Le Fort I Down-Fracture for Management of Midface Tumors

J Craniofac Surg. 2020 Sep;31(6):e608-e612. doi: 10.1097/SCS.0000000000006705.

Abstract

Objective: To perform an integrative review associating current literature with a clinical series regarding the use of Le Fort I osteotomy for the removal of tumors located in the midface and central region of the skull base.

Methods: A systematic review was performed through the PubMed, SCOPUS, and Cochrane databases. In addition, 4 different patients operated using the above-cited technique are described in this study.

Results: Initially, 123 articles were found. After the removal of duplicates, and title and abstract reading, 27 articles were selected for data extraction. The Le Fort I surgical approach of tumors was performed in 183 patients.

Conclusion: The Le Fort I surgical approach allows lesion exeresis with good visualization, low rates of recurrences and complications, and without aesthetic compromises for the patient.

Publication types

  • Systematic Review

MeSH terms

  • Facial Bones / surgery*
  • Humans
  • Osteotomy, Le Fort* / methods
  • Skull Base
  • Skull Fractures / etiology
  • Skull Fractures / surgery*
  • Skull Neoplasms / complications
  • Skull Neoplasms / surgery*