Document Detail


Long-term results after maxillary advancement in patients with clefts.
MedLine Citation:
PMID:  8452847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to evaluate relapse tendencies after maxillary advancement, 31 patients were examined preoperatively, postoperatively, and 1 year postoperatively; 14 of whom had clefts of the lip, alveolus, and palate. Patients with maxillary deficiency were selected in a method that mere sagittal displacement was planned. Any patients with major vertical or transverse changes or additional mandibular surgery were excluded. Treatment consisted of maxillary advancement by Le Fort I osteotomy and miniplate fixation. Besides clinical examination, skeletal and dental changes were assessed cephalometrically. Results revealed a certain relapse tendency of the displacement in the noncleft group that compared favorably to the cleft group. This relapse is dependent on the amount of advancement. Despite minor differences, the two groups did not differ significantly based on maxillary advancement, so besides advancement surgery there must be another factor, cleft, to explain the different relapse tendencies between patients with and without clefts.
Authors:
W Hochban; C Ganss; K H Austermann
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  30     ISSN:  1055-6656     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-04-20     Completed Date:  1993-04-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  237-43     Citation Subset:  D; IM; S    
Affiliation:
Craniofacial Clinic, Philipps University, Marburg/Lahn, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Plates
Cephalometry
Cleft Palate / complications*
Female
Follow-Up Studies
Humans
Immobilization
Male
Maxilla / abnormalities,  surgery*
Middle Aged
Occlusal Splints
Osteotomy / methods*
Recurrence
Retrognathism / etiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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