Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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Premaxillary Reconstruction by Distraction Osteogenesis for Cleft Lip/Palate

구순구개열 환자에서 골신장술을 이용한 전상악골의 재건

  • Kim, Ki-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Young-Soo (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Choei, Jin-Hwan (Dept. of Orthodontic, College of Dentistry, Yonsei University) ;
  • Lee, Sang-Hwy (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yu, Hyoung-Seog (Dept. of Orthodontic, College of Dentistry, Yonsei University) ;
  • Son, Byoung-Hwa (Dept. of Orthodontic, College of Dentistry, Yonsei University) ;
  • Yi, Choong-Kook (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 김기호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 최진환 (연세대학교 치과대학 교정학교실) ;
  • 이상휘 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 유형석 (연세대학교 치과대학 교정학교실) ;
  • 손병화 (연세대학교 치과대학 교정학교실) ;
  • 이충국 (연세대학교 치과대학 구강악안면외과학교실)
  • Published : 2006.12.31
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Abstract

Patients with cleft lip and palate usually present midfacial depression and anterior cross-bite. This dentofacial deformity has been believed due to the undergrowth of maxilla and/or the collapse of premaxilla. But, in the case that the collapsed premaxilla exists only, the reconstruction of the premaxilla has to be required for the correction of that deformity. These cases show the surgical treatment of midfacial depression and anterior cross-bite in the cleft lip and palate. After the careful diagnosis for the collapse of premaxilla, the reconstruction using distraction osteogenesis was done successfully. As a result, the anterior overbite / overjet, and facial esthetics were improved remarkably, and the occlusion was also recovered to normal state. In conclusion, the premaxillary reconstruction by distraction osteogenesis in cleft lip and palate patients is a good treatment method based on the pathophysiology.

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