Brainstem infarct after Le Fort I osteotomy: A morbid complication

With the evolution of advanced surgical skills, the Le Fort I osteotomy is commonly used to correct maxillofacial deformities, and the complications are well described, the most serious and life-threatening of which involve operative injury to the nerves and vital blood vessels.1–3 Iatrogenic injury to blood vessels may lead to massive blood loss and result in ischaemia of vital structures of the brain. We would like to report a brainstem stroke, a rare, unpreventable complication encountered during such a procedure.

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