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Formerly Journal of Turgut Ozal Medical Center

  • Annals of Medical Research

    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research

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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear Annals of Medical Research Readers

As of the end of March 2021, I have started to work as Chief Editor at Annals of Medical Research. Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 28 years.  Our Journal, which is online as an open access journal with monthly free access, is being scanned in many national and international indexes (ULAKBIM TR Dizin, Turkish Medline, EBSCO, Google Scholar, etc.). I would like to thank the Editors before me who contributed to this level. Our primary goal is to ensure the maintenance of this good state of the journal and to ensure that it is scanned in prestigious international indexes (Pubmed Central, SCI-Expended, etc.). In order to achieve these goals, it depends on the original research articles that can be cited and the articles published in our Journal to be cited sufficiently in other international journals. The contributions of our readers, reviewers and authors in achieving this goal are of great importance.

I hope to announce the news that we have reached our goals as soon as possible.

MD. Prof. Nevzat Erdil


Annals of Medical Research


Changes in maxillary perfusion following Le Fort I osteotomy in orthognathic surgery (p. 638-44)

Changes in maxillary perfusion following Le Fort I osteotomy in orthognathic surgery (p. 638-44)

Bahadir Sancar, Burak Unluturk, Ferhat Musulluoglu
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Inonu University, Malatya, Turkey  
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Le Fort I osteotomy is a surgical procedure that can be used in adaptation of abnormally positioned jaws, skeletal malocclusions, aesthetic operations, treatment of obstructive sleep apnea, access to tumors with intracranial extensions and in other types of skull base surgery. The main problems in Le Fort I osteotomy which is performed using various techniques directed to the maxilla are intraoperative bleeding and impaired blood supply of the osteotomized segment. Results of studies evaluating the perfusion of the maxilla during and after Le Fort I osteotomy were reviewed in the present study.
Vascular events occurring during surgery should be better acknowledged in order to prevent complications such as intraoperative insufficient maxillary perfusion or postoperative bleeding. Maxillary perfusion after maxillary downfracture depends on palatal and posterior buccal soft tissue pedicles. The conclusions from previous extensive studies on maxillary blood supply after downfracture have shown that a properly performed single-segment Le Fort I osteotomy is predictable and safe. However, factors such as multisegmentalization of the maxilla, traction of the pedicle as a result of significant dentoosseous reposition, routine ligation or traction of descending palatine artery, hypotensive anesthesia, transverse laceration in the palatal soft tissues, compression, and pre-existing scar tissue adversely affect the blood flow from these pedicles to the maxillary hard and soft tissues.
As a result, it can be suggested that complications related to intraoperative and postoperative perfusion of maxilla in Le Fort I osteotomy are rare and this surgery is safe.

Key Words: Le Fort I osteotomy; maxilla; perfusion

doi: 10.5455/annalsmedres.2020.03.222 


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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.


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