A novel skeletal anchorage for rigid external distractor

Fariña, R; Salinas, F.

doi:10.20517/2347-9264.2017.49

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All of these features have made the use of RED I and II an excellent alternative treatment for patients with severe maxillary hypoplasia. Fariña and Salinas 28 modified the anchorage technique, describing the “Skeletal Anchorage for a Rigid External Device", to apply force directly to the bone with a given vector, without intraoral splint nor other devices. This technique was used for the TDO with a modified Le Fort III osteotomy, where the osteotomy was performed using low morbidity approaches (transconjunctival and transoral approaches), a shorter surgery time and low blood loss, in contrast to conventional Le Fort III techniques.…”

Section: Discussionmentioning

confidence: 99%

Cleft Lip and Palate Midfacial Hypoplasia: Criteria to Choose the Treatment

Fariña

Lolas

Moreno

et al. 2021

Journal of Craniofacial Surgery

Self Cite

View full text Add to dashboard Cite

A series of skeletal and dentoalveolar/occlusal criteria were proposed for choosing the treatment modality for the management of midface hypoplasia in cleft lip/palate patients, focusing on functional improvement, aesthetics, and minimizing the risk of recurrence and secondary alterations. For which, 42 patients with nonsyndromic cleft lip/palate, all with previous primary lip/palate surgeries and without previous osteotomies, were analyzed. Orthognathic surgery (OS) (n ¼ 24) and maxillary distraction osteogenesis (n ¼ 18) with anterior segmental osteotomies (segmental distraction osteogenesis [SD]), alveolar transport disc (TD), and midface total distraction osteogenesis (TDO) by modified Le Fort III osteotomy was done.The average of maxillary advancement for OS was 5.58 AE 0.83 mm, for SD 9.4 AE 0.89 mm, for TD 8.00 AE 1.00 mm, and for TDO was 8.13 AE 1.55 mm.In the presence of infraorbital and/or zygomatic hypoplasia, TDO was performed using skeletal anchorage, with the requirement of occlusal stability in dental cast in occlusion. In short maxillary arch without dental cast feasibility in occlusion, hypodontia/agenesis or absence of premaxilla, TD and SD was performed. There was only 1 mm of recurrence in 1 patient of each group. Changes in speech were detected in 2 patients in the OS group (8.3%). Orthognathic surgery can be indicated for advancements 7 mm not requiring orbito-zygomatic advancement, whereas distraction osteogenesis can be indicated for advances >8 mm with or without the need for orbito-zygomatic advancement, in addition with other dentoalveolar factors and velopharyngeal function.

show abstract

Section: Discussionmentioning

confidence: 99%