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TREATMENT OF TRANSVERSE DEFICIENCY OF MAXILLA WITH SARPE IN CLEFT PALATE  

Lee, Kyu-Hong (Dept. of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
Hong, Soon-Min (Dept. of Oral and Maxillofacial Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
Park, Jun-Woo (Dept. of Oral and Maxillofacial Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
Cheon, Se-Hwan (Dept. of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
Park, Yang-Ho (Dept. of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.34, no.2, 2008 , pp. 207-215 More about this Journal
Abstract
Patients who have repaired cleft lip and palate generally undergo restriction of maxillary growth. Concave facial profile is often exhibited with relatively normalized mandible. Horizontal and sagittal deficiency of the maxilla could cause anterior and posterior crossbites. In growing patients, ortho-dontic and orthopedic treatment is acceptable with maxillary expansion and protraction. However, surgical approach has to be accompanied with orthodontic treatment in skeletally matured patients. We used SARPE and BSSRO to expand the constricted maxilla and retract the mandible in a patient who had cleft palate repaired in infancy. Through SARPE, orthodontic treatment and BSSRO, we sufficiently expanded the maxillla and improved facial profile.
Keywords
SARPE; BSSRO; Cleft palate; Maxillary deficiency; Mandibular prognathism;
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