Surgical intervention demonstrates midface correction in an adult, suggesting effective treatment for facial deformities.
An adult patient’s posttraumatic tall, retruded midface was concomitantly shortened and advanced by combining Le Fort III/I osteotomy with maxillary impaction through excision of a horizontal subnasal bone sector. Exophthalmos, nasal shortage, malocclusion, and gummy smile were corrected; however, complications included asymmetric palpebral breaches. • Le Fort III/I can not only advance but also shorten the midface. • Doubling lower cut of Le Fort III/I permits reduction of tall faces. • Le Fort III osteotomy may risk resulting in asymmetric palpebral slits. • Neglected Le Fort III fracture may retain midface in undesirable retro-position.
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Ahmed A. El Danaf (2026) studied this question.
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