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Subcranial Le Fort III Advancement with Equine-Derived Bone Grafts to Correct Syndromic Midfacial Hypoplasia: A Case Report

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Abstract

Patients with hypoplasia of the midface normally present a flattening of their facial profile due to insufficient development of the nose and maxilla. Treatment aimed to restore function and an aesthetic appearance calls for a Le Fort III osteotomy and the advancement of the midfacial segment either through distraction or interposition of autogenous bone blocks. However, drawbacks in using autogenous bone suggest that use of alternative graft material may be advisable. The present report describes a Le Fort III advancement using two enzyme-treated equine cancellous bone blocks to correct syndromic midfacial hypoplasia in a 22-year-old patient. A 12-mm surgical advancement was achieved, improving the patient’s facial profile. At the 28-month follow-up, the midface advanced position was stable. Equine bone blocks could be a valid alternative to autogenous bone in Le Fort III midface advancement.

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Funding

This case report has not been financially supported by any person or institute.

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Authors and Affiliations

  1. Maxillo-Facial Surgery Department, E.O. Ospedali Galliera, Via Mura delle Cappuccine 14, 16128, Genoa, Italy

    Beniamino Mattioli, Paolo Iacoviello & Giuseppe Verrina

  2. Private Practitioner, Corso A. Podestà 6/4, 16128, Genoa, Italy

    Carola Aldiano

  3. Via Belvedere 3 A, 16011, Arenzano, Genoa, Italy

    Paolo Iacoviello

Authors
  1. Beniamino Mattioli
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  2. Paolo Iacoviello
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  3. Carola Aldiano
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  4. Giuseppe Verrina
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Corresponding author

Correspondence to Paolo Iacoviello.

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Conflict of interest

Mattioli B, Iacoviello P, Aldiano C and Verrina G declare that they have no conflict of interest.

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Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

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Mattioli, B., Iacoviello, P., Aldiano, C. et al. Subcranial Le Fort III Advancement with Equine-Derived Bone Grafts to Correct Syndromic Midfacial Hypoplasia: A Case Report. J. Maxillofac. Oral Surg. 17, 296–300 (2018). https://doi.org/10.1007/s12663-017-1058-z

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  • DOI: https://doi.org/10.1007/s12663-017-1058-z

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