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Le Fort I Osteotomy
The Le Fort I osteotomy is a surgical procedure to realign the upper jaw (maxilla). This procedure is a type of orthognathic surgery that is primarily performed to fix deformities of the face and jaw, improve facial aesthetics, treat malocclusions (misaligned teeth), and treat certain medical conditions, such as obstructive sleep apnea. The surgery involves separating the maxilla from the rest of the skull and then repositioning it. History The Le Fort I osteotomy is named after René Le Fort, René Le Fort's 1901 description of midface fracture patterns resulting from trauma, is a surgical procedure used to correct Dentofacial deformity, dentofacial deformities and, in some cases, facilitate tumor removal or complex fracture reduction. The procedure involves a horizontal osteotomy of the maxilla, separating it from the skull base at the level of the Le Fort I fracture line. Unlike the fracture, the osteotomy preserves the pterygoid plates by cutting at the pterygomaxillary junction ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Maxilla
In vertebrates, the maxilla (: maxillae ) is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible (lower jaw), which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw. Anatomy Structure The maxilla is a paired bone - the two maxillae unite with each other at the intermaxillary suture. The maxilla consists of: * The body of the maxilla: pyramid-shaped; has an orbital, a nasal, an infratemporal, and a facial surface; contains the maxillary sinus. * Four processes: ** the zygomatic process ** the frontal process ** the alveolar process ** the palatine process It has three surfaces: * the anterior, posterior, medial Features of the maxilla include: * t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pyramidal Process Of The Palatine Bone
The pyramidal process of the palatine bone projects backward and lateralward from the junction of the horizontal and vertical parts, and is received into the angular interval between the lower extremities of the pterygoid plates. On its posterior surface is a smooth, grooved, triangular area, limited on either side by a rough articular furrow. The furrows articulate with the pterygoid plates, while the grooved intermediate area completes the lower part of the pterygoid fossa and gives origin to a few fibers of the Pterygoideus internus. The anterior part of the lateral surface is rough, for articulation with the tuberosity of the maxilla; its posterior part consists of a smooth triangular area which appears, in the articulated skull, between the tuberosity of the maxilla and the lower part of the lateral pterygoid plate, and completes the lower part of the infratemporal fossa. On the base of the pyramidal process, close to its union with the horizontal part, are the lesser palat ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Le Fort Osteotomy
A Le Fort osteotomy is the name for three types of osteotomies of the jaw and face. They are based on the analogous bone fractures described by the French surgeon and physician René Le Fort. Type I A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injury, soft tissue injuries such as burns, lacerations and bruises, or bone fracture, fractures of the facial bones such ..., particularly those affecting the mid-face. The procedure involves separating the upper jaw, repositioning it, and then securing it with plates and screws. Type II The Le Fort II osteotomy treats maxillary fractures. Type III ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Maxillomandibular Advancement
Maxillomandibular advancement (MMA) or orthognathic surgery, also sometimes called bimaxillary advancement (Bi-Max), or maxillomandibular osteotomy (MMO), is a surgical procedure or sleep surgery which moves the upper jaw (maxilla) and the lower jaw (mandible) forward. The procedure was first used to correct deformities of the facial skeleton to include malocclusion. In the late 1970s advancement of the lower jaw (mandibular advancement) was noted to improve sleepiness in three patients. Subsequently, maxillomandibular advancement was used for patients with obstructive sleep apnea. Currently, maxillomandibular advancement surgery is often performed simultaneously with genioglossus advancement (tongue advancement). The genioglossus advancement pulls the tongue forward in a manner that decreases the amount of tongue blockage during sleep. MMA has been demonstrated to be one of the most effective surgical treatments for sleep apnea, due to its high success rate. Nonetheless, the pr ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nasal Septum Deviation
Nasal septum deviation is a physical disorder of the nose, involving a displacement of the nasal septum. Some displacement is common, affecting 80% of people, mostly without their knowledge. Signs and symptoms The nasal septum is the bone and cartilage in the nose that separates the nasal cavity into the two nostrils. The cartilage is called the quadrangular cartilage and the bones comprising the septum include the maxillary crest, vomer, and the perpendicular plate of the ethmoid. Normally, the septum lies centrally, and thus the nasal passages are symmetrical. A deviated septum is an abnormal condition in which the top of the cartilaginous ridge leans to the left or the right, causing obstruction of the affected nasal passage. It is common for nasal septa to depart from the exact centerline; the septum is only considered deviated if the shift is substantial or causes problems. By itself, a deviated septum can go undetected for years and thus be without any need for corre ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nasal Septum
The nasal septum () separates the left and right airways of the Human nose, nasal cavity, dividing the two nostrils. It is Depression (kinesiology), depressed by the depressor septi nasi muscle. Structure The fleshy external end of the nasal septum is called the Human nose#Cartilages, columella or columella nasi, and is made up of cartilage and soft tissue. The nasal septum contains bone and hyaline cartilage. It is normally about 2 mm thick. The nasal septum is composed of four structures: * Maxillary bone (the crest) * Perpendicular plate of ethmoid bone * Septal nasal cartilage (ie, quandrangular cartilage) * Vomer bone The lowest part of the septum is a narrow strip of bone that projects from the maxilla and the palatine bones, and is the length of the septum. This strip of bone is called the maxillary crest; it articulates in front with the septal nasal cartilage, and at the back with the vomer. The maxillary crest is described in the anatomy of the nasal septum as h ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Osteotome
An osteotome is an instrument used for cutting or preparing bone. Osteotomes are similar to a chisel but bevelled on both sides. They are used today in plastic surgery, orthopedic surgery and dental implantation. The chain osteotome, originally referred to simply as the osteotome, was invented by the German physician Bernhard Heine in 1830. This device is essentially a small chainsaw. See also *Instruments used in general surgery There are many different Surgery, surgical specialties, some of which require specific kinds of Surgical instrument, surgical instruments to perform. General surgery is a specialty focused on the abdomen; the Thyroid, thyroid gland; Disease, dis ... References {{Surgical instruments Orthopaedic instruments ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
General Anesthesia
General anaesthesia (UK) or general anesthesia (US) is medically induced loss of consciousness that renders a patient unarousable even by painful stimuli. It is achieved through medications, which can be injected or inhaled, often with an analgesic and neuromuscular blocking agent. General anaesthesia is usually performed in an operating theatre to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. Depending on the procedure, general anaesthesia may be optional or required. No matter whether the patient prefers to be unconscious or not, certain pain stimulus, pain stimuli can lead to involuntary responses from the patient, such as movement or muscle contractions, that make the operation extremely difficult. Thus, for many procedures, general anaesthesia is necessary from a practical point of view. The p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Variations In Le Fort I Osteotomy (Kurohara 2019)
Variation or Variations may refer to: Science and mathematics * Variation (astronomy), any perturbation of the mean motion or orbit of a planet or satellite, particularly of the moon * Genetic variation, the difference in DNA among individuals or the differences between populations ** Human genetic variation, genetic differences in and among populations of humans * Magnetic variation, difference between magnetic north and true north, measured as an angle * ''p''-variation in mathematical analysis, a family of seminorms of functions * Coefficient of variation in probability theory and statistics, a standardized measure of dispersion of a probability distribution or frequency distribution * Total variation in mathematical analysis, a way of quantifying the change in a function over a subset of \mathbb^n or a measure space * Calculus of variations in mathematical analysis, a method of finding maxima and minima of functionals Arts * Variation (ballet) or pas seul, solo dance or ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Open Bite Malocclusion
Open bite is a type of orthodontic malocclusion which has been estimated to occur in 0.6% of the people in the United States. This type of malocclusion has no vertical overlap or contact between the anterior incisors.Shapiro PA. Stability of open bite treatment. Am J Orthod Dentofacial Orthop. 2002 June;121(6):566-8 The term "open bite" was coined by Carevelli in 1842 as a distinct classification of malocclusion. Different authors have described the open bite in a variety of ways. Some authors have suggested that open bite often arises when overbite is less than the usual amount. Additionally, others have contended that open bite is identified by end-on incisal relationships. Lastly, some researchers have stated that a lack of incisal contact must be present to diagnose an open bite. Treatment of an open bite is complex and long-term stability is difficult to achieve, making it a challenging condition due to the high risk of vertical relapse, regardless of the treatment method used ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vertical Maxillary Excess
A jaw abnormality is a disorder in the formation, shape and/or size of the jaw. In general abnormalities arise within the jaw when there is a disturbance or fault in the fusion of the mandibular processes. The mandible in particular has the most differential typical growth anomalies than any other bone in the human skeleton. This is due to variants in the complex symmetrical growth pattern which formulates the mandible. The mandible in particular plays a significant role in appearance as it is the only moving part of the facial skeleton. This has a large impact upon an individual's ability to speak, masticate and also influence their overall aesthetic and expressive features of the face. In turn the maxilla faces the same issues if any abnormalities in size or position were to occur. The obvious functional disabilities that arise from jaw abnormalities are very much physically seen as previously stated, but when considering these individuals it must be kept in mind that these condi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mandibular Hyperplasia
Condylar hyperplasia (mandibular hyperplasia) is over-enlargement of the mandible bone in the skull. It was first described by Robert Adams in 1836 who related it to the overdevelopment of mandible. In humans, the mandibular bone has two condyles which are known as growth centers of the mandible. When growth at the condyle exceeds its normal time span, it is referred to as condylar hyperplasia. The most common form of condylar hyperplasia is ''unilateral condylar hyperplasia'' where one condyle overgrows the other condyle leading to facial asymmetry. Hugo Obwegeser et al. classified condylar hyperplasia into two categories: ''hemimandibular hyperplasia'' and ''hemimandibular elongation''. It is estimated that about 30% of people with facial asymmetry express condylar hyperplasia. In 1986, Obwegeser and Makek specifically detailed two hemimandibular anomalies, hemimandibular hyperplasia and hemimandibular elongation. These anomalies can be clinically present in a pure form ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
