: Excessive bleeding during or after the surgery is a potential complication, although it is rare.

Preoperative Care

Before undergoing maxillary osteotomy, a comprehensive evaluation is performed by an oral and maxillofacial surgeon. This may include a review of the patient’s medical history, dental examination, and imaging techniques (such as X-rays or CT scans) to assess the dental and skeletal abnormalities. Preoperative care may also involve orthodontic treatment to align the teeth properly before the surgery.

Postoperative Care

After maxillary osteotomy, postoperative care may involve managing pain and discomfort, as well as following specific instructions provided by the oral and maxillofacial surgeon. This may include taking prescribed medications, practicing good oral hygiene, and attending follow-up appointments to monitor the healing process. Swelling and bruising are common after the surgery and can be managed with cold compresses and pain medications as recommended by the surgeon.