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KMID : 0952820200230020043
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Journal of Korean Cleft Lip & Palate Association
2020 Volume.23 No. 2 p.43 ~ p.51
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Postoperative Stability Following Skeletal Deformity Surgery for Cleft Lip and Palate: A Review
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Park Ji-Ho
Lee Hwan-Gyu
Kim Jun-Young
Park Jin-Hoo
Jung Young-Soo
Jung Hwi-Dong
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Abstract
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Successful treatment of cleft lip and palate requires a high level of understanding of the complexity of anomalies and insights for predicting the four-dimensional change of growth. In addition, the surgeon needs to take responsibility for the life-long step-by-step operation that has profound effect on the patient. Alveolar cleft, which occurs in about 75% of cleft lip and palate patients, cannot be recovered without surgical treatment and can cause complications in various areas. However, there remains a lot of debate about the timing of the treatment of alveolar cleft. As a result of an intrinsic defect or previous surgery, patients with cleft lip and palate develop maxillary deficiency in all 3 dimensions with constricted maxillary arch. Therefore maxillary advancement surgery is indicated in about most patients with cleft lip and palate undergoing orthognathic surgery. Therefore, the authors will introduce the consensus of treatment and principles that must be observed in corrective surgery for skeletal abnormalities occurring in cleft lip and palate patients through literature review.
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KEYWORD
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Cleft surgery, Alveolar cleft, Maxillary hypoplasia, Distraction osteogenesis, Orthognathic surgery
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