Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla : Report of five cases

Sruthi Rao (Janardhan), S. M. Kotrashetti, J. B. Lingaraj, P. X. Pinto, K. M. Keluskar, Siddharth Jain, Piyush Sone, Santhosh Rao

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.


Keywords


Distraction Osteogenesis; Orthognathic Surgeries; Cleft palate; Maxillary Osteotomy; Case Reports; India.

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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