title: Premaxillary osteotomy fixation in bilateral cleft lip/palate: Introducing a new technique.
abstract: OBJECTIVE
  In bilateral cleft lip/palate patients, sometimes the premaxilla is severely protruded and twisted. In such situations premaxillary osteotomy is beneficial. In this article a new technique for fixation of premaxilla after osteotomy is presented.
  
  
  METHODS
  The lip-split approach and premaxillary osteotomy and ostectomy from bony nasal septum were carried out. Fixation of osteotomized premaxilla was achieved with low profile miniplate or microplate. Bone grafting of that side was performed during the same session.
  
  
  RESULTS
  This procedure was performed in three patients, with good labial repair after the lip split. The bone graft was successful in all the three cases and there were no complication for premaxillary osteotomy in this series.
  
  
  CONCLUSIONS
  In protruding premaxilla, osteotomy and fixation of premaxilla with miniplate to the vomer bone during alveolar bone grafting through a lip-split approach yielded satisfactory results in patients requiring secondary functional cheilorhinoplasty.
authors.affiliation: Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran.
authors.forename: Amin
authors.initials: A
authors.lastname: Rahpeyma
authors.affiliation: Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran. Electronic address: khajehahmadis@mums.ac.ir.
authors.forename: Saeedeh
authors.initials: S
authors.lastname: Khajehahmadi
authors.affiliation: Oral and Maxillofacial Diseases Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Ghasemi
mesh_terms: D064728:Alveolar Bone Grafting / Q000379:methods*; D001860:Bone Plates; D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery*; D063166:Maxillary Osteotomy / Q000379:methods*; D009300:Nasal Septum / Q000601:surgery; D010160:Palate, Soft / Q000002:abnormalities* / Q000601:surgery; D055815:Young Adult
keywords: Stabilization of premaxilla; alveolar cleft bone grafting; internal fixation; premaxillary osteotomy