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The downfracture access to septoand turbinoplasty during maxillary osteotomy may be recommended in many cases. One or both of these laryngological interventions may be necessary when, after the patient's clinical evaluation, either an impaired function of nasal breathing or a deviated septum are present. The main postsurgical risk of the procedure is the destabilization of the cartilaginous septum position and its relation to adjacent anatomical structures, a change in the shape of the nose and the presence of a supratip break.

advances in clinical and experimental medicine

Technical aspects of nasal cavity surgery through the Le Fort I down-fracture approach: An otolaryngologist’s point of view based on 90 patients’ experience