Name of the Procedure:

Reconstruction midface, LeFort I; single piece, segment movement in any direction (e.g., for Long Face Syndrome), without bone graft

Summary

This surgical procedure involves repositioning the upper jaw (maxilla) to correct facial and dental issues. It is done without the use of a bone graft and is typically used to treat conditions such as Long Face Syndrome.

Purpose

The procedure aims to correct facial aesthetics and improve dental function. It helps address issues of an elongated face, misalignment of the jaw, and bite problems.

Indications

• Long Face Syndrome
• Severe malocclusion (misaligned bite)
• Facial asymmetry
• Speech difficulties related to jaw position
• Difficulty chewing or biting

Preparation

• Fasting for 8-12 hours before surgery if general anesthesia is used.
• Adjustments to medications as advised by your surgeon.
• Preoperative imaging studies (e.g., X-rays, CT scans) to plan the surgery.

Procedure Description

1. Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free.
2. Incision: The surgeon makes an incision inside the mouth to access the bones of the upper jaw.
3. Repositioning: The maxilla is carefully separated and moved to the desired position. Movement can be in any direction necessary to achieve the correct alignment.
4. Fixation: Plates and screws are used to secure the bone in its new position.
5. Closure: The incisions are closed with sutures that will either dissolve or be removed later.

Duration

The procedure typically takes between 2 to 4 hours.

Setting

This surgery is usually performed in a hospital or a surgical center.

Personnel

• Orthognathic Surgeon
• Anesthesiologist
• Nursing staff
• Surgical assistants

Risks and Complications

• Infection
• Bleeding
• Nerve injury, resulting in numbness
• Difficulty in healing or improper bone fusion
• Postoperative pain and swelling
• Sinus issues

Benefits

• Improved facial aesthetics and symmetry
• Enhanced dental function and bite alignment
• Better chewing and speaking abilities
• Increased self-confidence with improved appearance

Recovery

• Hospital stay for 1-2 days for observation.
• Swelling and bruising around the face, which typically subsides within a few weeks.
• Soft or liquid diet for several weeks.
• Follow-up appointments for monitoring and suture removal.
• Avoid strenuous activities for 4-6 weeks.
• Full recovery expected in 6-12 weeks.

Alternatives

• Orthodontic treatment alone, though it may not be sufficient for severe cases.
• Use of bone grafting techniques for more complex or extensive reconstruction.
• Non-surgical cosmetic treatments, though they may not address functional issues.
• Each alternative has its own risks, benefits, and limitations.

Patient Experience

• Under general anesthesia, you will be asleep and feel no pain during the surgery.
• Postoperative discomfort managed with pain medication.
• Temporary changes in facial sensation that typically improve over time.
• Follow-up care includes regular monitoring and adherence to dietary restrictions to facilitate healing.