title: [Correction of dento-maxillofacial deformities following cleft lip and palate repair with orthognathic surgery and orthodontics].
abstract: OBJECTIVE
  To restore good occlusion and face profile, the orthognathic operation and orthodontics were used to correct the dento-maxillofacial deformities following the repair of cleft lip and palate.
  
  
  METHODS
  21 patients (7 males and 14 females, mean age of 20.6 years) were included in this study. Their dento-maxillofacial deformities following the repair of cleft lip and palate have been corrected in our hospital since 1996. Of them, 17 patients received pre- and postoperative orthodontic treatments. 21 cases underwent the following surgical procedures: Le Fort I osteotomy in 7 cases, multisegmental Le Fort I osteotomy in 5 cases, Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) in 4 cases, Le Fort I osteotomy and mandibular body osteotomy in 2 cases, BSSRO and genioplasty in 2 cases, BSSRO in 1 case. Rigid internal fixation was used in all patients. After multisegmental Le Fort I osteotomy, the rigid fixed palatine splint was used for 6 approximately 8 weeks.
  
  
  RESULTS
  Osteotomy segments healed well in all cases without severe complications. 14 patients were followed-up for an average of 25.6 months. There was no evident relapse. 12 patients who received pre- and postoperative orthodontic treatments had satisfactory occlusion and face profile.
  
  
  CONCLUSIONS
  Orthognathic operation combined with orthodontics can be used satisfactorily to correct the dento-maxillofacial deformities following cleft lip and palate repair.
authors.affiliation: Center of Orthognathic, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
authors.forename: Xiao-ping
authors.initials: XP
authors.lastname: Yang
authors.forename: Rong-sheng
authors.initials: RS
authors.lastname: Zeng
authors.forename: Yi-yang
authors.initials: YY
authors.lastname: Chen
authors.forename: Jian-ning
authors.initials: JN
authors.lastname: Wang
authors.forename: Yu-xiong
authors.initials: YX
authors.lastname: Su
authors.forename: Gui-qing
authors.initials: GQ
authors.lastname: Liao
mesh_terms: D000293:Adolescent; D000328:Adult; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019767:Maxillofacial Abnormalities / Q000209:etiology* / Q000601:surgery*; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010027:Osteotomy; D011183:Postoperative Complications / Q000601:surgery*; D055815:Young Adult