임상가를 위한 특집 2 - 선천성 기형환자에서의 악교정수술 적용과 수술 증례 분석

  • Jung, Hwi-Dong (Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Jung, Young-Soo (Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry)
  • 정휘동 (연세대학교 치과대학 구강악안면외과학 교실) ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학 교실)
  • Received : 2012.10.08
  • Accepted : 2012.10.22
  • Published : 2012.11.01

Abstract

Distraction osteogenesis and orthognathic surgery are the widely used surgical methods for treating hemifacial microsomia and cleft lip and palate, the representative forms of congenital deformity. Distraction osteogenesis is an outstanding treatment of choice when more traction is needed than what can be achieved by general orthognathic surgery. However, the stability of distraction osteogenesis has not yet been established, and in most of the cases, additional orthognathic surgery is mandatory. Moreover, the difficulty in precise control of the traction directions is another disadvantage of distraction osteogenesis. Therefore, it would be desirable not to conduct distraction osteogenesis when the patient is suitable for an orthognathic surgery. Also, distraction osteogenesis should be recognized as an accessorial method of treatment, and be used restrictively.

Keywords

References

  1. Good PM, Mulliken JB, Padwa BL: Frequency of Le Fort I osteotomy after repaired cleft lip and palate or cleft palate. The cleft palate-craniofacial journal 44:396, 2007 https://doi.org/10.1597/06-075.1
  2. Bardach J, Bakowska J, McDermott Murray J, et al: Lip pressure changes following lip repair in infants with unilateral clefts of the lip and palate. Plastic and reconstructive surgery 74:476, 1984 https://doi.org/10.1097/00006534-198410000-00003
  3. DeLuke DM, Marchand A, Robles EC, et al: Facial growth and the need for orthognathic surgery after cleft palate repair: literature review and report of 28 cases. Journal of oral and maxillofacial surgery 55:694, 1997 https://doi.org/10.1016/S0278-2391(97)90579-6
  4. Herber SC, Lehman JA: Orthognathic surgery in the cleft lip and palate patient. Clinics in plastic surgery 20:755, 1993
  5. Vig KW, Turvey TA: Orthodontic-surgical interaction in the management of cleft lip and palate. Clinics in plastic surgery 12:735, 1985
  6. Ross RB: Treatment variables affecting facial growth in complete unilateral cleft lip and palate. The Cleft palate journal 24:5, 1987
  7. Shetye PR: Facial growth of adults with unoperated clefts. Clinics in plastic surgery 31:361, 2004 https://doi.org/10.1016/S0094-1298(03)00137-8
  8. Willmar K: On Le Fort I osteotomy; A follow-up study of 106 operated patients with maxillo-facial deformity. Scandinavian journal of plastic and reconstructive surgery 12:suppl 1268, 1974
  9. Drommer R: Selective angiographic studies prior to Le Fort I osteotomy in patients with cleft lip and palate. Journal of maxillofacial surgery 7:264, 1979 https://doi.org/10.1016/S0301-0503(79)80051-X
  10. Precious DS: Treatment of retruded maxilla in cleft lip and palate--orthognathic surgery versus distraction osteogenesis: the case for orthognathic surgery. Journal of oral and maxillofacial surgery 65:758, 2007 https://doi.org/10.1016/j.joms.2006.08.011
  11. Chua HD, Whitehill TL, Samman N, et al: Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: effects on speech and velopharyngeal function. International journal of oral & maxillofacial surgery 39:633, 2010 https://doi.org/10.1016/j.ijom.2010.03.011
  12. McComb RW, Marrinan EM, Nuss RC, et al: Predictors of velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate. Journal of oral and maxillofacial surgery 69:2226, 2011 https://doi.org/10.1016/j.joms.2011.02.142
  13. Macmillan AR, Tideman H: The stability of the downgrafted maxilla in the cleft lip and palate patient. Ann R Australas Coll Dent Surg 12:232, 1994
  14. Heliövaara A, Hukki J, Ranta R, et al: Changes in soft tissue thickness after Le Fort I osteotomy in different cleft types. The International journal of adult orthodontics and orthognathic surgery 16:207, 2001
  15. Baek S, Lee J, Kim M, et al: Comparison of treatment outcome and stability between distraction osteogenesis and LeFort I osteotomy in cleft patients with maxillary hypoplasia. The Journal of craniofacial surgery 18:1209, 2007 https://doi.org/10.1097/scs.0b013e31814b2b8c
  16. Freihofer HP: Results of osteotomies of the facial skeleton in adolescence. Journal of maxillofacial surgery 5:267, 1977 https://doi.org/10.1016/S0301-0503(77)80121-5
  17. Chong DK, Portnof JE, Xu H, et al: Reviewing the orthognathic surgical care of the patient with cleft lip and palate: the single surgeon experience. J Craniofac Surg 20 Suppl 2:1895, 2009 https://doi.org/10.1097/SCS.0b013e3181b6c69f
  18. Figueroa A, Polley JW, Friede H, et al: Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities. Plastic and reconstructive surgery 114:1382, 2004