Management of the prominent premaxilla in bilateral cleft lip and palate.
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.
Aburezq
Hisham
H
Division of Plastic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Daskalogiannakis
John
J
Forrest
Christopher
C
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