Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report: A case report

Sven Erik Nørholt; Josephine Sköldstam; Johan Blomlöf; Sujeeva Karunahara; Thomas Klit Pedersen

doi:10.1016/j.jcms.2022.02.010

Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report: A case report

Sven Erik Nørholt, Josephine Sköldstam^*, Johan Blomlöf, Sujeeva Karunahara, Thomas Klit Pedersen

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

The aim of this case report is to describe the surgical technique and outcome using internal intraoral distraction devices in LeFort II distraction with zygomatic repositioning (LF2ZR). In Apert syndrome the midface is characterized by a complex hypoplasia, with the central part being more affected than the lateral orbito-zygomatic complex. In LF2ZR, the zygomas are repositioned and internally fixated, and the central midface is further advanced through a LeFort II distraction. In previous publications, the distraction has been performed using external halo-based devices. It seems that the LF2ZR procedure can be planned and performed with adequate accuracy using virtual surgical planning tools. Knowledge about the possibility of using internal intraoral distraction devices in LF2ZR is important, as the inconspicuous placement of intraoral devices can be advantageous for some patients.

Original language	English
Journal	Journal of Cranio-Maxillofacial Surgery
Volume	50
Issue	4
Pages (from-to)	364-370
Number of pages	7
ISSN	1010-5182
DOIs	https://doi.org/10.1016/j.jcms.2022.02.010
Publication status	Published - Apr 2022

Keywords

Apert syndrome
Craniosynostoses
Distraction osteogenesis
LeFort osteotomy

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title = "Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report: A case report",

abstract = "The aim of this case report is to describe the surgical technique and outcome using internal intraoral distraction devices in LeFort II distraction with zygomatic repositioning (LF2ZR). In Apert syndrome the midface is characterized by a complex hypoplasia, with the central part being more affected than the lateral orbito-zygomatic complex. In LF2ZR, the zygomas are repositioned and internally fixated, and the central midface is further advanced through a LeFort II distraction. In previous publications, the distraction has been performed using external halo-based devices. It seems that the LF2ZR procedure can be planned and performed with adequate accuracy using virtual surgical planning tools. Knowledge about the possibility of using internal intraoral distraction devices in LF2ZR is important, as the inconspicuous placement of intraoral devices can be advantageous for some patients.",

keywords = "Apert syndrome, Craniosynostoses, Distraction osteogenesis, LeFort osteotomy",

author = "N{\o}rholt, {Sven Erik} and Josephine Sk{\"o}ldstam and Johan Bloml{\"o}f and Sujeeva Karunahara and Pedersen, {Thomas Klit}",

note = "Publisher Copyright: {\textcopyright} 2022 European Association for Cranio-Maxillo-Facial Surgery",

year = "2022",

month = apr,

doi = "10.1016/j.jcms.2022.02.010",

language = "English",

volume = "50",

pages = "364--370",

journal = "Journal of Cranio-Maxillofacial Surgery",

issn = "1010-5182",

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Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report: A case report. / Nørholt, Sven Erik; Sköldstam, Josephine; Blomlöf, Johan et al.
In: Journal of Cranio-Maxillofacial Surgery, Vol. 50, No. 4, 04.2022, p. 364-370.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report

T2 - A case report

AU - Nørholt, Sven Erik

AU - Sköldstam, Josephine

AU - Blomlöf, Johan

AU - Karunahara, Sujeeva

AU - Pedersen, Thomas Klit

PY - 2022/4

Y1 - 2022/4

N2 - The aim of this case report is to describe the surgical technique and outcome using internal intraoral distraction devices in LeFort II distraction with zygomatic repositioning (LF2ZR). In Apert syndrome the midface is characterized by a complex hypoplasia, with the central part being more affected than the lateral orbito-zygomatic complex. In LF2ZR, the zygomas are repositioned and internally fixated, and the central midface is further advanced through a LeFort II distraction. In previous publications, the distraction has been performed using external halo-based devices. It seems that the LF2ZR procedure can be planned and performed with adequate accuracy using virtual surgical planning tools. Knowledge about the possibility of using internal intraoral distraction devices in LF2ZR is important, as the inconspicuous placement of intraoral devices can be advantageous for some patients.

AB - The aim of this case report is to describe the surgical technique and outcome using internal intraoral distraction devices in LeFort II distraction with zygomatic repositioning (LF2ZR). In Apert syndrome the midface is characterized by a complex hypoplasia, with the central part being more affected than the lateral orbito-zygomatic complex. In LF2ZR, the zygomas are repositioned and internally fixated, and the central midface is further advanced through a LeFort II distraction. In previous publications, the distraction has been performed using external halo-based devices. It seems that the LF2ZR procedure can be planned and performed with adequate accuracy using virtual surgical planning tools. Knowledge about the possibility of using internal intraoral distraction devices in LF2ZR is important, as the inconspicuous placement of intraoral devices can be advantageous for some patients.

KW - Apert syndrome

KW - Craniosynostoses

KW - Distraction osteogenesis

KW - LeFort osteotomy

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U2 - 10.1016/j.jcms.2022.02.010

DO - 10.1016/j.jcms.2022.02.010

M3 - Journal article

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AN - SCOPUS:85127357409

SN - 1010-5182

VL - 50

SP - 364

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JO - Journal of Cranio-Maxillofacial Surgery

JF - Journal of Cranio-Maxillofacial Surgery

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Zygomatic repositioning and Le Fort II distraction with intraoral devices in Apert syndrome: A case report: A case report

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Keywords

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