Minimally Invasive Surgery of the Maxilla

The classical and most frequent maxillary osteotomy is the Le Fort I technique. Years ago, we designed and published a minimally invasive Le Fort I osteotomy allowing mobilization of the maxilla, adopting a reduced approach and a special maneuver to provoke pterygomaxillary disjunction. Later, we designed an ancillary procedure to facilitate the technique through a transmucosal pterygomaxillary osteotomy using a piezoelectric saw. In our experience, this technique has proved useful for any type of clinical scenario, irrespective of the direction and amount of maxillary repositioning.