Unusual complications of the Le Fort I osteotomy

R Bendor-Samuel, Y R Chen, P K Chen

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72 Citations (Scopus)


In this report we describe three very different and interesting complications of the Le Fort I osteotomy. The first case is of a unilateral third nerve palsy developing as a result of a carotid-cavernous fistula and false aneurysm of the internal carotid artery. The second complication to be reported is total unilateral blindness. The third case is one of total avulsion of a lateral segment of the palate in a patient with a complete bilateral cleft of the primary and secondary palates. All complications were the result of a Le Fort I osteotomy performed for correction of midface hypoplasia secondary to congenital cleft lip and palate. The literature is reviewed, and the pathomechanics of each injury are hypothesized.

Original languageEnglish
Pages (from-to)1289-96; discussion 1297
JournalPlastic and Reconstructive Surgery
Issue number6
Publication statusPublished - Nov 1995
Externally publishedYes


  • Adolescent
  • Adult
  • Blindness/etiology
  • Cleft Lip/surgery
  • Cleft Palate/surgery
  • Facial Paralysis/etiology
  • Humans
  • Male
  • Maxilla/abnormalities
  • Osteotomy/adverse effects
  • Tomography, X-Ray Computed


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