KMID : 0952820050080020063
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Journal of Korean Cleft Lip & Palate Association 2005 Volume.8 No. 2 p.63 ~ p.70
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Distraction osteogenesis in patients with complete cleft lip and palate
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Yi Jun-Kyu
Park Chul-Hui Na JI Jung Jong-Seon Koo Hyun-Mo Eom Min-Yong Song Min-Seok
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Abstract
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Patients with cleft lip and palate usually show up maxillary hypoplasia. In these cases, a large amount of maxillary advancement is often needed to correct the severe deformity, but local soft-tissue scars around the maxilla restrict maxillary advancement and increase the relapse rate. Maxillary distraction osteogenesis is an effective method for facial and occlusal improvement in these patients. By gradually lengthening both the bones and the soft tissues, distracted midface can greatly increase postoperative stability and decrease the relapse rate. However, the maxillary extraoral appliances of the early days used were esthetically unappealing as well as difficult for the patient to manage. Recently, more inconspicuous intraoral distraction appliances have been developed and used with success. We acquired favorable result in two patients(bilateral 1 patient and unilateral 1 patient) with severe maxillary hypoplasia secondary to complete cleft lip and palate were treated with midface distraction using internal distractor (Zurich Pediatric Maxillary Distractor, KLS Martin, Tuttlingen, Germany). So, we report our experience with literatures.
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KEYWORD
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Distraction osteogenesis, complete cleft lip and palate, internal distractor
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