PMID: 16633178Apr 25, 2006Paper

Usefulness of simultaneous pre-maxillary osteotomy and bone grafting in the bilateral clefts

The Journal of Craniofacial Surgery
Sadanori Akita, Akiyoshi Hirano

Abstract

Bilateral cleft lip and palate patients sometimes accompany with mal-positioned premaxilla, which adversely affect the upper lip morphology, especially widened naso-labial angle as well as functional deteriorations such as speech impairment though the fistula in between the alveolar segments. Usefulness of simultaneous premaxillary osteotomy and bone grafting was tested in respect of grafted bone resorption rate and required bone volume. Between January, 2001 and December, 2003, seven patients (seven years and eight months to 16 years old; average 9.7 +/- 2.87, 2 females and 5 males) with complete bilateral cleft lip and palate patients were performed the simultaneous premaxillary osteotomy and bone grafting, whereas in the same period of between January, 2001 and December, 2003, four patients (seven years and 11 months to 11 years old; average 9.2 +/- 1.01, 4 female and 6 males) with complete bilateral alveolus in order to compare cancellous bone volumes to relatively milder and less-protruded premaxilla. The bone grafting was performed in two-stage manner as one side and later, the other side. The bone volume required for cleft packing was significantly lower in osteotomized cases compared to those of non-osteotomized (3.5 +/...Continue Reading

References

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Citations

May 25, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kyung S KohJong Woo Choi
Dec 23, 2008·The Journal of Craniofacial Surgery·Tomoki OyamaRyuzo Kanomi
Jul 4, 2015·Asian Journal of Surgery·Amin RahpeymaAli Ghasemi
Feb 1, 2017·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Nicolas E SierraEloy M García-Diez
Jun 14, 2014·The Journal of Craniofacial Surgery·Hossein BehniaFarnaz Younessian
Jun 1, 2016·The Journal of Craniofacial Surgery·Weiyi PanChunjie Li

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