Modified Approach to Segmental Maxillary Surgery: Midline Osteotomy and Parasagittal Soft Tissue Incisions

Charles H Henry; Pushkar Mehra; Larry M Wolford

doi:10.1016/j.joms.2024.12.005

Modified Approach to Segmental Maxillary Surgery: Midline Osteotomy and Parasagittal Soft Tissue Incisions

J Oral Maxillofac Surg. 2024 Dec 17:S0278-2391(24)01001-2. doi: 10.1016/j.joms.2024.12.005. Online ahead of print.

Authors

Charles H Henry¹, Pushkar Mehra², Larry M Wolford³

Affiliations

¹ In Private Practice of Oral and Maxillofacial Surgery, Keene, NH.
² Professor and Chair, Department of Oral & Maxillofacial Surgery, Boston University School of Dental Medicine and Boston Medical Center, Boston, MA. Electronic address: pmehra@bu.edu.
³ Clinical Professor Department of Oral and Maxillofacial Surgery and Orthodontics, Texas A&M University College of Dentistry, Dallas, TX; Private Practice Baylor University Medical Center, Dallas, TX.

PMID: 39746659
DOI: 10.1016/j.joms.2024.12.005

Abstract

Traditional surgical techniques for segmental maxillary surgery include a combination of interdental osteotomies with paramidline bony cuts while keeping the palatal soft tissue intact. Besides surgical complexity, segmental maxillary procedures have been associated with higher incidence of relapse and complications. We present our experience with specific hard- and soft-tissue modifications (midline bony osteotomy and reflection of palatal soft tissue with carefully designed incisions) which will allow surgeons to perform larger expansions with a low incidence of complications and decreased relapse.