Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases

Introduction: Cleft lip and palate often results in midface hypoplasia and class III skeletal pattern. Maxillary hypoplasia resulting in skeletal class III malocclusion is high among patients with cleft lip and palate. Treatment is usually with Le Fort I advancement with/with out mandibular setback...

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Main Authors:	Chi Adam, Khairul Bariah, Hariri, Firdaus, Rahman, Zainal A
Format:	Article
Language:	English English English
Published:	2017
Subjects:	RK529 Oral Surgery-General Works
Online Access:	http://irep.iium.edu.my/58106/ http://irep.iium.edu.my/58106/1/attachments.zip http://irep.iium.edu.my/58106/2/stability%20cleft%20%20%20maxilla.pdf http://irep.iium.edu.my/58106/3/wuhan%20book.pdf

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recordtype	eprints
spelling	iium-581062018-03-24T19:01:20Z http://irep.iium.edu.my/58106/ Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases Chi Adam, Khairul Bariah Hariri, Firdaus Rahman, Zainal A RK529 Oral Surgery-General Works Introduction: Cleft lip and palate often results in midface hypoplasia and class III skeletal pattern. Maxillary hypoplasia resulting in skeletal class III malocclusion is high among patients with cleft lip and palate. Treatment is usually with Le Fort I advancement with/with out mandibular setback However, the stability of maxillary advancement with Le Fort I surgery is unpredictable and is known for high percentage of relapse. Therefore, this article reports two cases of distraction osteogenesis of the maxilla to correct the skeletal discrepancies. Method: 2 cases of cleft lip and palate patients with severe skeletal class III discrepancies were treated with maxillary advancement via Le Fort I osteotomy followed by distraction osteogenesis. Results: The cephalometric measurements were re-recorded after 1 year to quantify relapse. No significant relapse noticed. Clinically, there were marked improvement in dentofacial structures and results were stable following review after 1 year. Conclusion: This case report highlights the choice of treatment using distraction osteogenesis on the maxilla in two cleft lip and palate patients to correct skeletal discrepancy. Maxillary advancement via distraction osteogenesis seems to provide a significant structural improvement and stable results for patients with cleft lip and palate. Distraction osteogenesis is a useful method for bone regeneration and is a popular technique for treatment of craniofacial skeletal dysplasia, especially in patients with cleft lip and palate. 2017-11 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/58106/1/attachments.zip application/pdf en http://irep.iium.edu.my/58106/2/stability%20cleft%20%20%20maxilla.pdf application/pdf en http://irep.iium.edu.my/58106/3/wuhan%20book.pdf Chi Adam, Khairul Bariah and Hariri, Firdaus and Rahman, Zainal A (2017) Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases. 11th World Cleftlip/Palate and Craniofacial Congress, na (na). p. 198.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RK529 Oral Surgery-General Works
spellingShingle	RK529 Oral Surgery-General Works Chi Adam, Khairul Bariah Hariri, Firdaus Rahman, Zainal A Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
description	Introduction: Cleft lip and palate often results in midface hypoplasia and class III skeletal pattern. Maxillary hypoplasia resulting in skeletal class III malocclusion is high among patients with cleft lip and palate. Treatment is usually with Le Fort I advancement with/with out mandibular setback However, the stability of maxillary advancement with Le Fort I surgery is unpredictable and is known for high percentage of relapse. Therefore, this article reports two cases of distraction osteogenesis of the maxilla to correct the skeletal discrepancies. Method: 2 cases of cleft lip and palate patients with severe skeletal class III discrepancies were treated with maxillary advancement via Le Fort I osteotomy followed by distraction osteogenesis. Results: The cephalometric measurements were re-recorded after 1 year to quantify relapse. No significant relapse noticed. Clinically, there were marked improvement in dentofacial structures and results were stable following review after 1 year. Conclusion: This case report highlights the choice of treatment using distraction osteogenesis on the maxilla in two cleft lip and palate patients to correct skeletal discrepancy. Maxillary advancement via distraction osteogenesis seems to provide a significant structural improvement and stable results for patients with cleft lip and palate. Distraction osteogenesis is a useful method for bone regeneration and is a popular technique for treatment of craniofacial skeletal dysplasia, especially in patients with cleft lip and palate.
format	Article
author	Chi Adam, Khairul Bariah Hariri, Firdaus Rahman, Zainal A
author_facet	Chi Adam, Khairul Bariah Hariri, Firdaus Rahman, Zainal A
author_sort	Chi Adam, Khairul Bariah
title	Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
title_short	Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
title_full	Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
title_fullStr	Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
title_full_unstemmed	Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
title_sort	stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases
publishDate	2017
url	http://irep.iium.edu.my/58106/ http://irep.iium.edu.my/58106/1/attachments.zip http://irep.iium.edu.my/58106/2/stability%20cleft%20%20%20maxilla.pdf http://irep.iium.edu.my/58106/3/wuhan%20book.pdf
first_indexed	2023-09-18T21:22:08Z
last_indexed	2023-09-18T21:22:08Z
_version_	1777411952161587200

Stability of maxillary advancement via distraction osteogenesis in cleft lip and palate patients: report of two cases

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