[Correction of dento-maxillofacial deformities following cleft lip and palate repair with orthognathic surgery and orthodontics]

Zhonghua Zheng Xing Wai Ke Za Zhi. 2005 Nov;21(6):411-4.
[Article in Chinese]

Abstract

Objective: To restore good occlusion and face profile, the orthognathic operation and orthodontics were used to correct the dento-maxillofacial deformities following the repair of cleft lip and palate.

Methods: 21 patients (7 males and 14 females, mean age of 20.6 years) were included in this study. Their dento-maxillofacial deformities following the repair of cleft lip and palate have been corrected in our hospital since 1996. Of them, 17 patients received pre- and postoperative orthodontic treatments. 21 cases underwent the following surgical procedures: Le Fort I osteotomy in 7 cases, multisegmental Le Fort I osteotomy in 5 cases, Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) in 4 cases, Le Fort I osteotomy and mandibular body osteotomy in 2 cases, BSSRO and genioplasty in 2 cases, BSSRO in 1 case. Rigid internal fixation was used in all patients. After multisegmental Le Fort I osteotomy, the rigid fixed palatine splint was used for 6 approximately 8 weeks.

Results: Osteotomy segments healed well in all cases without severe complications. 14 patients were followed-up for an average of 25.6 months. There was no evident relapse. 12 patients who received pre- and postoperative orthodontic treatments had satisfactory occlusion and face profile.

Conclusions: Orthognathic operation combined with orthodontics can be used satisfactorily to correct the dento-maxillofacial deformities following cleft lip and palate repair.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Cleft Lip / surgery
  • Cleft Palate / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Maxillofacial Abnormalities / etiology*
  • Maxillofacial Abnormalities / surgery*
  • Orthodontics, Corrective*
  • Orthognathic Surgical Procedures / methods*
  • Osteotomy
  • Postoperative Complications / surgery*
  • Young Adult