Asymmetric anterior distraction for transversely distorted maxilla and midfacial anteroposterior deficiency in a patient with cleft lip/palate: Two-stage surgical approach

Kae Hirata, Chihiro Tanikawa, Tomonao Aikawa, Kohji Ishihama, Mikihiko Kogo, Seiji Iida, Takashi Yamashiro

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

The present report describes a male patient with a unilateral cleft lip and palate who presented with midfacial anteroposterior and transverse deficiency. Correction involved a two-stage surgical-orthodontic approach: asymmetric anterior distraction of the segmented maxilla followed by two-jaw surgery (LeFort I and bilateral sagittal splitting ramus osteotomies). The present case demonstrates that the asymmetric elongation of the maxilla with anterior distraction is an effective way to correct a transversely distorted alveolar form and midfacial anteroposterior deficiency. Furthermore, successful tooth movement was demonstrated in the new bone created by distraction.

Original languageEnglish
Pages (from-to)491-498
Number of pages8
JournalCleft Palate-Craniofacial Journal
Volume53
Issue number4
DOIs
Publication statusPublished - Jul 2016

Keywords

  • Asymmetric elongation
  • Maxillary anterior segmental distraction osteogenesis
  • Skeletal Class III
  • Two-jaw surgery
  • Unilateral cleft lip and palate

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

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