Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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DISTRACTION OSTEOGENESIS IN CASE OF CLEFT LIP AND PALATE PATIENT WITH SEVERE MAXILLARY DEFICIENCY

구순구개열로 인한 심한 중안면부 성장부전환자에서 골신장술의 치험례

  • Lee Baek-Soo (Dept. of Oral & Maxillofacial Surgery, Dental college, Kyunghee University) ;
  • Oh Jung-Hwan (Dept. of Oral & Maxillofacial Surgery, Dental college, Kyunghee University) ;
  • Yoon Byong-Wook (Dept. of Oral & Maxillofacial Surgery, Dental college, Kyunghee University) ;
  • Song Sang-Hun (Dept. of Oral & Maxillofacial Surgery, Dental college, Kyunghee University) ;
  • Ryu Dong-Mok (Dept. of Oral & Maxillofacial Surgery, Dental college, Kyunghee University)
  • 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 오정환 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 윤병욱 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 송상헌 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 류동목 (경희대학교 치과대학 구강악안면외과학교실)
  • Published : 2003.12.01
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Abstract

Severe maxilla1y deficiency can be caused by cleft lip and palate(CLP), other craniofacial deformities, atrophy in the edentulous maxilla, and trauma. Patients with maxillary deficiency present a difficult treatment challenge. Traditionally, this skeletal deformity has been treated by Le Fort osteotomy, skeletal repositioning, and fixation with mini-plates and screws. The drawbacks of this method include a limited amount of anterior maxillary advancement often requiring simultaneous mandibular setback, the inability to create new bone, and minimal soft tissue adaptation to the new position, all of which increase the potential of relapse in case of large advancement. The alternative method of maxillary distraction osteogenesis offers promising results for successfully treatment of these patients while potentially minimizing the risk of relapse.

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