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Correction of midface deficiency using intra-oral distraction device
Suresh Menon1, Ramen Sinha, Ravi Manerikar
1Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bangalore, India.
Journal of Maxillofacial and Oral Surgery
|November 10, 2012
Summary
Distraction offers a versatile solution for midface deficiency in cleft lip/palate patients. This study shows successful midface advancement using intra-oral distractors, correcting retrusion and malocclusion.
Area of Science:
- Craniofacial surgery
- Orthodontics
- Pediatric dentistry
Background:
- Midface deficiency, often presenting as retrusion and Angle's class III malocclusion, is common in patients with cleft lip/palate.
- Surgical correction of clefts can lead to scarring, hindering midface growth and causing deformity.
- Conventional surgical advancements have shown limited success in correcting midface deficiency.
Purpose of the Study:
- To evaluate the efficacy of distraction osteogenesis for correcting midface hypoplasia in cleft lip/palate patients.
- To assess the stability and success of intra-oral distractors in midface advancement.
Main Methods:
- Six patients with cleft lip/palate and midface deficiency underwent surgical advancement using intra-oral distractors.
- The study focused on multidimensional growth achieved through distraction techniques.
Main Results:
- Successful and stable results were achieved in all six patients.
- Intra-oral distraction proved to be a versatile tool for correcting midface deficiencies.
Conclusions:
- Distraction osteogenesis is an effective and versatile method for correcting midface hypoplasia in cleft lip/palate patients.
- Intra-oral distractors provide successful and stable outcomes for midface advancement.

