title: Cleft-orthognathic surgery.
abstract: For the cleft patient presenting in adolescence with a jaw discrepancy and malocclusion, misinformation and limited available surgical and dental expertise often prevents a favorable facial reconstruction and dental rehabilitation. A major advantage of the modified Le Fort I osteotomy is its ability to simultaneously close cleft dental gap(s), resolve oronasal fistulas, manage skeletal defects, stabilize dentoalveolar segments, and correct jaw deformities. When a thoughtful staging of reconstruction is undertaken, individuals born with cleft lip and palate can reach adolescence after undergoing only a limited number of operations and interventions, without negative attention being drawn to their original malformation.
authors.affiliation: Posnick Center for Facial Plastic Surgery, Chevy Chase, MD, USA. jposnick@drposnick.com
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Posnick
authors.forename: Pat
authors.initials: P
authors.lastname: Ricalde
mesh_terms: D000293:Adolescent; D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome