Seesaw Modification of the Lateral Orbital Wall in Le Fort III Osteotomy

2004 ◽  
Vol 41 (6) ◽  
pp. 579-583 ◽  
Author(s):  
M. Emin Mavili ◽  
Gökhan Tunçbilek

Objective The traditional treatment for patients with syndromic craniosynostosis and midfacial retrusion has consisted of Le Fort III osteotomy and advancement. Distraction with rigid external systems allows advancement of the midface segment much more than the conventional methods. This excessive advancement resulted in the superiormost margin of the advancement segment becoming prominent. It can be felt easily with palpation and may influence the appearance of the patient negatively. This article presents a procedure osteotomy designed to modify the osteotomy lines at the lateral orbital rims and smooth the step deformity at the lateral canthal region. Results The seesaw osteotomy produced a smooth contour at the lateral orbital rim. Planned advancement was achieved without difficulty and without adverse long-term effects.

2012 ◽  
Vol 40 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Erik Nout ◽  
Jine S. van Bezooijen ◽  
Maarten J. Koudstaal ◽  
Jifke F. Veenland ◽  
Wim C.J. Hop ◽  
...  

2012 ◽  
Vol 65 (4) ◽  
pp. 464-472 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Fabiana Allevia ◽  
Fabio Mazzoleni ◽  
Luca Ferrari ◽  
Mario Pagnoni ◽  
...  

2019 ◽  
Vol 27 (2) ◽  
pp. 125-129
Author(s):  
Adam J. Mosa ◽  
Elizabeth Zellner ◽  
Emily S. Ho ◽  
Mark D. Fisher ◽  
John H. Phillips ◽  
...  

Purpose: In syndromic craniosynostosis, the Le Fort III osteotomy is used to correct dental/skeletal imbalance, improve exorbitism, and increase the airway. The purpose of this study is to perform a cost comparison between the standard technique of single-stage rigid internal fixation and distraction osteogenesis (DO) in the Le Fort III osteotomy in this patient population. Method: Hospital cost accounting databases were queried for patients undergoing single-stage advancement (SS) or DO from 2007 to 2016. Nominal cost data were adjusted using the Bank of Canada Consumer Price Index. Reported costs represented the full length of stay for all utilization per patient. Demographic information and cost data for single-stage osteotomy and DO were compared. Results: Total costs for single-stage (n = 8) were higher than distraction (n = 6; mean $CAD57 825 vs $38 268, P < .05). Intensive care unit (ICU) costs for single-stage were significantly higher than distraction (mean, $17 746 vs $5585, P < .005). Distraction cases had higher operating room (OR) costs than single stage, but the difference was not significant (mean, $12 540 vs $9696). Length of stay was significantly longer for SS patients (mean, 11 days vs 7 days, P < .05). Conclusions: This single-institution retrospective cost analysis indicates standard SS rigid internal fixation Le Fort III is more costly than DO. Despite higher OR costs, prolonged ICU and hospital stay was the primary reason behind this difference. This information may be of benefit when advocating for new technology perceived as high cost.


2017 ◽  
Vol 28 (5) ◽  
pp. 1344-1349 ◽  
Author(s):  
Ching-Hsuan Hu ◽  
Chieh-Tsai Wu ◽  
Ellen Wen-Ching Ko ◽  
Philip Kuo-Ting Chen

Author(s):  
I. Garcia Recuero ◽  
A.I. Romance ◽  
A. Rivero ◽  
M. Redondo ◽  
P. Hinojosa ◽  
...  

2021 ◽  
Author(s):  
Qingbo Zhao ◽  
Huiming Liu ◽  
Qamar Raza Qadri ◽  
Qishan Wang ◽  
Yuchun Pan ◽  
...  

Abstract Background China has rich and vast genetic resources of indigenous pig breeds. Currently, great attention is paid to either crossbreeding or conservation of these indigenous pig breeds, and insufficient attention is paid to the combination of conservation and breeding along with their long-term effects on genetic diversity. The genetic diversity of livestock is essential to increase productivity and respond to future challenges such as climate change. The genetic stability and product consistency of these indigenous pig breeds should be focused on and further improved. Therefore, the objective of this study is to compare the long-term effects of using conventional conservation and optimal contribution selection methods on genetic gain and genetic diversity. Results A total of 11 different methods including conventional conservation and optimal contribution selection methods were investigated using stochastic simulations with a population size of 600 animals in each generation. Each scenario was run for 20 generations and 100 replicates. The long-term effects of using these methods were evaluated in terms of rate of genetic gain, rate of true inbreeding based on genome-wide identity-by-descient (IBD) markers and various genetic diversity metrices such as expected heterozygosity (He). The results indicated that the rates of true inbreeding in these conventional conservation methods were maintained at around 0.01. The optimal contribution selection methods based either on the pedigree (POCS) or genome (GOCS) information showed more genetic gain than conventional methods, and POCS achieved the largest gentic gain. Furthermore, the effect of using GOCS methods on most of the genetic diversity metrics was slightly better than the conventional conservation methods when the the rate of true inbreeding was the same, but this also required more sires used in OCS methods. According to the rate of true inbreeding, there was no significant difference among these conventional methods. Conclusion In conclusion, there is no significant difference in different ways of selecting sows on inbreeding when we use different conventional conservation methods. Compared with conventional methods, POCS method could achieve the most genetic gain. However, GOCS methods can not only achieve higher genetic gain, but also maintain a relatively high level of genetic diversity. Therefore, GOCS is a better choice if we want to combine conservation and breeding in actual production in the Chinese national-level conservation farms.


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