title: Management of the prominent premaxilla in bilateral cleft lip and palate.
abstract: OBJECTIVE
  This study was designed to present our philosophy in managing the prominent premaxilla in patients with bilateral cleft lip and palate. Indications, contraindications, and the pre- and postoperative orthodontic role are defined.
  
  
  METHODS
  Tertiary care, cleft palate and craniofacial center-academic institution.
  
  
  METHODS
  Under review were four cases of bilateral cleft lip and palate presenting with prominent premaxilla and operated on by a single surgeon between 1996 and 2004.
  
  
  CONCLUSIONS
  With appropriate patient selection, bilateral alveolar bone grafting with premaxillary repositioning is a safe procedure and can produce good aesthetic and functional results.
authors.affiliation: Division of Plastic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Hisham
authors.initials: H
authors.lastname: Aburezq
authors.forename: John
authors.initials: J
authors.lastname: Daskalogiannakis
authors.forename: Christopher
authors.initials: C
authors.lastname: Forrest
mesh_terms: D000539:Alveolar Process / Q000002:abnormalities; D000543:Alveoloplasty; D016025:Bone Transplantation; D002648:Child; D002971:Cleft Lip / Q000601:surgery / Q000628:therapy*; D002972:Cleft Palate / Q000601:surgery / Q000628:therapy*; D000075202:Contraindications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery; D009967:Orthodontic Appliances; D009969:Orthodontic Wires; D009971:Orthodontics, Corrective; D010027:Osteotomy / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps