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 deficits 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. The 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 profile and lip support improved. There was no deterioration in speech.
Publication Date
6-25-2013
First Page
447
Last Page
452
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
(Janardhan), Sruthi Rao; Kotrashetti, S. M.; Lingaraj, J. B.; Pinto, P. X.; Keluskar, K. M.; Jain, Siddharth; Sone, Piyush; and Rao, Santhosh
(2013)
"Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla : Report of five cases,"
Sultan Qaboos University Medical Journal: Vol. 13: 447-452.
DOI: https://doi.org/10.18295/2075-0528.1503
