Articles

Lefort 1 osteotomy

Showkatbakhsh R, Behnia H, Jamilian A, Heydarpour M, Fetrati A. Lefort 1 osteotomy in a beta-thalassemia major patient–a case report. Int J Orthod Milwaukee. 2013 Summer; 24(2):15-8

Abstract

Maxillary setback of patients with protruded maxilla is a complex procedure. This complexity is aggravated when combined with thalassemia. The Aim of this case report was to treat a beta-thalassemia major girl with severe maxillary protrusion. A 16 year-old beta-thalassemia major girl presented with excessive maxilla, incompetent lips and an everted upper lip was referred for treatment. She had her spleen removed at the age of 9 and her blood transfusion was stopped 3 month before referral. After leveling and aligning with 018 standard edgewise system the patient was sent for Lefort 1 osteotomy. Segmental osteotomy was denied due to excessive bleeding in the procedure. The results showed that the thalassemic patient was effectively treated with presurgical orthodontics, Lefort 1 osteotomy followed by post-surgical orthodontics. Very satisfactory esthetic results were obtained in the patient after 4.5 years of active treatment.

Professor Abdolreza Jamilian Orthodontist

About Professor Abdolreza Jamilian Orthodontist

Professor Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

Leave a Reply

Your email address will not be published. Required fields are marked *