The 2-piece Le Fort I osteotomy for cranial base access: An evaluation of 9 patients

Sidney B. Eisig, Joseph Feghali, Craig Hall, James T. Goodrich

Research output: Contribution to journalArticle

15 Scopus citations


Purpose: This article discusses the use of the 2-piece Le Fort I osteotomy to gain access to the cranial base and the authors' experiences with this technique. Methods: Medical records of patients who required surgical access to the cranial base were retrospectively reviewed, and demographic data, procedures done, postoperative results, and complications were recorded. Results: Nine patients underwent a 2-piece Le Fort I osteotomy. Complications included development of a pseudoaneurysm of the internal carotid artery, in 1 patient, 2 cerebrospinal fluid leaks, both of which resolved, and 1 patient who lost 2 teeth and some associated bone. Conclusion: The 2-piece Le Fort I osteotomy provides excellent access to the clival region of the cranial base with minimal complications. (C) 2000 American Association of Oral and Maxillofacial Surgeons.

Original languageEnglish (US)
Pages (from-to)482-486
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Issue number5
Publication statusPublished - May 2000


ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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