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KMID : 0355620080340020207
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2008 Volume.34 No. 2 p.207 ~ p.215
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TREATMENT OF TRANSVERSE DEFICIENCY OF MAXILLA WITH SARPE IN CLEFT PALATE
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Lee Kyu-Hong
Hong Soon-Min
Park Jun-Woo
Cheon Se-Hwan
Park Yang-Ho
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Abstract
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Patients who have repaired cleft lip and palate generally undergo restriction of maxillary growth. Concave facial profile is often exhibited with relatively normalized mandible. Horizontal and sagittal deficiency of the maxilla could cause anterior and posterior crossbites. In growing patients, orthodontic and orthopedic treatment is acceptable with maxillary expansion and protraction. However, surgical approach has to be accompanied with orthodontic treatment in skeletally matured patients. We used SARPE and BSSRO to expand the constricted maxilla and retract the mandible in a patient who had cleft palate repaired in infancy. Through SARPE, orthodontic treatment and BSSRO, we sufficiently expanded the maxillla and improved facial profile.
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KEYWORD
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SARPE, BSSRO, Cleft palate, Maxillary deficiency, Mandibular prognathism
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