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Updated: Jul 2, 2026

Finite Element Analysis Model for Assessing Expansion Patterns from Surgically Assisted Rapid Palatal Expansion
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[Maxillary distraction complications in cleft patients].

Y Jeblaoui1, B Morand, M Brix

  • 1Service de chirurgie maxillofaciale, hôpital A.-Michallon, BP 217, 38043 Grenoble cedex 09, France.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|August 16, 2008
PubMed
Summary

Maxillary distraction in cleft lip and palate patients frequently involves complications, primarily with the devices used. While most complications do not impact the final outcome, careful consideration of device design and patient indication is crucial for successful treatment.

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Area of Science:

  • Craniofacial surgery
  • Orthodontics
  • Pediatric dentistry

Context:

  • Cleft lip and palate (CLP) patients often exhibit Class III malocclusion and maxillary hypoplasia.
  • Maxillary advancement is required in 25-60% of CLP patients.
  • Maxillary distraction osteogenesis is a key surgical technique for correction.

Purpose:

  • To evaluate the complications associated with maxillary distraction in patients with cleft lip and palate.

Summary:

  • This study analyzed eight CLP patients undergoing Le Fort I osteotomy and maxillary distraction (external or internal devices).
  • Complications occurred in seven patients, including device failures, pain during activation, and osteotomy-related issues.
  • Most complications were device-related and did not compromise the final surgical outcome.

Impact:

  • Maxillary distraction is effective for correcting hypoplasia in CLP patients.
  • Complication rates highlight the need for improved distractor design and careful patient selection.
  • Understanding these complications aids in optimizing surgical planning and patient management.