| Maxillofacial intraoral distraction osteogenesis followed by elastic traction in cleft maxillary deformity. | |
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MedLine Citation:
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PMID: 15617973 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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F Lauwers; A Mayorca-Guiliani; R Lopez; V Woisard-Bassols; J-R Paoli; F Boutault |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2004-12-24 Completed Date: 2005-03-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8605826 Medline TA: Int J Oral Maxillofac Surg Country: Denmark |
Other Details:
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Languages: eng Pagination: 85-8 Citation Subset: D; IM |
Affiliation:
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Department of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire de Toulouse, 31059 Toulouse, France. lauwers.f@chu-toulouse.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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