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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Winter 2001
Volume 2 , Issue 4

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Surgical-Orthodontic Treatment in Patients with Cleft Lip and Palate: Conventional Surgery Versus Maxillary Distraction Osteogenesis

Hyoung Seon Baik, DDS, MS, PhD/Choong Kook Yi, DDS, MS, PhD

Pages: 331340

Aim: To compare two cleft lip and palate patients treated with conventional surgery to one treated with maxillary distraction osteogenesis. Methods: To correct the transverse problems in a patient with cleft lip and palate and a constricted maxilla, two-piece surgery via Le Fort I osteotomy was performed along with bimaxillary surgery. In twin sisters, maxillary advancement via distraction osteogenesis was performed on the older, while the younger sister was treated with bimaxillary surgery. Results: Acceptable results were achieved in the patient treated with two-jaw surgery, despite the large mandibular setback. In the twins, the older sister, who had an underdeveloped maxilla, showed good results through maxillary distraction osteogenesis. The treatment results for the younger sister were less satisfying because of the greater amount of mandibular setback, which was due to the limited amount of maxillary advancement. Conclusion: Patients with cleft lip and palate can be successfully treated through conventional surgery and orthodontic treatment, but maxillary distraction osteogenesis is also a valuable treatment option for patients with cleft lip and palate and limited maxillary advancement. World J Orthod 2001;2:331340.

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