Maxillary distraction osteogenesis using Le Fort I osteotomy without intraoperative down-fracture

Yamauchi, Kensuke; Mitsugi, Masaharu; Takahashi, Tsuneo

doi:10.1016/j.ijom.2006.01.008

Cited by 30 publications

(37 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In conventional orthognathic surgery undergoing maxillary advancement, 5-80% of CLP patients showed post-operative relapse and long-term instability [14][15][16][17] . Cheung et al 11 reported that the relapse rate of orthognathic surgery with respect to horizontal and vertical reference lines was 22% with long-term follow-up. Posnick and Dagys 4 reported a vertical relapse of 19%, a horizontal relapse of 23% and a mean relapse of 6.9 mm.…”

Section: ⅲ Discussionmentioning

confidence: 99%

Maxillary distraction osteogenesis in the management of cleft lip and palate: report of 2 cases

Kim

Park

Jang

et al. 2011

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

This study is to evaluate the growth and development of the maxilla advanced by transoral distraction osteogenesis of cleft lip and palate children. Subjects are two patients diagnosed as maxillary hypoplasia with cleft lip and palate, and followed up over 5 years after distraction. At the age of 11.4 years (mean), the distraction had been rendered and periodically taken lateral cephalograms were analysed to trace the growth of the maxilla. This cephalometric study showed continuous growth and development of the distracted maxilla to be stable through long term follow-up. Key words: Distraction osteogenesis, Cleft lip and palate, Maxillary growth, Cephalometrics[paper submitted 2011. 5. 2 / revised 2011. 7. 21 / accepted 2011. 7. 26] Abstract

show abstract

Section: ⅲ Discussionmentioning

confidence: 99%

Maxillary distraction osteogenesis in the management of cleft lip and palate: report of 2 cases

Kim

Park

Jang

et al. 2011

J Korean Assoc Oral Maxillofac Surg

View full text Add to dashboard Cite

show abstract

“…Decortication to evaluate ossification from the periosteum on both sides was not carried out. DO and autogenous bone-grafting are based on bone healing; so osteotomy or corticotomy is needed for callus formation 12,25,29 . Newly formed bone was observed without using such a procedure.…”

Section: Discussionmentioning

confidence: 99%

Histological and histomorphometrical comparative study of β-tricalcium phosphate block grafts and periosteal expansion osteogenesis for alveolar bone augmentation

Yamauchi

Takahashi

Funaki

et al. 2010

International Journal of Oral and Maxillofacial Surgery

Self Cite

View full text Add to dashboard Cite

“…Following down fracture, the maxilla was mobilised and tested to confi rm ease of advancement. The devices were then replaced using the previous screw holes as guide and fi nally fi xed by placing all the other screws (25).…”

Section: Methodsmentioning

confidence: 99%

“…Intra oral distraction devices are, however, also not without disadvantages. One of the most pertinent disadvantages of internal distraction devices is the fact that the distractor has only unidirectional vector of force leading to diffi culty in achieving acceptable fi nal occlusion (25,26). In the authors view, intra oral distraction is indicated for the treatment of CLP patiens requiring more than 8mm maxillary advancement.…”

Section: Introductionmentioning

confidence: 99%

Long-term results of maxillary distraction osteogenesis in nongrowing cleft: 5-years experience using internal device

Hirjak¹,

Reyneke²,

Janec³

et al. 2017

BLL

View full text Add to dashboard Cite

Patients with cleft lip and palate (CLP) related deformities frequently have maxillary hypoplasia in all dimensions. These patients usually present with class III malocclusions, retruded midfaces and narrow hard palates. The skeletal problems can be treated by means of Le Fort I maxillary procedures. Surgical and orthodontic correction of severe maxillary hypoplasia, as often seen in CLP patients, has however proved to be challenging. The magnitude of the advancement is often hampered and the post operative stability signifi cantly affected by palatal soft tissue scarring. The slow distraction of bone and the histogenic abilities of distraction osteogenesis (DO) have made it an atractive alternative treatment option for the management of maxillary hypoplasia in these patients. This paper presents the treatment results of 15 nongrowing CLP patients with severe maxillary hypoplasia treated by means of intra oral distraction. The mean anterior distraction of the maxillas was 12.7 mm (9-15.0 mm). The long-term cephalometric and clinical evaluation after a minimum of 60 months (mean follow-up 71 months) proved to be stable. The treatment results revealed, that distraction osteogenesis in nongrowing CLP patients with severe maxillary hypoplasia proved to be a predictable and stable option (Tab. 2, Fig. 3, Ref. 26). Text in PDF www.elis.sk. KEY WORDS: distraction osteogenesis (DO), cleft lip and palate (CLP), internal device, maxillary hypoplasia.

show abstract

Maxillary distraction osteogenesis using Le Fort I osteotomy without intraoperative down-fracture

Cited by 30 publications

References 25 publications

Maxillary distraction osteogenesis in the management of cleft lip and palate: report of 2 cases

Maxillary distraction osteogenesis in the management of cleft lip and palate: report of 2 cases

Histological and histomorphometrical comparative study of β-tricalcium phosphate block grafts and periosteal expansion osteogenesis for alveolar bone augmentation

Long-term results of maxillary distraction osteogenesis in nongrowing cleft: 5-years experience using internal device

Contact Info

Product

Resources

About