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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2016 | Case report

Long-term follow-up of early cleft maxillary distraction

Authors: Young-Wook Park, Kwang-Jun Kwon, Min-Keun Kim

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2016

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.

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Title: Long-term follow-up of early cleft maxillary distraction
Authors: Young-Wook Park
Kwang-Jun Kwon
Min-Keun Kim
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2016
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-016-0069-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Long-term follow-up of early cleft maxillary distraction

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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