Associate Professor Icahn School of Medicine at Mount Sinai Forest Hills, New York
This session focuses on the technical considerations and surgical strategies for achieving precise yaw correction during Le Fort I osteotomies using patient-specific fixation plates. Emphasis will be placed on the importance of screw order sequencing to guide controlled rotational movements of the maxilla during fixation. The session will highlight how deliberate sequencing of screw order can improve alignment, reduce strain on the custom plate interface and enhance overall surgical accuracy. Through a review of technique, clinical rationale and intraoperative application, participants will gain practical insight into how to integrate this method into routine orthognathic workflows. The purpose of the session is to promote a deeper understanding of how mechanical sequencing principles can be applied to maximize the benefits of patient-specific plating systems in three-dimensional surgical planning and execution.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Describe the biomechanical principles that influence yaw correction during Le Fort I osteotomies using patient-specific plates.
Demonstrate the correct screw sequencing technique to guide maxillary rotation and ensure proper fit of custom fixation plates.
Apply screw order strategies to improve precision, stability and surgical outcomes in bimaxillary orthognathic procedures involving patient-specific hardware.