Surgical repositioning of the premaxilla in combination with two-stage alveolar bone grafting in bilateral cleft lip and palate

Mitsuyoshi Iino, Tomokazu Sasaki, Shoko Kochi, Masayuki Fukuda, Tetsu Takahashi, Tai Yamaguchi

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objective: This paper introduces a surgical technique for premaxillary repositioning in combination with two-stage alveolar bone grafting for the correction of the premaxillary deformity of patients with bilateral cleft lip and palate (BCLP). The paper also reports on two patients with BCLP who underwent this surgical management. Surgical Procedure: The operation is usually performed when the patient is 8 to 14 years of age. In the first stage of surgery, the side more accessible to the septo-premaxillary junction is selected, and an osteotomy of the premaxilla and unilateral alveolar bone grafting are performed. Approximately 4 to 12 months after the first stage of surgery, contralateral alveolar bone grafting is carried out. Conclusion: We have found that this surgical procedure is highly effective, because it ensures the blood supply to the premaxilla and minimizes the potential for surgical failure. Moreover, it affords wide exposure of the premaxillary bone surface, facilitating sufficient boney bridging and allowing for orthodontic tooth movement.

Original languageEnglish
Pages (from-to)304-309
Number of pages6
JournalCleft Palate-Craniofacial Journal
Volume35
Issue number4
DOIs
Publication statusPublished - 1998 Jul 1
Externally publishedYes

Keywords

  • Alveolar bone grafting
  • Bilateral cleft lip and palate
  • Premaxillary osteotomy
  • Two-stage surgery

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

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