Clinical controversies in oral and maxillofacial surgery: Part oneTreatment of Maxillary Cleft Palate: Distraction Osteogenesis Versus Orthognathic Surgery—Part One: Maxillary Distraction
Section snippets
Discussion
It is known that 25% to 60% of all patients born with cleft lip and palate will require maxillary advancement to correct the maxillary hypoplasia and improve esthetic facial proportions.2, 7, 26
Maxillary advancement in patients with cleft palate includes maxillary osteotomy and miniplate fixation, along with interpositional bone grafting.4, 5, 6, 7, 8, 27 Newly formed bone can provide good support and thus contribute to stability. Disadvantages of autogenous bone grafting include potential
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Use of a custom plate after large maxillary advancements with internal maxillary distraction: a novel approach
2023, Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyEffects of anterior maxillary distraction compared to LeFort-1 osteotomy and total maxillary distraction osteogenesis for treating hypoplastic maxilla in patients with cleft lip and palate- A systematic review and meta-analysis
2023, Journal of Stomatology, Oral and Maxillofacial SurgeryPostoperative stability following orthognathic surgery and final skeletal morphology in class III patients with cleft lip and palate
2022, Journal of Oral and Maxillofacial Surgery, Medicine, and PathologySkeletal stability in patients with clefts after large maxillary advancements using intraoral distraction
2020, British Journal of Oral and Maxillofacial SurgeryOrthodontic Considerations for Cleft Orthognathic Surgery
2020, Oral and Maxillofacial Surgery Clinics of North AmericaCitation Excerpt :Furthermore, the scarring may also increase the relapse rate associated with maxillary surgical advancement in cleft patients. Rates of relapse in these patients have been reported to occur 5% to 80% of the time.24,25 Therefore, the patient with cleft lip and palate may go through the morbidity associated with orthognathic surgery and still relapse to the prior class III malocclusion.
A retrospective analysis of complications associated with tooth-borne anterior maxillary distraction for managing cleft maxillary hypoplasia: A 12-year experience
2020, Journal of Cranio-Maxillofacial Surgery