17/06/2026
LE FORT I + II + III: RECONSTRUCTING THE ENTIRE MIDFACE
This patient had undergone preoperative orthodontic treatment in preparation for corrective jaw surgery for skeletal Class III malocclusion. However, clinical examination and 3D analysis revealed that the problem was not limited to the tooth-bearing maxilla (Le Fort I segment) and the mandible.
The entire midface, including the zygomas, infraorbital rims, and nasal bone, was underdeveloped and positioned posteriorly. If conventional orthognathic surgery had been performed using a standard Le Fort I advancement combined with mandibular setback (BSSO), the occlusion could have been corrected, but the aesthetic outcome would likely have been suboptimal and might even have accentuated the midface deficiency.
In addition, the central facial unit (the nasomaxillary complex) was also retruded relative to the zygomatic prominences, contributing to the overall facial disharmony.
After comprehensive evaluation, the treatment plan involved independent mobilization and advancement of three distinct anatomical units of the midface:
โข Nasomaxillary complex (Le Fort II)
โข Bilateral zygomatic complexes (Le Fort III)
โข Tooth-bearing maxilla (Le Fort I)
Each segment was advanced by a different amount to restore a more appropriate skeletal relationship and achieve balanced facial proportions. Simultaneously, mandibular setback surgery and genioplasty were performed to optimize the overall facial profile and skeletal harmony.
The current outcome demonstrates significant improvement in midfacial projection, enhanced facial balance, and a stable, well-interdigitated occlusion. Most importantly, the patient has recovered well and is now able to confidently enjoy one of the most memorable milestones of her youth โ her graduation photographs.
๐๐ข๐ ๐ข๐ญ๐๐ฅ ๐๐ฉ๐ฉ๐ซ๐จ๐๐๐ก ๐ข๐ง ๐๐ซ๐ญ๐ก๐จ๐ ๐ง๐๐ญ๐ก๐ข๐ ๐๐ง๐ ๐๐๐ฑ๐ข๐ฅ๐ฅ๐จ๐๐๐๐ข๐๐ฅ ๐๐ซ๐๐ฎ๐ฆ๐
When: 11-12th/December/2026
Where: Hanoi, Vietnam.
Who Speaks: D**g Ngoc Quang, DDS, PhD.
The registration link: https://vdstrust.com/digital-applications-for-orthognathicsurgery-2/