The surgical separation of the maxilla from the sphenoid is an important means of preventing complications in the region of the cranial base in adults.
In the presence of a continuous cleft in the jaw and palate area, orthodontic forces (quadhelix) are apparently already sufficient to allow a skeletal expansion of the maxilla. Maxillary expansion using the quadhelix appliance represents a reasonable alternative to using conventional rapid maxillary expansion appliances among cleft patients.
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