title: Long-term results of segmental repositioning of the maxilla in cleft palate patients without previously grafted alveolo-palatal clefts.
abstract: Eleven patients (9 UCLP, 2 BCLP) were treated with segmental osteotomies with or without osteotomies at the Le Fort I level and simultaneous bone grafting of the alveolo-palatal clefts at adult age. These patients were clinically and radiographically evaluated after a mean follow-up period of 59 months (range 39-110 months). One patient showed complete dentoalveolar relapse, whereas the skeletal stability after miniplate fixation proved to be adequate in all cases. Only one patient presented with a persisting oro-nasal fistula. In six cases, the alar base asymmetry had improved to such an extent that further nasal corrections were not necessary. The procedure described is a reliable technique to graft the alveolo-palatal cleft and reposition the dentoalveolar segments simultaneously in those adult cleft palate patients who had no previous alveolar bone grafting.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Erbe
authors.forename: P J
authors.initials: PJ
authors.lastname: Stoelinga
authors.forename: R J
authors.initials: RJ
authors.lastname: Leenen
mesh_terms: D000293:Adolescent; D000328:Adult; D000543:Alveoloplasty; D001860:Bone Plates; D016025:Bone Transplantation; D002508:Cephalometry; D002972:Cleft Palate / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008437:Maxilla / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009059:Mouth Diseases / Q000209:etiology; D009666:Nose / Q000601:surgery; D009668:Nose Diseases / Q000209:etiology; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications; D011859:Radiography; D012008:Recurrence; D015203:Reproducibility of Results