Le Fort I osteotomy is often needed in bilateral cleft patients. The usual approach to the maxillae may compromise the premaxillary vascularisation. We present a subperiosteal exposure preserving two paramedian vascular pedicles that respect premaxillary blood-supply.
Keywords: Bilateral cleft palate; Fente bilatérale; Le Fort I osteotomy; Ostéotomie de Le Fort I; Technique.
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