Long-term follow-up of early cleft maxillary distraction / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
;
: 20-2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-173769
ABSTRACT
BACKGROUND:
Most of cleft lip and palate patients have the esthetic and functional problems of midfacial deficiencies due to innate developmental tendency and scar tissues from repeated operations. In these cases, maxillary protraction is required for the harmonious facial esthetics and functional occlusion. CASE PRESENTATION A 7-year old boy had been diagnosed as severe maxillary constriction due to unilateral complete cleft lip and palate. The author tried to correct the secondary deformity by early distraction osteogenesis with the aim of avoiding marked psychological impact from peers of elementary school. From 1999 to 2006, repeated treatments, which consisted of Le Fort I osteotomy and face mask distraction, and complementary maxillary protraction using miniplates were performed including orthodontics. But, final facial profile was not satisfactory, which needs compromising surgery.CONCLUSIONS:
The result of this study suggests that if early distraction treatment is performed before facial skeletal growth is completed, an orthognathic surgery or additional distraction may be needed later. Maxillofacial plastic and reconstructive surgeons should notify this point when they plan early distraction treatment for cleft maxillary deformity.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Orthodontie
/
Ostéotomie
/
Palais
/
Matières plastiques
/
Malformations
/
Études de suivi
/
Bec-de-lièvre
/
Cicatrice
/
Constriction
/
Ostéogenèse par distraction
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Maxillofacial Plastic and Reconstructive Surgery
Année:
2016
Type:
Article
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