Orthgonathic Maxillary Procedures

Question 1

Name the 5 Maxillary Procedures

Answer 1

1. Segmental
2. Le Fort I
3. Le Fort II
4. Le Fort III
5. SARPE - surgical assisted rapid palate expansion

Question 2

Maxillary Segmental Procedures. What is it and what does it correct?

Answer 2

• Upper 3-3
• Reduces Increased OJ
• Reduces increased OB

Question 3

Risk associated with a Maxillary Segmental Procedure?

Answer 3

• Tooth damage
• Reduction of blood supply
• Damage to Inferior Orbital Nerve

Question 4

What area is the Le Fort I procedure?

Answer 4

• Horseshoe incision
•Incision of buccal mucosa and bone
• Maxilla freed and palatal vessels and soft tissues attached to

Question 5

What is the aim of Le Fort I?

Answer 5

• Correct an increased bite ⬆️
• Correct an AOB⬇️
• Maxilla Retrognathia ➡️ Bone graft
• Maxilla Prognathia ⬅️ Bone removed

Question 6

What area covers Le Fort II?

Answer 6

Nasal bone and Zygomatic process

Question 7

What does Le Fort II allow?

Answer 7

Mid Face Development
CLP

Question 8

What is Le Fort III used for?

Answer 8

Craniofacial Anomalies
CLP

Question 9

What is SARPE

Answer 9

Surgical Assisted Rapid Palatal Expansion

Question 10

What problems does SARPE address?

Answer 10

Transverse

Question 11

What does SARPE achieve?

Answer 11

• Maxilla Expansion
• Mid Palatine suture split and then RME placed

Question 12

How long is the RME left in for retention?

Answer 12

3/12 for bony infill