Skeletal stability of Le Fort I osteotomy in patients with isolated cleft palate and bilateral cleft lip and palate

Heliövaara, Arja; Ranta, Reijo; Hukki, Jyri; Rintala, A

doi:10.1054/ijom.2002.0243

Cited by 53 publications

(33 citation statements)

References 13 publications

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“…A significant reduction in the facial concavity by 24°, anterior movement of upper lip, and improvement of the nasolabial angle by 20.2° was observed as reported by various authors. 10,11 The midface advancement was uneventful in 18 cases. In one case complication was encountered as Le Fort II level distraction led to a fracture at the zygomatic body-arch junction.…”

Section: Discussionmentioning

confidence: 99%

A clinical evaluation of midface advancement using intraoral distractors in management of bone stock deficiencies

Sinha

Menon²,

Venugopal

2011

Medical Journal Armed Forces India

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BACKGROUNDCleft lip and palate patients present large osseous defects of the alveolus and midface hypoplasia. Traditional orthognathic surgery has limitations of relapse and limited age group. Distraction osteogenesis (DO) as a modality for midface advancement is relatively new. Modular internal distractor (MID) offers the advantage of patient compliance and minimal discomfort.The purpose of this study was to evaluate the versatility of intraoral distractors in midface advancement. METHODNineteen patients with midface bone stock deficiency were selected for maxillary advancement. At the first surgery under general anaesthesia, after the osteotomy (Le Fort I/II), MID system was used. After distraction, evaluation was done for ease of the procedure, stability, and complications.Lateral cephalograms were evaluated at three stages: T1, pre-distraction; T2, post-distraction; and T3, one year post-distraction. RESULTSSignificant changes showed 13.3 mm mean midface advancement bone formation at the pterygomaxillary region. The results were stable even at one year follow-up. CONCLUSIONMaxillary position improved in relation to the cranial base. This study showed that the MID was versatile in midface advancement in stability and patient compliance with minimal complications. MJAFI 2011;67:245-252

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Section: Discussionmentioning

confidence: 99%

A clinical evaluation of midface advancement using intraoral distractors in management of bone stock deficiencies

Sinha

Menon²,

Venugopal

2011

Medical Journal Armed Forces India

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“…Irrespective of cleft surgery in childhood, osteotomy osteotomie. Verschiedene Autoren konnten die Stabilität der Umstellungsosteotomie auch für Spalt-Träger nachweisen [1,8,11]. Als wichtige Faktoren dafür sahen Helövaara et al [11] die Einführung miniaturisierter Osteosynthesematerialien und die Erfahrungen des Operateurs an.…”

Section: Discussionunclassified

“…Verschiedene Autoren konnten die Stabilität der Umstellungsosteotomie auch für Spalt-Träger nachweisen [1,8,11]. Als wichtige Faktoren dafür sahen Helövaara et al [11] die Einführung miniaturisierter Osteosynthesematerialien und die Erfahrungen des Operateurs an. Die Bedeutung einer systematischen kieferorthopädischen Behandlung im Kindes-und Jugendalter wurde von Smahel [29] und Schultes et al [26] Abbildung 28.…”

Section: Discussionunclassified

Possibilities and Limitations of Comprehensive Treatment of Mentally Retarded Patients with Cleft Lip, Alveolus and Palate

Bock

Maurer

Sterzik

et al. 2004

Journal of Orofacial Orthopedics/Fortschritte der Kieferorthop�

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The comprehensive, successful treatment of patients with cleft lip, alveolus and palate requires numerous surgical interventions and very close cooperation between various medical and dental specialists. The willingness and ability of the patient to undergo treatment are undoubtedly important factors in achieving optimal treatment outcomes. The presented case report shows that limited compliance makes it much more difficult for speech pathologists and orthodontists to treat mentally retarded patients. Only with combined orthodontic therapy and orthognathic surgery could the dental and skeletal abnormalities be corrected in adulthood.

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“…Bu amaçla 1970'li yıllardan itibaren kısıtlı ilerletme olanağı sunması ve %4 ile 40 arasında değişebilen relaps oranlarına rağmen LeFort I osteotomi ve osteotomize segmentin ilerletilmesi kullanılagelmiştir (16)(17)(18)(19)(20)(21)(22). Relaps özellikle ilk 12 haftada belirgin olarak kendini göstermek-tedir (23).…”

Section: Dudak Damak Yarıklarında Gelişimsel Sorunlara Bağlı Deformitunclassified

Distraction Osteogenesis in Congenital Nonsyndromic Dentofacial Deformities

Konaş¹,

Tunçbi̇lek²

2016

Akd Med J

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ÖZKonjenital fasiyal deformiteler gerek mevcut deformite, gerekse deformitenin gelişim sürecindeki yansıması olarak görülebilmektedir. Gelişimsel sorunlar sıklıkla mandibula veya orta yüz bölgesinde maksilla gelişiminde beliren yetersizlik ve buna bağlı olarak çevre dokularda oluşan orantı problemleri ile kendisini göstermektedir. Gelişim geriliğinin en önemli nedenleri arasında yapılan onarım sonrası ortaya çıkan skarın kemik gelişimini engellemesi , kemiğin gelişim odağının deforme olması ve çevre yumuşak doku eksiklikleri sayılabilmektedir. Kemik augmentasyonunu gerektiren fasiyal konjenital deformiteler arasında; Pierre-Robin sekansı, dudak damak yarıklarına sekonder orta yüz gerilikleri, kraniofasiyal mikrozomi sayılabilir. Sözü edilen deformite spektrumu, klasik ortognatik cerrahi veya distraksiyon osteogenezi ile kemik yapının restorasyonu ve bunlara ek olarak yumuşak doku augmentasyonları ile rekonstrükte edilebilmektedir. Kemik doku restorasyonunda ilerletme olanaklarının daha fazla olması,yeni kemik elde edilebilmesi, serbest doku nakli gereksinimini azaltması ve daha stabil bir onarım imkanı sağlaması nedenleri ile distraksiyon osteogenezi son yılarda daha etkin bir tedavi yöntemi olarak görülmektedir.

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Skeletal stability of Le Fort I osteotomy in patients with isolated cleft palate and bilateral cleft lip and palate

Cited by 53 publications

References 13 publications

A clinical evaluation of midface advancement using intraoral distractors in management of bone stock deficiencies

A clinical evaluation of midface advancement using intraoral distractors in management of bone stock deficiencies

Possibilities and Limitations of Comprehensive Treatment of Mentally Retarded Patients with Cleft Lip, Alveolus and Palate

Distraction Osteogenesis in Congenital Nonsyndromic Dentofacial Deformities

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