Improved outcomes in cleft patients with severe maxillary deficiency after Le Fort I internal distraction

Plastic and Reconstructive Surgery
Anand KumarJames P Bradley

Abstract

Correction of severe maxillary deficiency in cleft lip-cleft palate patients often results in undercorrection, relapse, and need for secondary corrective procedures. Le Fort I internal distraction osteogenesis offers an alternative to one-step orthognathic advancement, with advantages of gradual lengthening through scar and earlier treatment in growing patients. Patients with cleft lip-cleft palate deformities and maxillary deficiency were divided into three groups treated by Le Fort I advancement: group 1, mild to moderate deficiency (< 10 mm) with conventional orthognathic procedure; group 2, severe deficiency (> or = 10 mm) with conventional orthognathic procedure; and group 3, distraction procedure for severe deficiency (> or = 10 mm) (n = 51). Preoperative, postoperative, and follow-up (> 1 year) lateral cephalogram measurements were compared including angular (SNA and SNB) and linear (Deltax = horizontal and Deltay = vertical) changes. The Pittsburgh Speech Score was used to assess for velopharyngeal insufficiency (score > 3). Results demonstrated that group 1 patients had a mean SNA change from preoperatively (78.7) to postoperatively (83.8), and a horizontal change of 5.0 mm, with no relapse. Group 2 patients had a mean...Continue Reading

References

Nov 1, 1992·Plastic and Reconstructive Surgery·L B Eskenazi, S A Schendel
Jan 1, 1992·Plastic and Reconstructive Surgery·J G McCarthyB H Grayson
May 1, 1991·Plastic and Reconstructive Surgery·S RosensteinB H Griffith
Aug 1, 1987·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·W R ProffitT A Turvey
Oct 1, 1980·Plastic and Reconstructive Surgery·R J ShprintzenM L Skolnick
Apr 1, 1997·Plastic and Reconstructive Surgery·S R CohenM A Rathburn
Sep 1, 1996·Seminars in Orthodontics·J C Posnick
Oct 17, 1998·Plastic and Reconstructive Surgery·J W Polley, A A Figueroa
Jan 8, 1999·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·A A Figueroa, J W Polley
Jul 1, 1999·The Journal of Craniofacial Surgery·G SwennenC Malevez
Sep 12, 2000·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·E Wen-Ching KoJ W Polley
Feb 24, 2001·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·A Hirano, H Suzuki
Apr 21, 2001·The Journal of Craniofacial Surgery·G SwennenC Malevez
Jun 2, 2001·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·T W GuyetteB E Smith
Sep 27, 2001·The Journal of Craniofacial Surgery·M KrimmelS Reinert
Oct 30, 2001·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·C TateishiT Takano-Yamamoto
Dec 4, 2001·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·K HaradaS Enomoto
Apr 5, 2002·Plastic and Reconstructive Surgery·Jeffrey WeinzweigScott P Bartlett
Jul 26, 2002·The Journal of Craniofacial Surgery·Granger B Wong, Bonnie L Padwa
Dec 5, 2002·The British Journal of Oral & Maxillofacial Surgery·J WiltfangP Kessler
Dec 25, 2002·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Arnulf Baumann, Klaus Sinko
May 8, 2003·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alexander GagglHans Kärcher
Jan 6, 2004·The Journal of Craniofacial Surgery·Kyoko E YamajiJohn F Teichgraeber
Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Massimo PolitiMassimo Robiony
Mar 12, 2004·The British Journal of Oral & Maxillofacial Surgery·Mitsuyoshi IinoMasayuki Fukuda
Mar 12, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·John JanulewiczRobert Gassner
May 18, 2004·Clinics in Plastic Surgery·Jeffrey C Posnick, Pat Ricalde
Jun 29, 2004·Plastic and Reconstructive Surgery·Jack C. YuJohn W. Polley
Jun 30, 2004·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Yu-Fang LiaoM Samuel Noordhoff

❮ Previous
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Citations

Jun 14, 2006·Mund-, Kiefer- und Gesichtschirurgie : MKG·Wolfgang ZemannHans Kärcher
Jan 17, 2014·Journal of Maxillofacial and Oral Surgery·C Sunitha Shanmugasundaram
Jul 12, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Valerie PereiraDavid Dunaway
Sep 16, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Emel SariSuheyl Pocan
Jul 12, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Peter J Taub, Joshua A Lampert
Jan 1, 2009·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Tomohisa NagasaoTatsuo Nakajima
Mar 19, 2014·International Journal of Oral and Maxillofacial Surgery·J-C DoucetG Captier
Feb 5, 2013·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Seigo OhbaIzumi Asahina
Aug 29, 2012·International orthodontics·Emmanuelle RiouxDominique Deffrennes
Jun 9, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Humam SaltajiCarlos Flores-Mir
Jun 16, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Michael LypkaJeffrey Hammoudeh
Dec 22, 2015·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Kazuaki YamaguchiLun-Jou Lo
Jul 8, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dongmei HeRaul Barcelo
Aug 23, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Saleh Al-DaghreerTarek El-Bialy
Mar 22, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·David M KahnStephen A Schendel
Sep 27, 2014·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Guy D WattsJohn H Phillips
Oct 4, 2015·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Katherine W L Vig, Ana M Mercado
Jan 21, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Edward AnsariArnaud Picard
Aug 7, 2007·Revue de stomatologie et de chirurgie maxillo-faciale·A PicardH Bénateau
Aug 31, 2016·International Journal of Oral and Maxillofacial Surgery·F X WongP M Schneider
May 26, 2016·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Paolo Scolozzi, Georges Herzog
Nov 16, 2017·Plastic and Reconstructive Surgery·Woo Shik JeongJong Woo Choi
Jan 26, 2007·The Journal of Craniofacial Surgery·Ayse GulsenReha Yavuzer
Aug 2, 2007·The Journal of Craniofacial Surgery·Judy L WardS Anthony Wolfe
Sep 25, 2008·The Journal of Craniofacial Surgery·Paolo ScolozziBertrand Jaques
Mar 3, 2020·The Journal of Craniofacial Surgery·Michael Lypka, Heather Hendricks
Jul 17, 2014·Plastic and Reconstructive Surgery·Justine C Lee, James P Bradley
Jul 1, 2020·The Journal of Craniofacial Surgery·Yasser H Almadani, Mirko S Gilardino
May 15, 2015·The Journal of Craniofacial Surgery·Philip Kuo-Ting ChenFrank Chun-Shin Chang
Jun 17, 2015·The Journal of Craniofacial Surgery·Fernando BursteinMark Schoemann
Dec 17, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Wattage Kathya Leoni PereraD A R K Dasanayaka
Mar 22, 2016·The Journal of Craniofacial Surgery·Kristen A KlementArlen D Denny
Mar 17, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Buddhathida WangsrimongkolPradip R Shetye
Apr 29, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Giovanni GerbinoGugliemo Ramieri
May 4, 2021·Facial Plastic Surgery : FPS·Rami P DibbsEdward P Buchanan
May 31, 2021·Clinics in Plastic Surgery·Waleed GibreelJeffrey A Hammoudeh
Jan 20, 2021·The Journal of Craniofacial Surgery·Pedram GoelJeffrey A Hammoudeh
Jul 9, 2021·Plastic and Reconstructive Surgery. Global Open·Nicholas T K Do, Steven R Buchman
Jun 22, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Buddhathida WangsrimongkolPradip R Shetye

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