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Clin Plast Surg. 2019 Apr;46(2):157-171. doi: 10.1016/j.cps.2018.11.002. Epub 2019 Feb 6.

Orthognathic Surgery for Patients with Cleft Lip and Palate.

Author information

1
Department of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.
2
Craniofacial Unit, Department of Plastic and Reconstructive Surgery, Sydney Children's Hospital, Randwick, High Street, Sydney, New South Wales 2031, Australia.
3
Orthodontics, Department of Dentistry, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.
4
Division of Plastic and Reconstructive Surgery, University of Toronto, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. Electronic address: john.phillips@sickkids.ca.

Abstract

Cleft orthognathic surgery is an important component of a comprehensive cleft care plan. Applying combined orthodontic and orthognathic treatment principles to a cohort of patients with cleft lip and palate raises many challenges not encountered in conventional orthognathic care. Cleft patients share a commonality in their midfacial anatomy that is characterized by a 3-dimensionally deficient maxilla. The residual sequelae of multiple previous surgeries along with dental differences and unhealed fistulae are considerations when embarking on treatment. This article describes many of these challenges and highlights approaches that are used to address the specific needs of this special group of patients.

KEYWORDS:

Alveolar bone graft; Cleft; Cleft palate; Distraction; Fistula; Lip; Orthodontic; Orthognathic

PMID:
30851748
DOI:
10.1016/j.cps.2018.11.002
[Indexed for MEDLINE]

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