Management of Severe Midface Retrusion With Distraction Osteogenesis in Patients With Cleft Lip and Alveolus

Abstract

A cleft lip, palate, and alveolus is one of the most common birth defects. Depending on the type of cleft, multiple surgeries may be required throughout the growth stage. Traditionally, an orthodontic-surgical approach has been adopted to treat maxillary retrusion. Osteodistraction it is the surgical choice in patients with severe midface retrusion that require maxillary advancement. Our objective is to present our experience using this orthodontic and surgical approach.

Outcomes of Bifocal Transport Distraction Osteogenesis for Repairing Complicated Unilateral Alveolar Cleft

“…During mixed dentition, alveolar cleft closure in conjunction with orthodontic treatment has become a widely accepted treatment choice 1,2 . Secondary grafting provides adequate bone support for teeth adjacent to the cleft area, a bony environment for teeth eruption in the cleft site, a bony continuity in the maxillary alveolar ridge, and a satisfactory alveolar bone contour, arch width support to prevent maxillary arch collapse, elimination of oronasal fistulas, improved facial symmetry, and improved oral hygiene status 3–6 …”