Vertical and anteroposterior maxillary deficiency requiring Le Fort I osteotomy.. Maxillary hypoplasia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18–40 years Vertical and anteroposterior midface deficiency requiring Le Fort I osteotomy Planned maxillary repositioning = 6 mm without need for bone graft Candidate for VSP-assisted surgery Ability to undergo CBCT imaging ASA I-II Health status Ability to provide written informed consent
Exclusion criteria
Exclusion criteria: Need for maxillary advancement > 6 mm or requirement for bone graft Syndromic craniofacial anomalies History of cleft lip and/or palate Previous orthognathic surgery Systemic disease classified as ASA III or higher Pregnancy or breast feeding Inability to obtain required CBCT imaging
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of maxillary repositioning measured as the linear difference between the preoperative virtual surgical planning plan and the postoperative skeletal position in anterior and vertical dimensions. Timepoint: Three months after surgery. Method of measurement: Linear measurements in millimeters comparing the preoperative virtual surgical planning model with the postoperative cone beam computed tomography image in anterior and vertical dimensions. | — |
Secondary
| Measure | Time frame |
|---|---|
| Linear measurement of bone contact at maxillary buttresses after Le Fort I osteotomy, recorded in millimeters on postoperative CBCT. Timepoint: Three months after surgery. Method of measurement: Linear bone contact is measured on postoperative cone-beam computed tomography using a standardized imaging protocol. | — |
Countries
Iran (Islamic Republic of)
Contacts
Islamic Azad University, Tehran Dental School – Department of Oral and Maxillofacial Surgery