Fort III Midface Advancement
A Le Fort III osteotomy separates the skeleton of
the face from the skeleton of the skull. This separation also sometimes
occurs during high impact trauma such as motor vehicle accidents
and we fix about 10 such cases a year.
A hypoplastic midface as seen in many craniofacial syndromes may
lead to an obstructed upper airway, poor eye globe coverage, poor
dental occlusion and poor facial aesthetics.
The girl shown below has Apert syndrome and severe obstructive
sleep apnoea. Using a RED device, the midface has been advanced
forward 22mm significantly improving her function and appearance
Before Le Fort
After Le Fort III