Le 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 III advancement	After Le Fort III advancement

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