title: Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases.
abstract: Orthognathic surgery and distraction osteogenesis play a prime role in the correction of maxillary hypoplasia in patients with cleft lip and palate (CLP). Advancement of the anterior maxilla alone without interfering with the velopharyngeal sphincter may be advantageous in cleft patients, who more commonly have speech deficits and dental crowding. We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. A custom-made tooth-borne distraction device with a hyrax screw positioned anteroposteriorly was used. The evaluation comprised of hard and soft tissue analysis and speech assessment. A stable occlusion with positive overjet and correction of dental-crowding without extraction was achieved at one year post-distraction. Facial profile and lip support improved. There was no deterioration in speech.
authors: Department of Oral & Maxillofacial Surgery, Rishiraj College of Dental Sciences & Research Centre, Bhopal, India;
authors: Sruthi
authors: S
authors: Rao Janardhan
authors: S M
authors: SM
authors: Kotrashetti
authors: J B
authors: JB
authors: Lingaraj
authors: P X
authors: PX
authors: Pinto
authors: K M
authors: KM
authors: Keluskar
authors: Siddharth
authors: S
authors: Jain
authors: Piyush
authors: P
authors: Sone
authors: Santhosh
authors: S
authors: Rao
keywords: Case Reports; Cleft palate; Distraction Osteogenesis; India; Maxillary Osteotomy; Orthognathic Surgeries
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