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LeFort Distraction in the Cleft Patient.

Stephanie J Drew1, Hitesh Kapadia2

  • 1Department of Surgery, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, 1365 Clifton Road Northeast, Building B, Suite 2300, Atlanta, GA 30322, USA.

Oral and Maxillofacial Surgery Clinics of North America
|March 11, 2020
PubMed
Summary
This summary is machine-generated.

Maxillary advancement in cleft patients often requires significant bone movement. Distraction osteogenesis offers a solution for long-distance maxillary advancement, addressing challenges in cleft care.

Keywords:
CleftDistractionLe Fort

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Area of Science:

  • Craniofacial Surgery
  • Orthodontics
  • Distraction Osteogenesis

Background:

  • Cleft patients frequently exhibit maxillary deficiency, necessitating substantial skeletal advancement for facial balance.
  • Maxillary advancements exceeding 10 mm present unique challenges in cleft patients due to prior surgeries and tissue limitations.
  • Achieving long-term stability in cleft patients undergoing maxillary advancement is a critical concern.

Purpose of the Study:

  • To discuss the application of distraction osteogenesis for significant maxillary advancement in cleft patients.
  • To explore the orthodontic and surgical considerations for planning and executing this technique in cleft cases.
  • To highlight how distraction osteogenesis can facilitate gradual soft tissue expansion alongside skeletal movement.

Main Methods:

  • Review of distraction osteogenesis principles applied to maxillary advancement in cleft patients.
  • Analysis of orthodontic preparation and surgical execution strategies.
  • Consideration of factors influencing long-term stability and soft tissue management.

Main Results:

  • Distraction osteogenesis allows for controlled, gradual maxillary movement over extended distances.
  • The technique facilitates simultaneous expansion of compromised soft tissues in multiply operated cleft maxillae.
  • Careful planning and execution are crucial for managing challenges associated with cleft anatomy.

Conclusions:

  • Distraction osteogenesis is a viable technique for achieving significant maxillary advancement in cleft patients.
  • It offers a method to overcome limitations of conventional surgery in managing severe maxillary deficiency.
  • Successful outcomes depend on meticulous orthodontic and surgical planning, addressing specific cleft-related challenges.