Zwahlen, R A; Bütow, K W (2004). Maxillary distraction resulting in facial advancement at Le Fort III level in cleft lip and palate patients: a report of two cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 98(5):541-545.
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An 18-year-old female and a 14-year-old male who had previously received surgery for primary repair of a nonsyndromic cleft lip and palate (including alveolar defect bone grafting) unintentionally developed facial advancement at the Le Fort III level after surgical correction of their maxillary hypoplasia. The Le Fort I osteotomy, originally performed for their maxillary dentoalveolar hypoplasia, was an incomplete osteotomy. It was performed without down-fracture, leaving the pterygomaxillary and septal junctions intact. The gradual advancement of the maxilla during distraction osteogenesis was planned to correct the hypoplastic maxilla, and also prevent subsequent hypernasality; however, during the distraction procedure by means of a rigid external device both patients developed an unintentional facial advancement at the Le Fort III level.
|Item Type:||Journal Article, refereed|
|Communities & Collections:||04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery|
|Dewey Decimal Classification:||610 Medicine & health|
|Date:||1 November 2004|
|Deposited On:||11 Feb 2008 12:23|
|Last Modified:||27 Nov 2013 23:08|
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