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Premaxillary excision: reasons and effects.

B Cosman

    Plastic and Reconstructive Surgery
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Premaxillectomy in children with bilateral cleft lip and palate can lead to a "church steeple" maxillary arch defect. However, midfacial growth arrest did not occur in these cases.

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    Area of Science:

    • Craniofacial surgery
    • Pediatric plastic surgery
    • Cleft lip and palate treatment

    Background:

    • This study examines the long-term outcomes of premaxillectomy in children with bilateral cleft lip and palate.
    • The history and rationale behind primary and secondary premaxillectomy are reviewed.

    Observation:

    • Five cases of bilateral cleft lip and palate patients who underwent premaxillectomy between ages 5 and 11 are presented.
    • The specific reasons for each premaxillectomy procedure are detailed.
    • Patients were followed into adolescence to assess long-term effects.

    Findings:

    • Four out of five patients developed an abnormal "church steeple" defect in their maxillary arches post-procedure.
    • Midfacial growth arrest and pseudoprognathism were not observed in any of the patients.

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  • Surgical techniques, prosthetic, and soft-tissue reconstruction details are specified.
  • Implications:

    • Secondary premaxillectomy can be a viable treatment option for select cases of bilateral cleft lip and palate.
    • Understanding the potential for maxillary arch deformities is crucial for surgical planning.
    • This research contributes to the evidence base for managing complex cleft lip and palate cases.