Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla Report of fve cases
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 3
Abstract
Orthognathic surgery and distraction osteogenesis play a prime role in the correction of maxillary hypoplasia in patients with cleft lip and palate (CLP). Advancement of the anterior maxilla alone without interfering with the velopharyngeal sphincter may be advantageous in cleft patients, who more commonly have speech defcits and dental crowding. We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. A custom-made tooth-borne distraction device with a hyrax screw positioned anteroposteriorly was used. Te evaluation comprised of hard and soft tissue analysis and speech assessment. A stable occlusion with positive overjet and correction of dental-crowding without extraction was achieved at one year post-distraction. Facial profle and lip support improved. Tere was no deterioration in speech.
Authors and Affiliations
Sruthi Rao (Janardhan)| Department of Oral & Maxillofacial Surgery, Rishiraj College of Dental Sciences & Research Centre, Bhopal, India, S. M. Kotrashetti| KLE PK Hospital, KLE University, Belgaum, India, J. B. Lingaraj| KLE PK Hospital, KLE University, Belgaum, India, P. X. Pinto| KLE PK Hospital, KLE University, Belgaum, India, K. M. Keluskar| KLE PK Hospital, KLE University, Belgaum, India, Siddharth Jain| KLE PK Hospital, KLE University, Belgaum, India, Piyush Sone| KLE PK Hospital, KLE University, Belgaum, India, Santhosh Rao| Department of Dentistry, All India Institute of Medical Sciences, Raipur, India
Keywords
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