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Distraction or osteotomy for the correction of maxillary cleft deformities: which is better?

Authors
Type
Published Article
Journal
Annals of the Royal Australasian College of Dental Surgeons
Publication Date
Volume
17
Pages
57–63
Identifiers
PMID: 16479857
Source
Medline
License
Unknown

Abstract

The application of distraction osteogenesis in the maxillofacial region is gaining popularity. However, it remains controversial whether distraction osteogenesis can produce better outcomes than the conventional orthognathic surgery particularly in cleft lip and palate (CLP) patients. This paper presents the two treatment methods--conventional orthognathic surgery and distraction osteogenesis in the management of maxillary hypoplasia in CLP patients. One clinical case was selected for illustration on each method. The discussion is based on the current literature focusing on the differences in indications, surgical techniques, morbidities, relapse, speech and velopharyngeal changes.

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