Document Detail


Maxillofacial intraoral distraction osteogenesis followed by elastic traction in cleft maxillary deformity.
MedLine Citation:
PMID:  15617973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of severe maxillary hypoplasia in a 16 years old cleft patient treated by distraction osteogenesis maxillary advancement. Initial evaluation showed vertical and antero-posterior maxillary deficiencies, and a Class III malocclusion. Two intraoral distractors (Zurich Pediatric Maxillary Distractor, KLS Martin, Tuttlingen, Germany) were placed in a high Le Fort I osteotomy. An initial advancement of 11 mm was obtained, but the resulting occlusion was unsatisfactory (end-to-end occlusion). The consolidation period was reduced to 3 weeks to allow the mechanical manipulation of the newly formed bone with Class III elastics. An additional advancement of 3 mm, caused by elastic orthodontic traction produced both normal skeletal relationship and satisfactory occlusion. This observation shows that it is possible to carry on a skeletal maxillary displacement by interdental elastics before the complete fusion of the callus. After 12 months of postoperative follow-up no osseous relapse could be detected and the occlusal result was stable.
Authors:
F Lauwers; A Mayorca-Guiliani; R Lopez; V Woisard-Bassols; J-R Paoli; F Boutault
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  34     ISSN:  0901-5027     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-12-24     Completed Date:  2005-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  85-8     Citation Subset:  D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire de Toulouse, 31059 Toulouse, France. lauwers.f@chu-toulouse.fr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cleft Palate / complications*
Extraoral Traction Appliances
Female
Humans
Malocclusion, Angle Class III / etiology,  surgery,  therapy*
Maxilla / surgery*
Micrognathism / complications,  etiology,  surgery*
Oral Surgical Procedures / methods*
Osteogenesis, Distraction*
Osteotomy, Le Fort / methods
Treatment Outcome

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


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