KMID : 0952820160190020027
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Journal of Korean Cleft Lip & Palate Association 2016 Volume.19 No. 2 p.27 ~ p.35
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Premaxillary Distraction Osteogenesis Treatment of Maxillary Deficiency in Unilateral Cleft Palate Patient Using Rigid External Device : Case Report
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Im Joon
Choi Hye-Young Yu Hyung-Seog Cha Jung-Yul
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Abstract
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Maxillary anterior segmental distraction osteogenesis (MASDO) has been the alternative treatment option for mid-facial deficiency. The patient showed unilateral complete cleft lip and palate on left side, and MASDO with rigid external device (RED) was planned to solve mid-facial deficiency and to create new alveolar bone and space. premaxilla was moved forward after MASDO, but it tended to relapse during orthodontic treatment and retention period. The value of U1 to SN decreased after MASDO, but it was recovered by orthodontic treatment. MASDO with RED provided an effective treatment for cleft lip and palate patients, extended the arch length for collapsed premaxilla, and improved lateral profile without velopharyngeal problem.
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KEYWORD
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Cleft lip and palate, Maxillary anterior segmental distraction osteogenesis, RED
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