Maxillary Distraction Osteogenesis as a Staging Procedure in Patients With Severe Maxillary Deficiency From Cleft Lip and Palate

2005 ◽  
Vol 63 (8) ◽  
pp. 46-47
Author(s):  
Stephanie J. Drew
Keyword(s):  
Distraction Osteogenesis ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillary Deficiency ◽  
Maxillary Distraction

Rigid External Distraction Using Skeletal Anchorage to Cleft Maxilla United with Alveolar Bone Grafting

2005 ◽  
Vol 42 (3) ◽  
pp. 318-326 ◽  
Author(s):  
Hiroki Kita ◽  
Shoko Kochi ◽  
Yoshimichi Imai ◽  
Atsushi Yamada ◽  
Tai Yamaguchi
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Skeletal Anchorage ◽  
Missing Teeth ◽  
Alveolar Bone Grafting ◽  
Bilateral Cleft Lip ◽  
Maxillary Deficiency ◽  
Maxillary Distraction

Objective Documentation of the application of maxillary distraction osteogenesis using rigid external distraction (RED) with skeletal anchorage combined with predistraction alveolar bone grafting (ABG) in cleft maxilla. Design Case report. Patient A patient with numerous congenital missing teeth and severe maxillary deficiency related to complete bilateral cleft lip and palate with large alveolar bone defect. Intervention The patient received preoperative orthodontic treatment, predistraction ABG, and maxillary distraction osteogenesis using RED with skeletal anchorage. Results Predistraction ABG completely united the cleft maxilla. The united maxilla was successfully advanced by the RED system with skeletal anchorage, despite unsound dentition with numerous congenital missing teeth. Conclusion The present study demonstrates that the combination of predistraction ABG and RED system with skeletal anchorage is effective for the treatment of severe maxillary deficiency related to complete bilateral cleft lip and palate with large bone defect and numerous congenital missing teeth.

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