Patient with Crouzon Syndrome Treated with Modified Le Fort III Osteotomy without Previous Orthodontic Treatment: Case Report and a Review of the Literature

Figure 4

(a) The supraorbital nerve was released by a fissure bur and an osteotome and preserved above the eye globe afterward. (b) The vertical osteotomy line was initiated midway in this area and continued up to the lowest limit of the zygomatic buttress. (c) The osteotomy line which was extended vertically from the infraorbital rim from the relative site of orbital floor osteotomy termination up to the nasal cavity lower rim level and pyriform aperture. (d) The maxillary teeth were fixed in an edge-to-edge position with the mandibular teeth by IMF screws. (e) Amount of gap in the pyriform aperture area after disimpaction and advancement. (f) Rigid fixation was carried out in lateral orbital rim and zygomatic buttress areas by titanium microplates.

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