Maxillofacial Plastic and Reconstructive Surgery

  • Volume 38
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  • Pages.21.1-21.6
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  • 2016
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Surgical correction of septal deviation after Le Fort I osteotomy

  • Shin, Young-Min (Department of Dentistry and Oral Surgery, Dong-San Medical Center, Keimyung University) ;
  • Lee, Sung-Tak (Center for Orthognathic surgery, Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kwon, Tae-Geon (Center for Orthognathic surgery, Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
  • Received : 2016.03.19
  • Accepted : 2016.04.19
  • Published : 2016.12.31
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Abstract

Background: The Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal structure. Postoperative nasal septum deviation is a rare and unpredicted outcome after the surgery. There are only a few reports reporting the management of this complication. Case Presentation: In our department, three cases of the postoperative nasal septum deviation after the Le Fort I osteotomy had been experienced. Via limited intraoral circumvestibular incision, anterior maxilla, the nasal floor, and the anterior aspect of the septum were exposed. The cartilaginous part of the nasal septum was resected and repositioned to the midline and the anterior nasal spine was recontoured. Alar cinch suture performed again to prevent the sides of nostrils from flaring outwards. After the procedure, nasal septum deviation was corrected and the esthetic outcomes were favorable. Conclusion: Careful extubation, intraoperative management of nasal septum, and meticulous examination of preexisting nasal septum deviation is important to avoid postoperative nasal septum deviation. If it existed after the maxillary osteotomy, septum repositioning technique of the current report can successfully correct the postoperative septal deviation.

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References

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  2. Evaluation of Sinonasal Change After Lefort I Osteotomy Using Cone Beam Computed Tomography Images vol.29, pp.1, 2018, https://doi.org/10.1097/scs.0000000000004001
  3. Treatment outcome of bimaxillary surgery for asymmetric skeletal class II deformity vol.23, pp.2, 2019, https://doi.org/10.1007/s00784-018-2462-6