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Cleft Le Fort I Osteotomy: A Video Presentation

Moores, Craig MD; DeSesa, Christopher DMD; Steinbacher, Derek MD, DMD

Journal of Craniofacial Surgery: March 2016 - Volume 27 - Issue 2 - p e112–e113
doi: 10.1097/SCS.0000000000002100
Brief Clinical Studies

In this video, we present a single piece Le Fort I osteotomy with bone graft in a patient with a unilateral cleft lip and palate. Maxillary osteotomies in the cleft patient can be challenging because of the presence of scar, palatal or alveolar fistulae, compromised teeth, and vascularization of the segments. The video demonstrates our current approach and technique. The authors particularly want to highlight aspects of the approach, such as the incision, exposure, osteotomies, mobilization, splints, and plating. The associated manuscript discusses the depicted video as well as the blood supply to the maxilla, and postoperative patient care.

Supplemental Digital Content is available in the text

Yale New Haven Hospital, Yale University, New Haven, CT.

Address correspondence and reprint requests to Derek Steinbacher, MD, DMD, Yale University, New Haven, CT; E-mail:;

Received 29 April, 2015

Accepted 18 July, 2015

The authors report no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (

© 2016 by Mutaz B. Habal, MD.