Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique

Summary:. Individuals with maxillary dentofacial deformities commonly have preexisting nasal airway obstruction with associated nasal septal deviation. Combination bimaxillary procedures with intraoral septoplasty after maxillary downfracture have been demonstrated to address dentofacial deformities...

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Main Authors: Kerilyn N. Godbe, MD, Jason DeWitt, MD, Ravi K. Garg, MD
Format: Article
Language:English
Published: Wolters Kluwer 2023-09-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005276
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author Kerilyn N. Godbe, MD
Jason DeWitt, MD
Ravi K. Garg, MD
author_facet Kerilyn N. Godbe, MD
Jason DeWitt, MD
Ravi K. Garg, MD
author_sort Kerilyn N. Godbe, MD
collection DOAJ
description Summary:. Individuals with maxillary dentofacial deformities commonly have preexisting nasal airway obstruction with associated nasal septal deviation. Combination bimaxillary procedures with intraoral septoplasty after maxillary downfracture have been demonstrated to address dentofacial deformities and nasal obstruction simultaneously. Although effective, current transoral septoplasty techniques offer limited visualization of the superior septum and are challenging to perform due to septal mobility after Le Fort I downfracture. Here, we describe a novel approach in which a transoral septoplasty is performed before completion of the Le Fort I maxillary downfracture, improving septal stability during the dissection and affording better visualization of the septal L-strut for precise cartilage resection.
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spelling doaj.art-ad02924fc7bb4ff795897e58e3ff7a332023-09-28T07:09:03ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-09-01119e527610.1097/GOX.0000000000005276202309000-00043Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty TechniqueKerilyn N. Godbe, MD0Jason DeWitt, MD1Ravi K. Garg, MD2From the Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kans.From the Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kans.From the Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kans.Summary:. Individuals with maxillary dentofacial deformities commonly have preexisting nasal airway obstruction with associated nasal septal deviation. Combination bimaxillary procedures with intraoral septoplasty after maxillary downfracture have been demonstrated to address dentofacial deformities and nasal obstruction simultaneously. Although effective, current transoral septoplasty techniques offer limited visualization of the superior septum and are challenging to perform due to septal mobility after Le Fort I downfracture. Here, we describe a novel approach in which a transoral septoplasty is performed before completion of the Le Fort I maxillary downfracture, improving septal stability during the dissection and affording better visualization of the septal L-strut for precise cartilage resection.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005276
spellingShingle Kerilyn N. Godbe, MD
Jason DeWitt, MD
Ravi K. Garg, MD
Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
Plastic and Reconstructive Surgery, Global Open
title Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
title_full Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
title_fullStr Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
title_full_unstemmed Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
title_short Transoral Septoplasty before Le Fort I Downfracture: A Novel Functional Rhinoplasty Technique
title_sort transoral septoplasty before le fort i downfracture a novel functional rhinoplasty technique
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005276
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